洛芬待因联合加巴喷丁治疗重型带状疱疹临床观察
Clinical Observation of Combined with Ibuprofen and Codeine Phosphate and Gabapentin in the Treatment of Severe Herpes Zoster
DOI: 10.12677/acm.2025.15123501, PDF,   
作者: 黄朝頔:广东药科大学附属第一医院皮肤科,广东 广州;黄建国:广州市花都区人民医院皮肤科,广东 广州
关键词: 洛芬待因片加巴喷丁胶囊带状疱疹疼痛Ibuprofen and Codeine Phosphate Tablets Gabapentin Capsules Herpes Zoster Pain
摘要: 目的:探讨洛芬待因片联合加巴喷丁胶囊治疗重型带状疱疹的临床效果。方法:全部病例随机分成两组:A组(观察组) 36例:采用洛芬待因片,加巴喷丁胶囊,伐昔洛韦片,5%复方利多卡因乳膏治疗。B组(对照组) 36例:采用尼美舒利缓释片,伐昔洛韦片,5%复方利多卡因乳膏治疗。结果:两组疼痛消退情况的比较:A组总有效率为88.89%,B组总有效率为58.33%。两组总有效率经χ2检验,χ2 = 8.65,P < 0.01,差异有统计学意义,说明A组疼痛消退情况优于B组。结论:洛芬待因片联合加巴喷丁胶囊治疗重型带状疱疹取得较好疗效,值得临床推广。
Abstract: Objective: To investigate the clinical efficacy of Ibuprofen and Codeine Phosphate Tablets combined with Gabapentin capsules in the treatment of severe herpes zoster. Methods: All cases were randomly divided into two groups: group A (observation group) with 36 cases: treated with Ibuprofen and Codeine Phosphate Tablets, Gabapentin capsules, Valaciclovir tablets and 5% compound Lidocaine cream. 36 cases in group B (control group) were treated with Nimesulide sustained-release tablets, valaciclovir tablets and 5% compound Lidocaine cream. Results: Comparison of pain relief between the two groups: the total effective rate of group A was 88.89%, and that of group B was 58.33%. The total effective rate of the two groups was tested by χ2, χ2 = 8.65, P < 0.01, the difference was statistically significant, indicating that the pain relief in group A was better than that in group B. Conclusion: Ibuprofen and Codeine Phosphate Tablets combined with Gabapentin capsule in the treatment of severe herpes zoster achieved a good curative effect, worthy of clinical promotion.
文章引用:黄朝頔, 黄建国. 洛芬待因联合加巴喷丁治疗重型带状疱疹临床观察[J]. 临床医学进展, 2025, 15(12): 1042-1048. https://doi.org/10.12677/acm.2025.15123501

参考文献

[1] 方洪元. 朱德生皮肤病学[M]. 第4版. 北京: 人民卫生出版社, 2015: 114-118.
[2] 凌小红. 加巴喷丁胶囊联合小剂量泼尼松治疗带状疱疹的临床效果观察[J]. 医学理论与实践, 2020, 10(7): 1125-1127.
[3] 董胜军. 加巴喷丁胶囊联合普瑞巴林治疗老年带状疱疹后神经痛的临床研究[J]. 北方药学, 2018, 20(3): 152-153.
[4] 钱志强, 李春明. 加巴喷丁胶囊联合氨酚曲马多片治疗带状疱疹后遗神经痛的临床效果观察[J]. 临床合理用药杂志, 2017, 17(31): 35-36.
