抗病毒药物加低剂量短期葡萄皮质类药物对疹后神经疼痛的影响
Yu Wang1, Han Deng1, Tudi Chen1
1Department of Dermatovenereology, Tianjin Medical University General Hospital/ Tianjin Institute of Sexually Transmitted Disease, Tianjin 300052, China.
European journal of dermatology : EJD
|October 12, 2023
概括
添加低剂量,短期的葡萄糖皮质类药物治疗疹 (HZ) 的抗病毒疗法可能会减少疹后神经疼痛 (PHN) 的发生率. 这种组合治疗也改善了患者的病情和疼痛评分.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
背景情况:
- 疹后神经疼痛 (PHN) 是疹 (HZ) 的常见并发症.
- 短期低剂量葡萄糖皮质激素与抗病毒疗法相结合在预防PHN方面的疗效尚不清楚.
研究的目的:
- 为了评估添加低剂量,短期葡萄皮质类药物的抗病毒治疗对PHN发病率的影响.
- 评估这种联合治疗对患者病情和疼痛的影响.
主要方法:
- 一项对394名高血压患者的回顾性研究和一项对40名高血压患者的随机对照试验,比较葡萄糖皮质激素和非葡萄糖皮质激素组.
- 测量包括PHN发生率,S100B和NSE的血清水平,病毒载量和疼痛评分.
主要成果:
- 与非葡萄糖皮质固醇组 (30.51%) 相比,葡萄糖皮质固醇组 (20.89%) 的PHN发病率较低.
- 接受葡萄糖皮质醇治疗的患者表现出改善的病情和疼痛评分,NSE和S100B水平降低.
- 两组之间没有观察到病毒载荷减少率的显著差异.
结论:
- 抗病毒疗法与低剂量,短期葡萄糖皮质类药物相结合,可以改善HZ患者的结果.
- 这种组合疗法似乎部分降低了PHN的发生率.
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