电针夹脊穴配合穴位注射治疗带状疱疹后遗神经痛疗效观察  

Observations on the Efficacy of Electroacupuncture at Huatuo Jiaji Points plus Acupuncture Point Injection in Treating Postherpetic Neuralgia

作　　者：刘银妮[1] 康朝霞[1] 何权[1] 

机构地区：[1]武汉市中西医结合医院,武汉430022

出　　处：《上海针灸杂志》2015年第11期1050-1052,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：湖北省武汉市卫计委科研项目(WZ13D15)

摘　　要：目的观察电针夹脊穴配合穴位注射治疗带状疱疹后遗神经痛的临床疗效。方法将62例带状疱疹后遗神经痛患者随机分治疗组32例和对照组30例。治疗组采用夹脊穴配合穴位注射治疗,对照组采用口服卡马西平片、维生素B1和维生素B12治疗。观察两组治疗前后临床症状评分及VAS评分,并比较两组临床疗效。结果治疗组总有效率为93.8%,对照组为66.7%,两组比较差异具有统计学意义(P<0.01)。两组治疗后临床症状各项评分(疼痛、瘙痒、烧灼感及睡眠)与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后临床症状各项评分与对照组比较,差异均具有统计学意义(P<0.05)。两组治疗后VAS指标与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗前后VAS指标差值与对照组比较,差异具有统计学意义(P<0.05)。结论电针夹脊穴配合穴位注射是一种治疗带状疱疹后遗神经痛的有效方法。Objective To investigate the clinical efficacy of electroacupuncture at Huatuo jiaji points plus acupuncture point injection in treating postherpetic neuralgia.Methods Sixty-two patients with postherpetic neuralgia were randomly allocated to a treatment group of 32 cases and a control group of 30 cases. The treatment group received electroacupuncture at Huatuo jiaji points plus acupuncture point injection and the control group, oral administration of carbamazepine tablets, vitamin B1 and vitamin B12. The pre-treatment and post-treatment clinical symptom score and VAS score were recorded in the two groups and the clinical therapeutic effects were compared between the two groups.Results The total efficacy rate was 93.8% in the treatment group and 66.7% in the control group; there was a statistically significant difference between the two groups （P〈0.01）. There were statistically significant pre-/post-treatment differences in clinical symptom item scores （pain, pruritus, burning sensation and sleep） in the two groups （P〈0.05）. There was a statistically significant pre-/post-treatment difference in the VAS score in the two groups （P〈0.05）. There was a statistically significant difference in pre-/post-treatment VAS score difference value between the treatment and control groups （P〈0.05）.Conclusion Electroacupuncture at Huatuo jiaji points plus acupuncture point injection is an effective way to treat postherpetic neuralgia.

关 键 词：针刺疗法 电针 水针 疱疹 带状 神经痛 

分 类 号：R246.2[医药卫生—针灸推拿学]