目的:带状疱疹后神经痛是周围神经受到病毒损伤后的疼痛疾病中最有代表性的疾病之一,本文报道疼痛科集中6年来调查、统计的临床病例结果.方法:2004年起使用神经痛表共统计门诊、住院及会诊的带状疱疹后神经痛患686例,主要观察疼痛程度和性质、临床类型、患区遗留症状和伴随症状.结果:患者主诉以自发性闪电样疼痛、刀割样疼痛、烧灼样疼痛、针刺样疼痛和混合性疼痛为多见.平均VAS评分为6.8分.患者临床表现为4种类型的变化,分别为激惹型(57.14%)、麻痹型(22.16%)、整合型(17.93%)和无激惹型(2.77%).结论:本组疱疹后神经痛患者调查表明:大部分患者疼痛时间均超过3-6个月,最长达8年.疼痛程度为中、重度.患者的生活质量、工作能力均明显受影响.%Objective: Postherpetic neuralgia (PHN) is one of typical painful diseases among that peripheral nerve injury pain after virus infection. The investigation data is reported from the department of pain medicine of Guangzhou Red Cross Hospital of Jinan University since 2004. Methods: There are 686 cases, in-patient and out-patient, of PHN are investigated and index of pain types, clinical sub-type, comorbidities and remain symptoms in zoster area are used. Results: lightning pain, lancinating pain,burning pain and mixed type pain are main types in clinical and average VAS score is 6.8. There are four sub-clinical types, irritable nociceptor group(57.14％ ), normal nociceptor group (2.77％), deafferentation group(22.16％ ) and central reorganization group ( 17.93％ ), can be seen during the investigation, respectively. Conclusion: The pain duration in this group is more than 3 months, even longer to 8 years, pain is middle to serious degree in clinic and the quality of life or/and working ability are significantly decreased for most of PHN patients.
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