带状疱疹神经性疼痛

症状：55 岁男性，患糖尿病， 右胸烧灼痛 ５ 天， 以带状疱疹转诊痛症科。

检查：右胸侧及前部皮肤疱疹仍可见，皮肤接触疼痛明显。

诊断：带状疱疹神经性疼痛

治疗： 右侧 肋 间神经阻滞。

结果： 疼痛立即缓解， 1 周后复诊患者述无痛。无并发症。

Shingles is a good example of how early intervention can make a significant difference for patients. “Pain from shingles comes from a lack of blood flow to the nerves,” Dr. Trescot said. “First to die are modulator nerves, which leaves the pain nerves unopposed. After the rash heals, there may be even worse pain. Once those nerves die, there’s nothing I can do except kill the rest of the nerves. On the other hand, if I see the patient early enough and can restore blood flow to the nerves quickly enough, I can prevent them from dying and I can prevent postherpetic neuralgia.”

早期神经阻滞可极有效防止神经损害，并控制疼痛。后期神经阻滞，绝对解除痛苦，协助神经整合恢复。顽固性疼痛者可选用脊神经或外周神经刺激器置入治疗，效果非常理想。遗憾的是绝大多数人，包括医生都对此不了解。