双重围刺法联合叩刺拔罐治疗老年带状疱疹后遗神经痛临床研究  

Clinical study of double surround needling combined with pricking-cupping bloodletting in the treatment of senile postherpetic neuralgia

作　　者：邢亚情 袁军[1] 张素钊[1] 陈畅 康国辉[1] 冯梦[1] 孙翔[2] 张会茹[1] 刘定波 王岱 杨丽萍 邵云 XING Yaqing;YUAN Jun;ZHANG Suzhao(Department of Acupuncture and Moxibustion, Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang, Hebei 050011)

机构地区：[1]河北省中医院针灸科,河北石家庄050011 [2]河北省中医院脑病科,河北石家庄050011 [3]河北省中医药科学院附属医院内科,河北石家庄050031 [4]河北省石家庄市中医院脑病科,河北石家庄050051 [5]河北中医学院,河北石家庄050091

出　　处：《河北中医》2019年第4期587-591,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省科学技术厅重点研发计划项目(编号:18277784D)

摘　　要：目的观察双重围刺法联合叩刺拔罐治疗老年带状疱疹后遗神经痛(PHN)的临床疗效。方法将72例老年PHN患者按照随机数字表法分为2组。对照组36例予加巴喷丁胶囊口服治疗,共治疗22d;治疗组36例予双重围刺法联合叩刺拔罐治疗,10d为1个疗程,疗程间隔2d,共治疗2个疗程。比较2组治疗前后疼痛视觉模拟评分(VAS)变化情况,比较2组疗效,并比较治疗组中不同疼痛发生部位疗效。结果治疗组总有效率94.44%,对照组总有效率75.00%,治疗组疗效优于对照组(P<0.05)。治疗后2组疼痛VAS评分均降低(P<0.01),且治疗组低于对照组(P<0.05)。治疗组中疼痛部位在胸腹部及腰背部者疗效优于在四肢部者,但比较差异无统计学意义(P>0.05)。结论双重围刺法联合叩刺拔罐治疗老年PHN疗效确切,能明显改善疼痛症状,值得临床推广应用。Objective To observe the clinical efficacy of double surround needling combined with pricking-cupping bloodletting in the treatment of senile postherpetic neuralgia(PHN). Methods 72 elderly patients with PHN were divided into two groups according to random number table method. 36 cases in control group were treated by gabapentin capsule orally for 22 day. 36 cases in treatment group were treated by double surround needling combined with pricking-cupping bloodletting, the treatment lasted for 10 days as a course of treatment, with an interval of 2 days, and a total of 2 courses of treatment, the changes of pain visual analogue scale(VAS) before and after treatment were compared between the two groups,the curative effects of the two groups were compared, and the effects of different pain sites in the treatment group were compared. Results The total effective rate was 94.44 % in treatment group and 75.00% control group. The clinical curative effect of the treatment group was better than that of the control group(P<0.05). After treatment, the VAS pain scores of the two groups were lower than those in the group before treatment(P<0.01), and the treatment group was lower than the control group(P<0.05). In the treatment group, the curative effect of pain location in the back and chest was better than that in the limbs, but there was no significant difference(P>0.05). Conclusion Double surround needling combined with pricking-cupping bloodletting is effective and safe in the treatment of elderly PHN, which is worthy of clinical application.

关 键 词：神经痛 带状疱疹后 老年人 围刺 刺血疗法 拔罐 

分 类 号：R752.12[医药卫生—皮肤病学与性病学] R441.1[医药卫生—临床医学]