首页|刃针针刺肌筋膜触发点治疗带状疱疹后神经痛40例

刃针针刺肌筋膜触发点治疗带状疱疹后神经痛40例

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目的:观察刃针针刺肌筋膜触发点治疗带状疱疹后神经痛的临床疗效.方法:选取2021 年10 月至2022 年10 月上海市嘉定区南翔医院疼痛科收治的带状疱疹后神经痛患者80 例,按照随机数字表法分为治疗组和对照组,每组 40 例.治疗组给予针刺肌筋膜触发点治疗,对照组给予普瑞巴林胶囊口服治疗.观察两组患者治疗前后视觉模拟评分(visual analogue score,VAS)、简式Mc-Gill疼痛问卷表(以下简称Mc-Gill)评分、匹兹堡睡眠质量指数量表(pittsburgh sleep quality index,PSQI)评分、炎症因子[肿瘤坏死因子(tumor necrosis factor,TNF)-α、白细胞介素(interleukin,IL)-6、IL-8]水平变化情况.结果:治疗组治疗后VAS评分、Mc-Gill评分、PSQI评分均低于对照组,差异有统计学意义(P<0.05);治疗组有效率为97.5%,对照组有效率为82.5%,治疗组有效率高于对照组,差异有统计学意义(P<0.05);治疗组治疗后TNF-α、IL-6、IL-8 水平低于对照组,差异有统计学意义(P<0.05).结论:针刺筋膜触发点治疗带状疱疹后神经痛操作简便、疗效显著,减轻患者疼痛,改善睡眠质量,降低炎症因子水平.
On Treatment of 40 Cases of Postherpetic Neuralgia with Ultramicro Acupotomy at Myofascial Trigger Points
Objective:To observe the clinical efficacy of ultramicro acupotomy at myofascial trigger points on postherpetic neuralgia(PHN).Methods:A total of 80 patients with PHN admitted to the Pain Department of Shanghai Jiading District Nanxiang Hospital from October 2021 to October 2022 were selected and divided into the treatment group and the control group according to the random number table method,with 40 cases in each group.The treatment group was given acupuncture at myofascial trigger points,while the control group was given Pregabalin Capsules for oral administration.Then the changes in visual analogue score(VAS),simple Mc-Gill pain questionnaire(hereinafter referred to as Mc-Gill)and Pittsburgh sleep quality index(PSQI)score,inflammatory factors[including tumor necrosis factor(TNF)-α,interleukin(IL)-6,IL-8]levels of the two groups before and after treatment were observed.Results:After treatment,VAS score,Mc-Gill score and PSQI score in the treatment group were lower than those in the control group,and all the differences were statistically significant(P<0.05).The effective rate was 97.5%in the treatment group and 82.5%in the control group,and the effective rate in the treatment group was higher than that in the control group,the difference was statistically significant(P<0.05).After treatment,the levels of TNF-α,IL-6 and IL-8 in the treatment group were lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Ultramicro acupotomy at myofascial trigger points in the treatment of PHN is simple and effective,can alleviate pain,improve sleep quality and reduce the levels of inflammatory factors.

postherpetic neuralgia(PHN)myofascial trigger points(MTrpS)ultramicro acupotomy

刘首芳、张艳茹、邵晓翠、沈舒怡、黄强民

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上海市嘉定区南翔医院,上海 201802

国药上海慈源康复医院,上海 201802

上海体育学院,上海 200438

带状疱疹后神经痛 肌筋膜触发点 刃针针刺

上海市嘉定区卫生健康委员会基金项目

2021-KY-04

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(3)
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