首页|颊针联合CT引导下脉冲射频治疗急性期带状疱疹神经痛的临床观察

颊针联合CT引导下脉冲射频治疗急性期带状疱疹神经痛的临床观察

扫码查看
目的 观察颊针联合CT引导下脉冲射频治疗急性期带状疱疹神经痛的临床疗效.方法 将100例急性期带状疱疹神经痛患者随机分为观察组与对照组各50例,对照组采用基础药物治疗配合CT引导下脉冲射频治疗,观察组在对照组基础上联合颊针治疗,观察并记录两组患者视觉模拟量表(VAS)评分,匹兹堡睡眠质量指数(PSQI)评分、血清中P物质(SP)水平、Th1/Th2细胞因子水平和患者发展为后遗留神经痛的例数.结果 治疗后两组患者VAS评分均低于治疗前,且观察组优于对照组(P<0.05).两组患者的PSQI评分均低于治疗前,且观察组优于对照组(P<0.05).治疗后两组患者SP水平明显低于治疗前,且观察组优于对照组(P<0.05).两组患者干扰素-γ(IFN-γ)水平明显高于治疗前,且观察组优于治疗组(P<0.05),两组患者白细胞介素-4(IL-4)、白细胞介素-10(IL-10)水平明显低于治疗前,且观察组优于治疗组(P<0.05).观察组发展成后遗神经痛的患者例数明显少于对照组(P<0.05).结论 颊针联合CT引导下脉冲射频治疗急性期带状疱疹神经痛疗效显著,安全性高,能有效缓解疼痛,改善睡眠质量,减少后遗神经痛发生的概率.
Clinical Efficacy Observation of Buccal Acupuncture Combined with CT-guided Pulsed Radiofrequency for Acute Herpes Zoster Neuralgia
Objective:To observe the clinical efficacy of buccal acupuncture combined with CT-guided pulsed radiofrequency in the treatment of acute herpes zoster neuralgia.Methods:A total of 100 patients with acute her-pes zoster neuralgia were randomly divided into the observation group and control group,with 50 cases in each group.The control group received basic drug therapy combined with CT-guided pulse radiofrequency therapy,and the observation group received combined buccal acupuncture therapy on the basis of the control group.The Visual Analogue Scale(VAS)pain scores,Pittsburgh Sleep Quality Index(PSQI)scores,substance P(SP)levels in serum,Th1/Th2 cytokine levels,and the number of patients developing postherpetic neuralgia were recorded and com-pared between the two groups.Results:After treatment,the VAS scores in both groups were lower than before treatment,and the observation group had better scores than the control group(P<0.05).The PSQI scores in both groups were lower than before treatment,and the observation group had better scores than the control group(P<0.05).The SP levels in both groups were significantly lower after treatment compared with before treatment,and the observation group had better results than the control group(P<0.05).The IFN-γ levels in both groups were significantly higher after treatment compared to before treatment,and the observation group had better results than the control group(P<0.05).The IL-4 and IL-10 levels in both groups were significantly lower after treatment compared with before treatment,and the observation group had better results than the control group(P<0.05).The number of patients who developed postherpetic neuralgia was significantly lower in the observation group than in the control group(P<0.05).Conclusion:Buccal acupuncture combined with CT-guided pulsed radiofrequency for treating acute herpes zoster neuralgia shows significant efficacy,which is highly safe,effectively relieves pain,improves sleep quality,and reduces the probability of developing postherpetic neuralgia.

Herpes zosterAcute herpes zoster neuralgiaPostherpetic neuralgiaPulsed radiofrequencyBuccal acupuncture

蒋晨浩、蔡靓羽、周红梅、李荣华、张建楠

展开 >

江苏省无锡市中医医院,江苏无锡 214000

带状疱疹 带状疱疹急性期神经痛 带状疱疹后遗神经痛 脉冲射频 颊针

江苏省中医药管理局科技项目无锡市卫生健康委面上项目无锡市卫生健康委科技成果与适宜技术推广项目

MS2022057M202258T202304

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(10)
  • 13