首页|火针毛刺法治疗带状疱疹后遗神经痛的临床效果观察

火针毛刺法治疗带状疱疹后遗神经痛的临床效果观察

扫码查看
目的 评价火针毛刺法治疗带状疱疹后遗神经痛(PHN)的临床效果.方法 150例PHN患者,随机分为观察组、对照A组、对照B组,各50例.对照A组采用普通针刺治疗,对照B组采用口服加巴喷丁胶囊治疗,观察组采用火针毛刺法治疗.对比三组临床疗效、视觉模拟评分法(VAS)评分、匹兹堡睡眠质量指数(PSQI)评分、健康调查简表(SF-36)评分.结果 观察组的临床总有效率96% 明显高于对照A组的84% 和对照B组的80%,差异有统计学意义(P<0.05).治疗后,观察组的VAS评分(3.76±1.61)分和PSQI评分(6.56±1.43)分均显著低于对照A组的(4.70±1.90)、(9.16±2.46)分和对照B组的(4.95±1.99)、(10.51±2.69)分,差异有统计学意义(P<0.05).观察组生理功能评分(92.40±6.08)分、情感功能评分(90.70±6.67)分、社会功能评分(91.09±6.17)分、健康状态评分(91.82±6.37)分、活力评分(91.96±6.45)分均明显高于对照A组的(83.31±5.91)、(82.72±5.35)、(82.44±5.32)、(83.57±5.88)、(82.76±5.41)分和对照B组的(81.35±5.43)、(80.21±4.95)、(80.01±4.58)、(81.02±4.78)、(80.06±5.02)分,差异有统计学意义(P<0.05).结论 治疗PHN选择火针毛刺法治疗的临床效果显著,对解除其神经痛和改善睡眠具有积极效果.
Observation on the clinical effect of treating postherpetic neuralgia with fire needle acupuncture
Objective To evaluate the clinical effect of treating postherpetic neuralgia (PHN) with fire needle acupuncture based on meridian differentiation. Methods 150 PHN patients were randomly divided into observation group,control group A and control group B,each with 50 cases. Control group A was treated with ordinary acupuncture,control group B was treated with oral gabapentin capsule,and observation group was treated with fire needle acupunture. The clinical efficacy,Visual Analogue Scale (VAS) score,Pittsburgh Sleep Quality Index (PSQI) score and 36-Item Short-Form Health Survey (SF-36) score were compared among the three groups. Results The total clinical effective rate of the observation group was 96%,which was significantly higher than that of control group A (84%) and control group B (80%),and the difference was statistically significant (P<0.05). After treatment,the observation group had VAS score of (3.76±1.61) points and PSQI score of (6.56±1.43) points,which were significantly lower than those of control group A[(4.70±1.90) and (9.16±2.46) points]and control group B[(4.95±1.99) and (10.51±2.69) points],and the difference was statistically significant (P<0.05). In observation group,the physical functioning score was (92.40±6.08) points,the emotional functioning score was (90.70±6.67) points,the social functioning score was (91.09±6.17) points,the health status score was (91.82±6.37) points,and the vitality score was (91.96±6.45) points,which were significantly higher than control group A[(83.31±5.91),(82.72±5.35),(82.44±5.32),(83.57±5.88),and (82.76±5.41) points]and control group B[(81.35±5.43),(80.21±4.95),(80.01±4.58),(81.02±4.78),and (80.06±5.02) points],and the difference was statistically significant (P<0.05). Conclusion The clinical effect of fire needle acupuncture is remarkable on PHN,and it has positive effect on relieving neuralgia and improving sleep.

Postherpetic neuralgiaFire needle acupunctureGabapentinMeridian differentiation

严定丰、普天强、李卫林、魏华英、何绍祥、张忠顺

展开 >

655400 云南中医药大学附属宣威市中医医院

带状疱疹后遗神经痛 火针毛刺法 加巴喷丁 经络辨证

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(23)