[5] Yanagimura, H., Sasaki, M., Baba, H. and Kamiya, Y. (2024) Influence of the Descending Pain-Inhibiting Serotonergic Pathway on the Antihyperalgesic Effect of Gabapentin in Neuropathic Pain Model Rats. Neuroscience Research, 202, 20-29. [Google Scholar] [CrossRef] [PubMed]
[6] Pastório, N.F.G., Vecchi, C.F., Said dos Santos, R. and Bruschi, M.L. (2021) Design of Mucoadhesive Strips for Buccal Fast Release of Tramadol. Pharmaceutics, 13, Article 1187. [Google Scholar] [CrossRef] [PubMed]
[7] Moisset, X. (2024) Neuropathic Pain: Evidence Based Recommendations. La Presse Médicale, 53, Article 104232. [Google Scholar] [CrossRef] [PubMed]
[8] Fujimura, M. (2024) Gabapentin Improves Neuropathic Pain in Minamata Disease Model Rats. Environmental Health and Preventive Medicine, 29, 31-31. [Google Scholar] [CrossRef] [PubMed]
[9] Padilla, H. and Mustafa, R. (2025) Herpez Zoster Radiculitis. The Neurohospitalist, 27, Article 19418744251346288. [Google Scholar] [CrossRef] [PubMed]
[10] Li, Y., Long, X., Luo, F., Zhang, J., Sun, S., Du, P., et al. (2024) Efficacy and Safety of Gabapentinoids for Acute Herpes Zoster Neuralgia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The Clinical Journal of Pain, 40, 440-446. [Google Scholar] [CrossRef] [PubMed]
[11] Li, J., Huang, Y. and Lin, J. (2022) Efficacy Analysis of Lidocaine Plaster Combined with Gabapentin in the Treatment of Herpes Zoster Neuralgia. National Medical Journal of China, 102, 3186-3191.
[12] Adriaansen, E.J.M., Jacobs, J.G., Vernooij, L.M., van Wijck, A.J.M., Cohen, S.P., Huygen, F.J.P.M., et al. (2024) Herpes Zoster and Post Herpetic Neuralgia. Pain Practice, 25, e13423. [Google Scholar] [CrossRef] [PubMed]
[13] Menaldi, S.L., Halim, P.A. and Kurniawan, K. (2022) Efficacy of Gabapentinoids for Acute Herpes Zoster in Preventing Postherpetic Neuralgia: A Systematic Review of Randomized Controlled Trials. Dermatology Online Journal, 28, 1-6. [Google Scholar] [CrossRef] [PubMed]
[14] Kaye, A.D., Armistead, G., Amedio, L.S., Manthei, M.E., Ahmadzadeh, S., Bernhardt, B., et al. (2025) Evolving Treatment Strategies for Neuropathic Pain: A Narrative Review. Medicina, 61, Article 1063. [Google Scholar] [CrossRef] [PubMed]
[15] Murphy, J., Pak, S., Shteynman, L., Winkeler, I., Jin, Z., Kaczocha, M., et al. (2024) Mechanisms and Preventative Strategies for Persistent Pain Following Knee and Hip Joint Replacement Surgery: A Narrative Review. International Journal of Molecular Sciences, 25, Article 4722. [Google Scholar] [CrossRef] [PubMed]
[16] Lyngstad, G., Skjelbred, P., Swanson, D.M. and Skoglund, L.A. (2021) Analgesic Effect of Oral Ibuprofen 400, 600, and 800 mg; Paracetamol 500 and 1000 mg; and Paracetamol 1000 mg plus 60 Mg Codeine in Acute Postoperative Pain: A Single-Dose, Randomized, Placebo-Controlled, and Double-Blind Study. European Journal of Clinical Pharmacology, 77, 1843-1852. [Google Scholar] [CrossRef] [PubMed]
[17] Zortea, J.M., Baggio, D.F., da Luz, F.M.R., Lejeune, V.B.P., Spagnol, F.J. and Chichorro, J.G. (2024) Comparative Study of the Effects of Ibuprofen, Acetaminophen, and Codeine in a Model of Orofacial Postoperative Pain in Male and Female Rats. Naunyn-Schmiedebergs Archives of Pharmacology, 397, 9887-9895. [Google Scholar] [CrossRef] [PubMed]
[18] Watson, H., Hildebolt, C. and Rowland, K. (2022) Pain Relief with Combination Acetaminophen/Codeine or Ibuprofen Following Third-Molar Extraction: A Systematic Review and Meta-Analysis. Pain Medicine, 23, 1176-1185. [Google Scholar] [CrossRef] [PubMed]
[19] La Monaca, G., Pranno, N., Annibali, S., et al. (2021) Comparative Analgesic Effects of Single-Dose Preoperative Administration of Paracetamol (Acetaminophen) 500 mg plus Codeine 30 mg and Ibuprofen 400 mg on Pain after Third Molar Surgery. Journal of Evidence-Based Dental Practice, 21, Article 101611.