梅花针联合壮医药线点灸治疗带状疱疹后遗神经痛疗效观察  

Observation on therapeutic effect of plum-blossom needle combined with medicated thread moxibustion of traditional Zhuang nationality medicine on postherpetic neuralgia

作　　者：钟江[1] 林辰[2] 方刚[2] 李晶晶[2] 陈攀[2] 

机构地区：[1]广西中医学院第一附属医院皮肤科,南宁530023 [2]广西中医学院壮医药学院

出　　处：《中国针灸》2010年第9期773-776,共4页Chinese Acupuncture & Moxibustion

基　　金：广西壮族自治区中医药管理局中医药科技专项资助项目:GZKZ09-5;广西中医学院高校基金项目资助项目:ZD2008012

摘　　要：目的:探寻治疗躯干部带状疱疹后遗神经痛(PHN)的较佳疗法。方法:将150例躯干部PHN患者随机分为3组,每组50例。点灸组单纯予壮医药线点灸葵花穴、局梅穴、手三里、内关、三阴交等;梅花针组单纯予梅花针叩刺葵花穴、局梅穴;点灸加梅花针组采用梅花针联合壮医药线点灸治疗,比较3组临床疗效。结果:1个疗程后,点灸加梅花针组有效率为88.0%(44/50),与点灸组72.0%(36/50)、梅花针组40.0%(20/50)比较,差异均有统计学意义(P<0.05,P<0.01);2个疗程后,点灸加梅花针组治愈率为74.0%(37/50),高于点灸组的54.0%(27/50)与梅花针组的22.0%(11/50)(P<0.05,P<0.01)。全部患者在治疗过程中均未发生不良反应。结论:梅花针联合壮医药线点灸治疗带状疱疹后遗神经痛起效快,疗效优于单纯药线点灸与单纯梅花针。Objective To search for a better therapy for postherpetic neuralgia （PHN） on the trunk. Methods One hundred and fifty cases with PHN on the trunk were randomly divided into group A, group B and group C, 50 cases in each group. The group A was treated with medicated thread moxibustion of traditional Zhuang nationality medicine at Kuihua point （special points of Zhuang nationality medicine）, Jumei point （special points of Zhuang nationality medicine）, Shousanli （LI 10）, Neiguan （PC 6）, Sanyinjiao （SP 6）, etc; the group B with simple plumblossom needle at Kuihua point and Jumei point; the group C with the above two therapies. The clinical effects of the three groups were compared. Results After 1 course of treatment, the effective rate was 88.0% （44/50） in the group C, being better than 72.0% （36/50） in the group A （P〈0.05） and 40.0% （20/50） in the group B （P〈0.05,P〈0.01）. After 2 courses of treatment, the cured rate was 74.0% （37/50） in the group C, being better than 54.0% （27/50） in the group A （P〈0. 05） and 22.0% （11/50） in the group B （P〈0.05,P〈0.01）. No adverse reaction emerged during treatment. Conclusion Plum-blossom needle combined with medicated thread moxibustion of traditional Zhuang nationality medicine has rapid therapeutic effect on PHN and is superior to that of simple medicated thread moxibustion of traditional Zhuang nationality medicine or plum-blossom needle therapy.

关 键 词：带状疱疹 梅花针疗法 线壮灸 针灸疗法 

分 类 号：R246.6[医药卫生—针灸推拿学]