摘要： 目的 观察体外发散式冲击波治疗带状疱疹后遗神经痛的临床疗效。方法 采用MP100型体外冲击波治疗系统治疗26 例带状疱疹后遗神经痛患者，采用视觉模拟评分（VAS）和神经病理性疼痛量表（NPS）评价治疗前、治疗第2 次时、治疗第1 和第2 个疗程时的临床效果。结果 26 例患者中2 例因治疗不便、2 例因疗效欠佳而改用其他方法，其余22 例均完成冲击波治疗。第1 疗程结束时，疼痛症状不同程度缓解，VAS 和NPS 评分分别由治疗前的（8.41 ± 1.11）和（1.88 ± 0.59）分降至（6.15 ± 1.23）和（1.38 ± 0.60）分，治疗前后差异具有统计学意义（均P = 0.000）；第2 疗程结束时，疼痛症状显著缓解，VAS和NPS 评分持续下降，分别为（3.57 ± 1.30）和（1.04 ± 0.31）分，差异亦有统计学意义（均P = 0.000）。结论 体外发散式冲击波治疗可显著改善带状疱疹后遗神经痛患者的疼痛症状，是一种带状疱疹后遗神经痛保守治疗的有效方法。

关键词: 神经痛, 带状疱疹后, 物理治疗技术, 疼痛测定

Abstract: Objective  To evaluate the effect of radiant shock wave therapy (RSWT) on postherpetic neuralgia.  Methods  Twenty-six cases of postherpetic neuralgia were treated with RSWT around the pain point. Before and after the treatment, Visual Analogue Scale (VAS) and Neuropathic Pain Scale (NPS) were used to assess the therapeutic efficacy.  Results  Twenty-two cases completed RSWT. Two patients who were inconvenient to the clinic and another 2 patients attributed to poor curative effect were transfered to other treatments. After one course of treatment, 22 patients all presented obvious pain relief. The VAS and NPS scores reduced from 8.41 ± 1.11 and 1.88 ± 0.59 to 6.15 ± 1.23 and 1.38 ± 0.60 respectively, and the differences were statistically significant (P = 0.000, for all). After completing two courses of treatment, VAS score reduced to 3.57 ± 1.30 and NPS score reduced to 1.04 ± 0.31 in comparison with pre?treatment, and both of the differences were statistically significant (P = 0.000, for all).  Conclusion  Radiant shock wave therapy may alleviate the pain of patients with postherpetic neuralgia, which is a valuable method for conservative treatment of postherpetic neuralgia.

Key words: Neuralgia, postherpetic, Physical therapy modalities, Pain measurement