首页|郄穴行"龙虎交战"手法结合电针治疗带状疱疹后神经痛疗效观察

郄穴行"龙虎交战"手法结合电针治疗带状疱疹后神经痛疗效观察

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目的 分析郄穴行"龙虎交战"手法结合电针治疗带状疱疹后神经痛(PHN)的疗效.方法 选取2019年9月至2022年1月PHN患者70例,随机分为观察组和对照组,每组35例,其中观察组使用郄穴行"龙虎交战"手法结合电针治疗,同时口服加巴喷丁;对照组口服加巴喷丁治疗.采用带状疱疹简明疼痛量表(ZBPI),医院焦虑抑郁量表(HADS)和匹兹堡睡眠质量指数(PSQI)评价两组患者疗效.结果 在疼痛评分比较中,第4周末开始观察组优于对照组,差异有统计学意义(P<0.05).两组患者HADS焦虑、抑郁两个分量表评分比较,观察组结果优于对照组,差异有统计学意义(P<0.05).两组PSQI评分较治疗前均有所下降(P<0.05),观察组较对照组改善更明显(P<0.05).结论 郄穴行"龙虎交战"手法结合电针改善PHN具有良好疗效.
Objective To analyse the clinical efficacy of dragon-tiger contending needling at Xi-cleft points plus electroacupuncture in treating the comorbidity of postherpetic neuralgia(PHN).Methods Seventy cases of eligible PHN patients were collected and randomly divided into 35 cases each in the treatment and control group by the random envelope method.The treatment group was intervened by dragon-tiger contending needling at Xi-cleft points plus electroacupuncture and gabapentin was administered at the same time,while the control group was treated with gabapentin alone.The clinical efficacy,zoster brief pain inventory(ZBPI),hospital anxiety depression scale(HADS)and pittsburgh sleep quality index(PSQI)of the two groups were analyzed.Results In the comparison of the score of the pain,the treatment group starting at the end of the 4th week was better than the control group(P<0.05).Comparison of the scores of the two subscales of anxiety and depression in the HADS showed remarkable differences(P<0.05),and the downward trend was more obvious in the treatment group.The PSQI scores decreased in both groups compared with pre-treatment scores(P<0.05),and the improvement was more pronounced in the treatment group than in the control group(P<0.05).Conclusion Dragon-tiger contending needling at Xi-cleft points plus electroacupuncture has good efficacy in the comorbidity of PHN.

Postherpetic neuralgiaXi-cleftDragon-tiger contending methodElectroacupunctureComorbidity

蓝松森、俞钦涛、王炘儒、韩德雄

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310053 浙江中医药大学第三临床医学院

310053 浙江中医药大学附属第三医院

带状疱疹后神经痛 郄穴 "龙虎交战" 电针 共病

浙江省卫生高层次人才项目全国中医临床优秀人才研修项目(第五批)

浙卫办[2021]40号国中医药人教函[2022]号

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(5)
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