University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Postgrad Med. 2010 Jan;122(1):91-107. doi: 10.3810/pgm.2010.01.2103.
Postherpetic neuralgia (PHN) is a neuropathic pain condition that can arise as a complication following herpes zoster infection, with pain often localized to the affected dermatome. Patients are initially likely to seek treatment for PHN pain from their primary care practitioner; however, adequate pain relief is difficult to achieve in many patients. Combination therapies are often used and have shown promise, but there is still limited clinical evidence in the literature to support them. This article reviews the recent literature and guidelines on PHN treatment, with a focus on combination therapies, and seeks to help primary health care practitioners select treatment strategies that provide immediate relief for patients with localized PHN pain.
带状疱疹后神经痛（PHN）是一种神经病理性疼痛病症，可在带状疱疹感染后出现，疼痛通常局限于受累的皮节。患者最初可能会向初级保健医生寻求 PHN 疼痛的治疗；然而，许多患者难以获得充分的疼痛缓解。联合治疗经常被使用，并显示出前景，但文献中仍然缺乏支持它们的临床证据。本文综述了最近关于 PHN 治疗的文献和指南，重点是联合治疗，并旨在帮助初级保健医生为局部 PHN 疼痛患者选择能提供即时缓解的治疗策略。
