Post-herpetic neuralgia (PHN) is defined as persistent pain 120 days after resolution of herpes zoster (HZ) acute infection and rash. Risk factors for developing PHN are increased age, pain with HZ infection, and severity and duration of symptoms with HZ infection. Upwards of 17 % of people...
带状疱疹后遗神经痛(Post一Herpetic Neuralgia,pHN) 带状疱疹后遗神经痛是常见的神经痛。主要因为潜伏的水痘病毒复苏并复制,破坏寄宿患者的神经元、神经纤维以及神经所支配的皮肤,与很多病毒感染一样,带状疤疹是一种自限性的疾病,临床表现为皮疹、疼痛,有的患者可以有全身症状。皮肤水泡和疼痛一般在2到3周后会自行缓解...
带状疱疹后神经痛(post-herpetic neuralgia,PHN)是由水痘-带状疱疹病毒(varicella zoster virus,VZV)引起的,约有不到75%的带状疱疹患者会发展为PHN,它属于一种神经性疼痛,具有紧束、针刺、刀割、灼烧等感觉,常会爆发剧痛,而且此病迁延不愈,导致患者睡眠障碍、抑郁症、乃至自杀。对于医学领域,PHN是疼痛领域非常棘手...
2.异痛症(allodynia):PHN的部位,在接受日常生活中一些非疼痛刺激如,触觉,温觉降低的轻微的接触刺激就能诱发疼痛.是PHN具有代表性的临床症状之一.PHN使得伤害感受器应急性亢进。 3.带状疱疹后搔痒(post-herpetic itch, PHI):是HZ后的搔痒往往是HZ后的唯一症状。 四.诊断: 1 病史:既往有急性带状疱疹病史,其临床治...
带状疱疹后神经痛(post-herpetic neuralgia,PHN) 一.定义 带状疱疹后神经痛是急性带状疱疹治愈后,仍有持续性的伴有皮肤节段变化的疼痛。急性带状疱疹临床治愈后持续疼痛超过一个月的后遗症,是带状疱疹病毒破坏脊髓后角细胞所致,目前仍是世界级的疼痛难题。多发生在胸部,其次是颌面部,腰腿部,是困扰中、老年人的顽固...
This Clinical Policy Bulletin addresses post-herpetic neuralgia. Medical Necessity Aetna considers the use of antivirals (oral), gabapentin, intrathecal, interlaminar or transforaminal epidural corticosteroids, lidocaine patch, opioids (oral), pregabalin, and tricyclic anti-depressants medically necessary for...
Post Herpetic Neuralgia豆瓣评分:0.0 简介:This ultra concise guide presents a brief overview of the epidemiology, pathophysiology, and management of postherpetic neuralgia (PHN). Uniquely compact and affordable, this guide covers the use ...
Because the effect of treatment is disappointing once the syndrome has developed, it is important to know which factors predict post-herpetic neuralgia occurrence to facilitate selection of herpes zoster patients with a higher risk of developing neuralgia and undertake preventative strategies. The present...
Articles were searched using the following key words: “post herpetic neuralgia”, “post herpetic neuralgia treatment”, “post herpetic neuralgia predictors”, “post herpetic neuralgia etiology”, “neuropathic pain”, “neuropathic pain assessment”, wherever occurring in the text. Among the many ...
Watson CP, Babul N: Efficacy of oxycodone in neuropathic pain: a randomized trial in post-herpetic neuralgia. Neurology 1998, 50:1837–1841. PubMed CAS Google Scholar Rowbotham M, Harden N, Stacey B, et al.: Gabapentin for the treatment of post-herpetic neuralgia. JAMA 1998, 280:1837–...