Intractable post-herpetic neuralgia in the trunk treated with point injection at Jiájǐ(夹脊 EX-B 2)  

夹脊穴为主穴位注射治疗躯干部顽固性带状疱疹后遗神经痛(英文)

作　　者：蔡正良[1] 瞿平元[1] 李亚琴[1] 刘岩峥[1] 

机构地区：[1]甘肃省肿瘤医院止痛中心

出　　处：《World Journal of Acupuncture-Moxibustion》2011年第1期33-37,共5页世界针灸杂志（英文版）

摘　　要：ABSTRACT Objective To compare the efficacy difference between point injection at Jiiaji （夹脊 EX-B 2） and oral medication in the treatment of intractable post-herpetic neuralgia （PHN） in the trunk. Methods One hundred and thirty cases were randomly divided into an point injection group and an medication group, 65 cases in each one. In point injection group, according to the invasion site of herpes zoster, Jiiaji （夹脊 EX-B 2） of corresponding segments and the meridian points on skin lesion areas, such as Fengchi （风池GB 20）, Tianzhu （天柱 BL 10）, Feishu （肺俞 BL 13） and Geguan （膈关 BL 46） were selected and injected with the mixed solution of compound Betamethasone （administered only in the first injection）, Vitamin B12 and Lidoeaine Carbonate, 2 mL on each point, once per day. In medication group, Diclofenac Sodium sustained release tablets, 75 mg were administered, twice per day. The clinical efficacy was compared 10 days later between two groups. Results The total effective rate in point injection group was 100.0% （65/65）, which was better than 66.1% （43/65） in medication group （P〈0.01）. Conclusion Point injection mainly at Jiiaji （夹脊 EX-B 2） is effective significantly on intractable PHN in the trunk, which is superior to Diclofenac Sodium sustained release tablets.目的:比较夹脊为主穴位注射与口服药物治疗躯干部顽固性带状疱疹后遗神经痛(PHN)的疗效差异。方法:将130例患者随机分为穴位注射组和药物组,每组65例。穴位注射组根据带状疱疹所侵犯的部位,选择相应节段的夹脊穴及风池、天柱、肺俞、膈关等皮损区域经穴,用复方倍他米松(仅首次使用)、维生素B12、碳酸利多卡因混合溶液进行穴位注射治疗,每穴注射2 mL,每日1次;药物组口服双氯芬酸钠缓释片75 mg,每日2次。两组治疗10天后比较临床疗效。结果:穴位注射组总有效率为100.0% (65/65)优于药物组的66.1% (43/65)(P<0.01)。结论:夹脊穴为主穴位注射治疗躯干部顽固性带状疱疹后遗神经痛有显著的疗效,优于口服双氯芬酸钠缓释片。

关 键 词：Herpes  Zoster NEURALGIA HYDRO-ACUPUNCTURE Point  EX-B 2 （Jiaji） 

分 类 号：R246[医药卫生—针灸推拿学]