摘要
目前针对带状疱疹后遗神经痛的治疗，虽无特效方法，但通过恰当的综合治疗可最大程度缓解患者的症状。抗惊厥药如加巴喷丁和普瑞巴林、三环类抗抑郁药仍是常用药物。外用治疗为临床推荐的方法之一，其中辣椒素高浓度贴剂可用于其他治疗无效或无法耐受系统治疗者。而麻醉镇痛药、神经阻滞疗法等因其不良反应较大，不作为一线疗法。此外，新兴药物肿瘤坏死因子α抑制剂、自控镇痛技术等方法在带状疱疹后遗神经痛患者中的应用逐渐受到重视。
At present, there is no special therapy for postherpetic neuralgia （PHN）, but the symptoms of PHN can be alleviated to the maximum extent by appropriate comprehensive therapy. Anticonvulsants are still commonly used drugs, including gabapentin, pregabalin and tricyclic antidepressants. Topical treatment is a recommended therapeutic approach to PHN in clinic. High-concentration capsaicin patches can be applied in patients who fail to respond to other treatments or cannot tolerate systemic therapies. Neither narcotic analgesics nor nerve block therapy is recommended as the first-line therapy because of their adverse effects. In addition, the application of new drugs such as tumor necrosis factor？-α inhibitors and patient？-controlled analgesia in patients with PHN have gained increasing attention.
出处
《国际皮肤性病学杂志》
2016年第4期209-211,共3页
International Journal of Dermatology and Venereology
关键词
神经痛
带状疱疹后
治疗应用
药用制剂
外用药
物理治疗技术
心理治疗过程
Neuralgia, postherpetic
Therapeutic uses
Pharmaceutical preparations
External application drugs
Physical therapy modalities
Psychotherapeutic processes
