PDF(Pubmed)
Abstract：
The varicella-zoster virus can reactivate in patients with impaired cell-mediated immunity, resulting in herpes zoster (HZ) and sometimes in herpetic neuralgia (HN). Stellate ganglion blockade (SGB) has been studied for the treatment of HN and postherpetic neuralgia (PHN), but its effectiveness in preventing PHN in patients with acute HZ is not well-established. Here, we present a case of a 75-year-old woman who underwent SGB for HN of the right upper limb. The patient had been treated with antivirals and various analgesics, but adverse effects due to analgesics led to discontinuation of them. After the first application of SGB, the patient experienced significant pain reduction, and after a second application, complete remission of pain was achieved. Nine months later, the patient remained symptom-free and without PHN. The therapeutic potential of SGB in the treatment of HN and its role in preventing PHN requires further investigation.
摘要：
水痘-带状疱疹病毒可以在细胞介导的免疫力受损的患者中重新激活，导致带状疱疹（HZ），有时导致疱疹性神经痛（HN）。星状神经节阻滞（SGB）已被研究用于治疗HN和带状疱疹后遗神经痛（PHN），但其在急性HZ患者中预防PHN的有效性尚不明确。这里,我们介绍了一例75岁女性,她在右上肢接受了SGB治疗。病人曾接受抗病毒药物及各种镇痛药治疗,但由于镇痛药的不良反应导致停药。在第一次应用SGB之后，患者疼痛明显减轻，在第二次申请后，疼痛完全缓解.九个月后,患者保持无症状且无PHN.SGB在治疗HN中的治疗潜力及其在预防PHN中的作用需要进一步研究。
