资阳市人民医院
发表于 2022-3-21 17:50
带状疱疹后遗神经痛患者看这里，资阳市人民医院康复疼痛科有妙招！
<div class="wx_rich_media_content" id="jsWxContainer"><p><span aria-hidden="true" style="padding-right: 14px;outline: 0px;font-size: 15px;color: rgba(0, 0, 0, 0.5);line-height: 20px;flex-shrink: 0;"></span></p><p style="outline: 0px; max-width: 100%; text-indent: 40px; visibility: visible; box-sizing: border-box !important;"><span style="font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">带状疱疹后遗神经痛是老年人群最具代表性的疼痛疾病之一，在全球范围内仍属于难治性疼痛疾病。大部分带状疱疹后遗神经痛由于没有经过疼痛专科有效治疗，疼痛往往持续存在。疼痛已被归为基本生命体征以外的第五大体征，患者长期遭受疼痛的折磨，久治不愈后，常常合并有焦虑或者抑郁，严重影响患者生活质量。</span></p><p><br></p><p style="outline: 0px; max-width: 100%; text-indent: 40px; visibility: visible; box-sizing: border-box !important;"><span style="font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">患者70多岁孙婆婆被带状疱疹困扰了5个多月，于2022年3月入住我院康复疼痛科，康复疼痛科主任王付建带领团队在CT引导下对孙婆婆疱疹处的神经疼痛进行了射频调节治疗，并术后第7天康复出院，患者对治疗效果感到非常满意！</span><br></p><p style="outline: 0px; max-width: 100%; text-align: center; box-sizing: border-box !important;"><br></p><p style="text-align: center;"><span class="wxart_image" wx-style="display:inline-block;"></span></p><p style="text-align: center;"><span class="wxart_image" wx-style="display:inline-block;"></span></p><h1 style="margin-bottom: 14px; outline: 0px; max-width: 100%; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; visibility: visible; box-sizing: border-box !important;"><span style="font-size: 20px;"><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 微软雅黑; color: rgb(34, 34, 34); letter-spacing: 1px; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible;"></span></span></strong></span><br></h1><h1 style="margin-bottom: 14px; outline: 0px; max-width: 100%; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; visibility: visible; box-sizing: border-box !important;"><span style="font-size: 20px;"><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 微软雅黑; color: rgb(34, 34, 34); letter-spacing: 1px; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible;">科普链接：有一种</span>“刻骨铭心”的痛，叫带状疱疹后遗神经痛</span></strong></span></h1><p style="outline: 0px; max-width: 100%; text-indent: 40px; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">在生活中，我们总会遭遇各式各样的疼痛，比如头痛、牙痛、伤口痛、关节痛等等，有些痛能忍，有些痛可以使用药物缓解。而有一种痛，被人形容成</span>“连呼吸都痛”、“痛不欲生的痛”、“比生孩子还痛”……，</span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">这种痛叫带状疱疹后遗神经痛</span></span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">。</span></span></p><p style="outline: 0px; max-width: 100%; text-align: center; visibility: visible; box-sizing: border-box !important;"><br></p><p style="outline: 0px; max-width: 100%; text-indent: 40px; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">带状疱疹后遗神经痛（</span>postherpetic neuralgia，PHN），是指</span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">带状疱疹愈合后持续</span>1个月及以上的疼痛</span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">，是</span></span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">带状疱疹最常见的并发症</span></span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">。据统计，约</span></span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">30%</span></span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">的带状疱疹患者会遗留神经痛，其</span></span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">发病率随着年龄增长而逐渐升高</span></span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">，</span>60岁以上的患者中约65%会发病，而70岁及以上则</span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">高达</span>75%</span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">。合并糖尿病等基础疾病的患者，发病率及治疗效果较普通患者会明显下降。</span></span></p><p style="outline: 0px; max-width: 100%; text-indent: 40px; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">临床表现为受到病毒侵犯的神经分布区域，</span></span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">出现剧烈的顽固性疼痛</span></span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">，</span></span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">多表现为持续性疼痛</span></span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">，也可表现为缓解后再次出现。疼痛性质多样，常呈</span></span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;">烧灼、撕裂、刀割、针刺、电击</span></span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; background-color: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;">等。</span><span style="outline: 0px; max-width: 100%; background-color: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;">最常</span>累及<span style="outline: 0px; max-width: 100%; background-color: rgb(255, 250, 235); visibility: visible; box-sizing: border-box !important;">的是胸神经、颈神经和三叉神经所支配的区域。</span><span style="outline: 0px; max-width: 100%; background-color: rgb(255, 250, 235); box-sizing: border-box !important;">除了持续性疼痛，</span></span></span><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(255, 41, 65); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; box-sizing: border-box !important;">受累的皮肤区域还可以出现对机械刺激及热刺激的感觉减退</span></span></strong><span style="outline: 0px; max-width: 100%; font-family: 宋体; color: rgb(136, 136, 136); letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; box-sizing: border-box !important;">，而有些人则表现为该皮肤区域的痛觉过敏，甚至一些轻轻的抚摸和温柔的刺激都诱导出剧烈的疼痛。</span></span></p><p style="outline: 0px; max-width: 100%; text-indent: 40px; visibility: visible; box-sizing: border-box !important;"><strong><span style="color: rgb(255, 0, 0); outline: 0px; max-width: 100%; font-family: 宋体; letter-spacing: 2px; font-size: 16px; background: rgb(255, 250, 235); box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%;">既往的治疗手段有药物、照光、中药外敷、针药注射等，但仍有很多病人治疗效果不佳。资阳市人民医院（原</span><span style="outline: 0px; max-width: 100%;">431医院</span><span style="outline: 0px; max-width: 100%;">）康复疼痛科近年来接收了很多此类病人，为更有效的减轻病人的痛苦，科室率先开展了</span><span style="outline: 0px; max-width: 100%;">CT引导下带状疱疹后遗神经痛射频调节或/和热凝微创介入手术，取得了显著疗效。</span></span></strong></p><section data-role="outer" label="Powered by 135editor.com"><section style="vertical-align: inherit;"><section data-role="paragraph"><section data-role="outer" label="Powered by 135editor.com"><section data-tools="135编辑器" data-id="109404"><section style="margin: 10px auto;text-align: center;"><br></section></section></section></section></section></section></div><p></p>
蛇我其谁
发表于 2022-3-21 19:24
一年四季好像都有吧
半生浮云
发表于 2022-3-21 19:58
谢谢分享哦
九五至尊
发表于 2022-3-21 20:09
感谢分享
念乡人
发表于 2022-3-21 20:20
不晓得是个啥
资深美女
发表于 2022-3-21 20:24
谢谢分享
未佬的佬人
发表于 2022-3-21 21:46
神医无敌
卿胖哥
发表于 2022-3-21 22:08
谢谢分享
Madeo
发表于 2022-3-21 22:41
好可怕。
血雨腥风
发表于 2022-3-21 23:17
谢谢分享