Ackerman W E, Ahmad M
Department of Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, USA.
J Ark Med Soc. 1999 May;95(12):528-31.
Post-herpetic neuralgia is associated with significant distress and morbidity. The management of acute neuritis and/or post-herpetic neuralgia can be particularly difficult. A multidisciplinary approach is required. A team consisting of the primary care physician, pain specialist, neurologist, geriatrician, pain psychologist, psychiatrist, and a physiatrist with an integrated approach will provide the best results. Early interventional therapy with sympathetic nerve blocks may significantly decrease the need for long-term opioid therapy, as well as long-term use of anticonvulsants, antidepressants, or membrane stabilizers. Early referral to a multidisciplinary pain center may furthermore decrease the behavioral trauma and family disruption associated with this painful condition.
带状疱疹后神经痛会带来巨大痛苦和发病率。急性神经炎和/或带状疱疹后神经痛的治疗可能特别困难。需要采用多学科方法。由初级保健医生、疼痛专家、神经科医生、老年病科医生、疼痛心理学家、精神科医生和物理治疗师组成的团队采用综合方法将取得最佳效果。早期采用交感神经阻滞进行介入治疗可能会显著减少长期使用阿片类药物治疗的需求，以及减少长期使用抗惊厥药、抗抑郁药或膜稳定剂的需求。此外，尽早转诊至多学科疼痛中心可能会减少与这种疼痛状况相关的行为创伤和家庭破裂。
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