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重庆医科大学附属第一医院疼痛科
纸质出版日期:2017,
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韩晓阁, 李南, 左蕾, 等. 不同剂量国产普瑞巴林治疗带状疱疹后神经痛临床研究[J]. 重庆医科大学学报, 2017,42(12):1565-1569.
Han Xiaoge, Li Nan, Zuo Lei, et al. Effect of different doses of domestic pregabalin on post-herpetic neuralgia[J]. Journal of Chongqing Medical University, 2017,42(12):1565-1569.
韩晓阁, 李南, 左蕾, 等. 不同剂量国产普瑞巴林治疗带状疱疹后神经痛临床研究[J]. 重庆医科大学学报, 2017,42(12):1565-1569. DOI: 10.13406/j.cnki.cyxb.001420.
Han Xiaoge, Li Nan, Zuo Lei, et al. Effect of different doses of domestic pregabalin on post-herpetic neuralgia[J]. Journal of Chongqing Medical University, 2017,42(12):1565-1569. DOI: 10.13406/j.cnki.cyxb.001420.
目的:探讨不同剂量国产普瑞巴林用于带状疱疹后神经痛(post-herpetic neuralgia
PHN)治疗的疗效与安全性。方法:45例诊断为PHN且符合纳入标准的患者经知情同意
采用随机数字表法分为小剂量组(n=15)、中剂量组(n=15)、大剂量组(n=15)
分别给予225、300、450 mg/d国产普瑞巴林治疗4周。于治疗前
治疗1、2、3、4周观察患者疗效及不良反应。采用视觉模拟量表(visual analogue scale
VAS)、医院焦虑抑郁量表(hospital anxiety and depression
HAD)、医学结局研究(medical outcomes study
MOS)睡眠量表分别评估患者疼痛、焦虑与抑郁及睡眠状况。结果:3个剂量组患者治疗1、2、3、4周时VAS评分、MOS睡眠量表评分均较治疗前下降
差异有统计学意义(P<0.05);治疗4周时3组患者HAD评分较治疗前也有降低
差异有统计学意义(P<0.05);但3个剂量组间VAS评分、疼痛缓解疗效、MOS睡眠量表评分、HAD评分比较差异并无统计学意义(P>0.05)。不良反应以头晕、口干、嗜睡为主
多为一过性。3组间比较
头晕、口干、嗜睡各不良反应间差异有统计学意义(P<0.05)
余不良反应间差异无统计学意义(P>0.05)。结论:不同剂量国产普瑞巴林均可减轻PHN患者疼痛
改善焦虑、抑郁、睡眠
其疗效不一定为剂量依赖性
而其不良反应为轻中度且能自行缓解。
Objective:To investigate the efficacy and safety of different doses of domestic pregabalin on post-herpetic neuralgia(PHN).Methods:A total of 45 PHN patients who met the inclusion criteria were divided into three groups randomly
and different doses of domestic pregabalin were given for 4 weeks
respectively.The efficacy was evaluated by visual analogue scale(VAS)
hospital anxiety and depression scale(HAD)
Medical Outcomes Study(MOS)sleep scale and adverse reactions before treatment and 1 week
2 weeks
3 weeks and 4 weeks after treatment respectively.Results:After 1 week
2 weeks
3 weeks and 4 weeks of treatment respectively
the VAS scores and MOS sleep scores of three groups decreased significantly compared with that before treatment
and the differences were statistically significant(P<0.05).After 4 weeks
the HAD scores of three groups decreased significantly compared with that before treatment
and the differences were statistically significant(P<0.05).However
the differences in VAS scores
rates of pain relief
MOS sleep scores and HAD scores were not statistically significant in the same period(P>0.05).Finally
there were some transient and less severe adverse reactions among three groups
such as dizziness
dry mouth and somnolence
and the differences were statistically significant(P <0.05).Other adverse reactions were not statistically significant(P >0.05).Conclusion:For PHN patients
different doses of domestic pregabalin can alleviate the pain
and improve their anxiety
depression and sleep.The efficacy of domestic pregabalin is not necessarily dose-dependent
and its adverse reactions are mild
moderate and can be relieved by itself.
国产普瑞巴林带状疱疹后神经痛视觉模拟量表医院焦虑抑郁量表
domestic pregabalinpost-herpetic neuralgiavisual analogue scalehospital anxiety and depression scale
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