贴棉灸疗法联合激光浮针治疗带状疱疹后遗神经痛疗效评价  

137 cases of herpes zoster Tongjingtie cotton moxibustion therapy efficacy after treatment of floating acupuncture combined with laser

作　　者：陈少秀[1] 余静[1] 冯萍[1] 杜晓[1] 秦本露 吴胜英[2] 

机构地区：[1]湖北省十堰市太和医院湖北医药学院附属医院,湖北十堰442000 [2]湖北医药学院,湖北十堰442000

出　　处：《中国中医急症》2017年第2期275-278,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：湖北省科技厅项目(2013CFC037)

摘　　要：目的研究带状疱疹后遗神经痛采用贴棉灸疗法联合激光浮针治疗的机制,为治疗该病提供理论基础和新方案。方法将274例带状疱疹后遗神经痛患者按随机数字表法分为综合治疗组和对照组,各137例。对照组予对症治疗包括口服镇痛药及抗病毒,针对痛点选阿是穴行平补平泻手法针刺,接电针仪电刺激25 min;综合治疗组在对照组基础上,于出疹处皮肤采用贴棉灸疗法和激光浮针治疗。统计2组病例的治疗显效时间、治愈疗程并计算痊愈显效率、总有效率和6个月后随访复发率,采用视觉模拟量表(VAS)评分对临床疗效进行评价。结果治疗后,综合治疗组显效时间、治愈疗程、痊愈显效率、总有效率和复发率明显优于对照组(均P<0.05)。结论带状疱疹后遗神经痛采用贴棉灸疗法联合激光浮针治疗具有显效时间和治愈疗程短、复发率低的优点,疗效优于常规电针治疗方法。Objective： Study on postherpetic neuralgia with cotton sheet moxibustion combined with laser floating needle treatment mechanism, provide the theoretical foundation and a new scheme for the treatment of the disease. Methods： the clinical study of the retrospective survey, past has been discharged 139 patients with postherpetic neuralgia disease case design for the control group and the February 2014 to 2015 years 9 months from137 cases of such patients design for comprehensive treatment group and control group symptomatic treatment including oral analgesics and anti virus, for pain points selected Ashi, plain fill Ping Xie acupuncture manipulation, instrument grounding of electric acupuncture stimulation 25 min; comprehensive treatment group on the basis of treatment, in the skin rash with stick cotton moxibustion and laser floating needle treatment of postherpetic neuralgia. In 2 groups were collected the therapeutic time and periods of treatment and calculate the recovery rate, the total efficiency and 6 months after the recurrence rate, using a visual analog scale（visual analogue scale, VAS） scores of clinical efficacy were evaluated. Results： after treatment, comprehensive treatment group markedly effective time for（7.39＋145） days, days of healing for（10.95＋202） days and recovered markedly effective rate and total effective rate and recurrence rate were 84.6% 、98.5%、6.38% VAS score display effect of the combined therapy group was higher than that of the control group, and compared to the control group（P〈0.05）,the difference was statistically significant. Conclusion： postherpetic neuralgia by stick cotton sheet moxibustion therapy laser combined with floating needle therapy is effective time and period of treatment was short, and the recurrence rate is low, curative effect is better than the conventional method of electroacupuncture treatment, the preferred integrated treatment program for postherpetic neuralgia（PHN） diseases.

关 键 词：带状疱疹后遗神经痛 贴棉灸疗法 激光浮针 

分 类 号：R752.1[医药卫生—皮肤病学与性病学]