Schulzeck Sabine, Gleim Martin
Klinik für Anästhesiologie und Operative Intensivmedizin des Universitätsklinikums Schleswig-Holstein.
Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 Oct;44(10):644-50; quiz 651. doi: 10.1055/s-0029-1242432. Epub 2009 Oct 15.
Herpes zoster, a biphasic disease with different kinds of pain is a challenge for pain therapy. The acute illness with mixed pain (nociceptive - neuropathic) requires antivirals for risk patients and pain treatment according to rules of acute pain therapy. For treatment of postherpetic neuralgia (PHN) an example of neuropathic pain, antidepressants, anticonvulsants and topical lidocaine are today the first line therapeutics, further opioids are of a certain therapeutic value.
带状疱疹是一种具有不同类型疼痛的双相性疾病，对疼痛治疗而言是一项挑战。伴有混合性疼痛（伤害性 - 神经性）的急性期疾病，对于有风险的患者需要使用抗病毒药物，并按照急性疼痛治疗原则进行疼痛治疗。对于作为神经性疼痛示例的带状疱疹后神经痛（PHN）的治疗，如今抗抑郁药、抗惊厥药和局部用利多卡因是一线治疗药物，此外阿片类药物也具有一定的治疗价值。
