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.