火针点刺心俞、膈俞穴治疗带状疱疹后遗神经痛的临床观察  

Clinical observation on treatment of postherpetic neuralgia with fire needle pricking Xinshu and Geshu

作　　者：周亚兰 黄应杰[2] 

机构地区：[1]广州中医药大学,广州510006 [2]广州市中医医院针灸科,广州510130

出　　处：《天津中医药》2018年第1期28-30,共3页Tianjin Journal of Traditional Chinese Medicine

摘　　要：[目的]观察火针点刺心俞、膈俞穴治疗带状疱疹后遗神经痛的临床疗效。[方法]将试验选取的60例患者按随机数字表法分为对照组和观察组各30例,对照组以普瑞巴林口服,每次50 mg,每日3次,以10 d为1个疗程;观察组以普瑞巴林联合火针治疗,普瑞巴林用法同对照组,火针选取心俞、膈俞穴,在心俞、膈俞穴上快针点刺,快进快出,进针深度为6~8 mm,每穴点刺3针,每2 d治疗1次,5次为1疗程。比较两组患者治疗后视觉模拟量表(VAS)积分、生活质量指数量表(DLQI)评分的改善情况和总有效率。[结果]对照组治疗后患者VAS积分、DLQI量表评分分别为:(2.03±1.38)分、(4.61±3.61)分;观察组治疗后患者VAS评分、DLQI量表评分分别为:(1.43±1.31)分、(3.28±2.98)分;观察组评分均明显优于对照组,差异有统计学意义(P<0.05)。观察组总有效率93.33%,高于对照组的66.67%,差异有统计学意义(P<0.05)。[结论]火针点刺心俞、膈俞穴治疗带状疱疹后遗神经痛可以明显缓解患者疼痛、改善患者的生存质量。[Objective] To observe the clinical efficacy of treatment of postherpetic neuralgia by pricking Xinshu and Geshu with fire needle.[Methods] The 60 patients were randomly divided into control group and observation group（each 30 cases）.The control group was treated with pregabalin,50 mg each time,3 times a day and 10 days as a course of treatment.The observation group was treated with pregabalin combined with fire needle,the prescription of pregabalin was the same as the control group,while the fire needle pricking Xinshu and Geshu points,each hole pricking 3 needle with the depth of 6~8 mm,1 time every 2 days and 5 times compose a course of treatment.After a course of treatment,the Visual Analog Scale（VAS） scores and Dermatology Life Quality Index scale（DLQI） scores were observed before and after treatment together with the total effective rate.[Results] After a course of treatment,the VAS scores and DLQI scores were（2.03 ±1.38）,（4.61 ±3.61） and（1.43 ±1.31）,（3.28 ±2.98） in the two groups,the scores of the observation group were significantly better than the control group,and the difference was statistically significant（P0.05）.The total effective rate was 93.33% in the observation group,which was 66.67% higher than that in the control group（P0.05）.[Conclusion] Treating postherpetic neuralgia with fire needle by pricking Xinshu and Geshu points can significantly relieve the pain in patients and improve the quality of life of patients.

关 键 词：火针 心俞穴 膈俞穴 带状疱疹后遗神经痛 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]