The role of sympathetic nerve blocks in herpes zoster and postherpetic neuralgia

被引：157

作者：

Wu, CL

Marsh, A

Dworkin, RH

机构：

[1] Johns Hopkins Univ Hosp, Dept Anesthesiol & Crit Care Med, Div Pain Med, Baltimore, MD 21205 USA

[2] Univ Rochester, Sch Med & Dent, Rochester, NY 14642 USA

[3] Univ Rochester, Sch Med & Dent, Dept Anesthesiol, Rochester, NY 14642 USA

来源：

PAIN | 2000年 / 87卷 / 02期

关键词：

postherpetic neuralgia; herpes zoster; nerve block; sympathetic nerves; pain;

D O I：

10.1016/S0304-3959(00)00230-X

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The most common complication of herpes tester in immunocompetent patients is postherpetic neuralgia (PHN). Sympathetic blocks have been traditionally used for patients with herpes tester and PHN with three different therapeutic goals: pain relief during acute herpes tester, pain relief during PHN, and prevention of Pi-IN by treating patients with acute tester. The role of sympathetic blocks in herpes tester and PHN remains controversial due to methodologic shortcomings in published studies and the limited current understanding of the role of the sympathetic nervous system in mediating pain. Current theories of the pathophysiology of PHN, the role of the sympathetic nervous system in herpes tester and PHN, and published studies investigating use of sympathetic nerve blocks in herpes tester and PHN are reviewed. (C) 2000 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.

引用

页码：121 / 129

页数：9

共 70 条

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