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[重复应用10%利多卡因乳膏缓解亚急性疱疹性疼痛和带状疱疹后神经痛]

[Relief of subacute herpetic pain and postherpetic neuralgia with repeated application of 10% lidocaine cream].

作者信息

Iseki M, Mitsuhata H, Miyazaki T, Toriumi E, Yoshino K

机构信息

Department of Anesthesiology, Juntendo University School of Medicine, Tokyo 113-0033.

出版信息

Masui. 2000 Nov;49(11):1204-9.

Abstract

Analgesic efficacy of repeated application of a lidocaine cream formula was investigated in herpes zoster patients with subacute pain with no further improvement after continued treatment since their acute stage (S-HZ group, n = 23), and in patients to whom past treatments had not provided adequate pain relief (PHN group, n = 28). In both groups, visual analog scale (VAS) values decreased significantly from their corresponding values before the present treatment with few cases of side effects and complete disappearances of the pain in 21.6% of all the patients. The results indicate that the repeated application of the lidocaine cream is a safe and effective treatment method. Significantly higher effectiveness was achieved in the S-HZ group in terms of the difference in the VAS values between before and after the treatment, effectiveness in improving the activities of daily life, and overall efficacy evaluation.

摘要

对自急性期起持续治疗后亚急性疼痛仍无进一步改善的带状疱疹患者(S-HZ组,n = 23)以及既往治疗未能充分缓解疼痛的患者(PHN组,n = 28),研究了重复应用利多卡因乳膏配方的镇痛效果。在两组中,视觉模拟量表(VAS)值较本次治疗前的相应值显著降低,副作用较少,21.6%的患者疼痛完全消失。结果表明,重复应用利多卡因乳膏是一种安全有效的治疗方法。在治疗前后VAS值的差异、改善日常生活活动的有效性以及总体疗效评估方面,S-HZ组取得了显著更高的疗效。

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