围针联合神灯照射治疗带状疱疹后遗神经痛随机平行对照研究  

The Clinical Observation of Encircled Needling Therapy Combined with Infrared Radiation in Treating Post herpetic Neuralgia

作　　者：于佳佳[1] 王恩龙 

机构地区：[1]辽宁中医药大学研究生学院,2012级中医内科专业沈阳110032

出　　处：《实用中医内科杂志》2015年第2期131-134,共4页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察围针联合神灯照射治疗带状疱疹后遗神经痛疗效。[方法]使用随机平行对照方法,将72例门诊患者按就诊顺序号方法简单随机分为两组。对照组36例卡马西平100mg,qd。治疗组36例常规消毒,在疼痛明显区域的四周,用28号0.5~1寸长毫针,在距疼痛区域边缘0.5cm处,针尖朝向疼痛区中心,呈15°角刺向中心,沿皮下围刺;针距视疼痛范围大小而定,一般约1~3cm;围刺针数及进针深度同样视疼痛范围大小而定,一般10~30根,采用快速小幅度小角度提插捻转的泻法;针刺后局部用特定电磁波TDP治疗仪距离皮肤10~20cm局部照射,留针同时照射30min,1次/d。连续治疗7d为1疗程。观测临床症状、VAS疼痛评分、不良反应。连续治疗4疗程,判定疗效。[结果]治疗组痊愈11例,好转20例,无效5例,总有效率86.11%。对照组痊愈6例,好转17例,无效13例,总有效率63.88%。治疗组疗效优于对照组（P〈0.05）。VAS疼痛评分治疗组降低优于对照组（P〈0.05）。[结论]围针联合神灯照射治疗带状疱疹后遗神经痛,疗效满意,无副作用,值得推广。[Objective]To observe the clinical efficacy of encircled needling therapy infrared radiation in treating post herpetic neuralgia.[Methods] Using random parallel control Method to divide 72 post herpetic neuralgia cases randomly into two groups. Control group 36 cases with Carbamazepine Tablets 100 mg,qd.Treatment group of 36 cases of conventional disinfection, In obvious pain around the area, with 0.5-1 inch long acupuncture needle,28,from the pain area edge 0.5 cm, tip towards pain center, into a 15 degree Angle along the skin around the thorns; Stitch where the pain size, about 1-3 cm; The number of and into the needle depth depends on pain size, same roots 10-30,Using small Angle fast small mention twisting reducing Method. Local with certain electromagnetic wave TDP after acupuncture therapeutic apparatus 10-20 cm from the skin local irradiation. Retaining at the same time illuminate 30 min,1/d.Continuous treatment of 7d for 1 course of treatment. Observation of clinical symptoms, VAS pain score, adverse reactions.4 courses of continuous treatment, judge curative effect. [Results]in treatment group recovered 11 cases, 20 cases got improvement, invalid in 5 cases,total effective rate was 86.11%.Control group cure 6 cases, improvement in 17 cases, 13 cases of invalid, the total effective rate was 63.88%. The effective rate and the improvement of VAS pain score in the treatment group were better than those of control（P〈0.05）.[Conclusion]encircled needling therapy infrared radiation had marked effect in treating post herpetic neuralgia.

关 键 词：带状疱疹后遗神经痛 水痘-带状疱疹病毒 围针 神灯照射 VAS疼痛评分 中医药治疗 随机平行对照研究 

分 类 号：R275.921.2[医药卫生—中西医结合]