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.