CAJ | 학술논문

目的：分析老年带状疱疹后遗痛（PHN）患者的临床发病特点，总结其综合治疗方法和预后。方法回顾性分析2013年1月至2014年12月期间于解放军总医院麻醉手术中心疼痛治疗科就诊的带状疱疹后遗痛患者的个人资料、临床特点、治疗和预后等资料。结果共纳入39例带状疱疹后遗痛患者，男性26例，女性13例，年龄（71.3±8.3）岁，＞60岁患者33例。皮损及疼痛区域以胸肋及腰背部最多（74.4%）。入院时视觉模拟评分（VAS）为（6.9±0.8）分。经系统药物联合神经阻滞等综合治疗后，39例患者出院时VAS降至（2.9±0.7）分。长期随访发现分别有21%和56%的患者获得≥90%和≥50%的疼痛缓解。结论老年人为PHN的高危人群，药物联合神经阻滞的综合治疗对老年PHN患者具有良好疗效。
목적：분석노년대상포진후유통（PHN）환자적림상발병특점，총결기종합치료방법화예후。방법회고성분석2013년1월지2014년12월기간우해방군총의원마취수술중심동통치료과취진적대상포진후유통환자적개인자료、림상특점、치료화예후등자료。결과공납입39례대상포진후유통환자，남성26례，녀성13례，년령（71.3±8.3）세，＞60세환자33례。피손급동통구역이흉륵급요배부최다（74.4%）。입원시시각모의평분（VAS）위（6.9±0.8）분。경계통약물연합신경조체등종합치료후，39례환자출원시VAS강지（2.9±0.7）분。장기수방발현분별유21%화56%적환자획득≥90%화≥50%적동통완해。결론노년인위PHN적고위인군，약물연합신경조체적종합치료대노년PHN환자구유량호료효。
ObjectiveTo retrospectively analyze the clinicalfeatures andsummarize comprehensivetreatment and outcomefor postherpetic neuralgia (PHN)intheaged patients.MethodsClinical data of all hospitalizedelderlypatients with PHNadmitted in our hospital between January 2013 and December 2014 werecollected andretrospectively analyzed for the clinicalfeatures,treatment and outcomeof the disease.Results A total of 39PHNpatients wereenrolled in this study, and they were 26 males and 13 females, at anaverage ageof(71.3±8.3) years, and 33of themwere older than 60 years.Most PHN(74.4%, 29 cases) presented on the chest/rib cage. Theirvisualanaloguescore (VAS) was 6.9±0.8 at the time ofadmission andthen decreased to2.9±0.7whenbeing dischargedaftercomprehensive treatment including systemic medication andnerve block anesthesia.Long-term follow-up indicated that21% patientsobtained a reduction in painby90%, and 56%of them by 50% relief.ConclusionTheelderly are high-risk population forPHN.Systemic medication andnerve blockshow therapeutic effect on the disease in the elderly.