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药线点灸治疗带状疱疹后遗神经痛的临床观察

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目的:探讨药线点灸在带状疱疹后遗神经痛(PHN)中的应用效果.方法:选取 2021 年 1 月—2023 年 1 月毕节市中医医院收治的 78 例PHN患者作为研究对象,按随机数表法分为对照组和观察组,每组各 39 例.对照组予以常规西药治疗,观察组在对照组基础上加用药线点灸治疗,两组均持治疗续 4 周.比较两组临床疗效、疼痛评分、睡眠质量、炎症水平、生活质量及不良反应情况.结果:治疗后,观察组总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,观察组视觉模拟评分法(VAS)、匹兹堡睡眠质量评定表(PSQI)均低于对照组;治疗后,观察组炎症水平低于对照组,差异有统计学意义(P<0.05);治疗后,观察组生理、心理、社会及环境领域评分均高于对照组,差异有统计学意义(P<0.05);两组不良反应比较,差异无统计学意义(P>0.05).结论:药线点灸可提高PHN患者疗效,加快疼痛消退,降低炎症水平,减轻疾病对患者生活及睡眠的影响,安全可靠.
Clinical Observation of Moxibustion with Medicine and Thread on Postherpetic Neuralgia
Objective:To investigate the effect of medicinal thread moxibustion on postherpetic neuralgia(PHN).Method:78 PHN patients admitted to Bijie Hospital of Traditional Chinese Medicine from January 2021 to January 2023 were selected as the study objects and divided into control group and observation group according to random number table method,with 39 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with drug line moxibustion on the basis of the control group.Both group were treated for 4 weeks.The clinical efficacy,pain score,sleep quality,inflammation level,quality of life and adverse reactions were compared between the two groups.Result:After treatment,the total response rate of observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After,treatment VAS and PSQI of observation group were lower than those of the observation group(P<0.05).After,treatment the level of inflammation of observation group were lower than those of control group(P<0.05).The physiological,psychological,social and environmental scores of observation group were higher than those of observation group(P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion:Medicated moxibustion can improve the curative effect of PHN patients,accelerate pain fading,reduce inflammation level,reduce the impact of disease on patients'life and sleep,and is safe and reliable.

Herpes zosterNeuralgiaMoxibustionPainSleep Quality

金涛

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毕节市中医医院 贵州 毕节 551700

带状疱疹 后遗神经痛 药线点灸 疼痛 睡眠质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(27)