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

Observation on the clinical effect of treating postherpetic neuralgia with fire needle acupuncture

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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.
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

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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)