电针结合刺络拔罐治疗带状疱疹后遗神经痛的临床疗效评价  

Clinical efficacy evaluation of electroacupuncture combined with acupuncture and cupping in the treatment of postherpetic neuralgia

作　　者：黄爱苹[1] 谷桢[1] 薛纯纯[1] 谢磊[1] HUANG Ai-ping;GU Zhen;XUE Chun-chun;XIE Lei(Pain Department,Shanghai municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属市中医医院疼痛科,上海200071

出　　处：《中华全科医学》2020年第5期835-838,共4页Chinese Journal of General Practice

基　　金：国家自然科学基金(81603485);上海市进一步加快中医药事业发展三年行动计划[ZY(2018-2020)-ZYBZ-06]。

摘　　要：目的观察和分析电针与刺络拔罐联合治疗带状疱疹后遗神经痛(PHN)的临床效果。方法选取上海中医药大学附属市中医医院2017年2月-2019年2月收治的PHN患者90例,根据随机数字表法分为观察组和对照组各45例,观察组行电针联合刺络拔罐治疗,1次/d,10 d为1个疗程,连续治疗3个疗程,对照组患者口服普瑞巴林75 mg,2次/d,以10 d为1个疗程,连续治疗3个疗程,观察和比较2组患者治疗的临床总有效率,比较2组患者疼痛评定指数(PRI)、现时疼痛强度(PPI)和视觉模拟评分(VAS)等指标以及生活质量评分。结果观察组临床治疗总有效率为95.56%,对照组临床治疗总有效率为75.56%,观察组临床治疗总有效率明显高于对照组(χ^2=7.283,P<0.05);治疗后观察组PRI、PPI和VAS等指标明显低于对照组(均P<0.05);观察组日常生活、疼痛程度、社会功能、生理功能、精神健康等生活质量评分明显优于对照组(均P<0.05)。结论与西医临床治疗手段相比较,电针结合刺络拔罐能明显提高带状疱疹后遗神经痛的临床治疗效果,有效缓解疼痛,提高患者的生活质量水平,值得在临床推广和使用。Objective To observe and analyze the clinical effect of electro-oacupuncture combined with acupuncture and cupping in the treatment of post-herpeticneuralgia(PHN).Methods A total of 90 cases of patients with PHN treated in our hospital from February 2017 to February 2019 were selected according to the random table method and randomly divided into observation group and control group(45 cases each group).The observation group line acusector joint thorn cupping therapy 1 time/d for the 10 days for a period of treatment,the treatment of three consecutive period of treatment.The control group patients with oral pregabalin,75 mg,2 times/d,to 10 days for a period of treatment,the treatment of three consecutive period of treatment,observe and compare the clinical total effective rate of two groups of patients with treatment.The two groups were compared in terms of pain assessment index(PRI),current pain intensity(PPI),visual analogue score(VAS)and quality of life score.Results The total effective rate was 95.56%in the observation group and 75.56%in the control group.The total effective rate in the observation group was significantly higher than that in the control group(χ^2=7.283,P<0.05).The indexes of PRI,PP and VAS in the observation group were significantly lower than those in the control group(P<0.01).The scores of daily life,pain degree,social function,physiological function and mental health in the observation group were significantly better than those in the control group(P<0.01).Conclusion Compared with the clinical treatment of western medicine,electroacupuncture combined with acupuncture and cupping can significantly improve the clinical treatment effect of postherpetic neuralgia,effectively relieve the pain,and improve the quality of life of patients,which is worthy of clinical promotion and use.

关 键 词：电针 刺络拔罐 带状疱疹后遗神经痛 临床疗效 

分 类 号：R752.12[医药卫生—皮肤病学与性病学] R244.3[医药卫生—临床医学]