Acupuncture combined with medication for postherpetic neuralgia affecting the head and face:a randomized controlled trial  

针药并用治疗头面部带状疱疹后神经痛:随机对照研究

作　　者：Zhai Chun-tao Lü Yu-e Hong Jue 翟春涛;吕玉娥;洪珏(译)(Acupuncture and Massage College,Shanxi University of Chinese Medicine,Jinzhong 030619,China;Shanxi Acupuncture Hospital,Taiyuan 030012,China;不详)

机构地区：[1]Acupuncture and Massage College,Shanxi University of Chinese Medicine,Jinzhong 030619,China [2]Shanxi Acupuncture Hospital,Taiyuan 030012,China [3]不详

出　　处：《Journal of Acupuncture and Tuina Science》2021年第5期398-402,共5页针灸推拿医学（英文版）

基　　金：山西省软科学研究项目,No.2016041033-3;山西中医药大学创新团队项目,No.2019TD-003.

摘　　要：Objective:To observe the efficacy of needling the Xi-Cleft points of yang meridians plus topical surrounding needling and pregabalin in treating postherpetic neuralgia(PHN)affecting the head and face and its influence on quality of life(QOL).Methods:Eighty patients with PHN affecting the head and face were randomized into an acupuncture-medication group and a Western medication group by their visiting sequence,with 40 cases in each group.The Western medication group took pregabalin capsules orally,75 mg each time,twice a day.The dosage could increase to 150 mg each time and twice a day within 1 week based on the efficacy and tolerance.The treatment lasted for 5 weeks.The acupuncture-medication group was given additional surrounding needling at the herpes zoster on the head and face,and Xi-Cleft points of yang meridians were chosen according to the affected area for acupuncture,once every other day,for 5 weeks in total.Results:Prior to treatment,there were no significant differences in the visual analog scale(VAS)and QOL scores between the two groups(both P>O,05).After treatment,VAS and QOL scores dropped significantly in both groups(all P<0.01),and were significantly lower in the acupuncture-medication group than in the Western medication group(both P<0.01).The total effective rate was 67.5%in the Western medication group,versus 92.5%in the acupuncture-medication group,and the b etwee n-group difference was statistically significant(P<0.05).Conclusion:Based on oral administration of pregabalin,needling the Xi-Cleft points of yang meridians and topical surrounding needling can reduce PHN,notably improve patients'QOL,and produce more significant efficacy than oral administration of pregabalin alone。目的:观察针刺阳经郄穴加局部围刺联合普瑞巴林治疗头面部带状疱疹后神经痛的疗效及对生活质量的影响.方法:将80例头面部带状疱疹后神经痛患者按就诊序号随机分为针药组和西药组,每组40例.西药组口服普瑞巴林胶囊,每次75 mg,每日2次.可在1周内根据疗效及耐受性增加至每次150 mg,每日2次,共治疗5周.针药组在上述药物治疗基础上加用头面部疱疹部位围刺,并根据疱疹部位选取相应的三阳经郄穴进行针刺治疗.隔日1次,共治疗5周.结果:治疗前,两组视觉模拟量表(VAS)评分和生活质量(QOL)评分差异均无统计学意义(均P>0.05).治疗后,两组VAS评分和QOL评分均较本组治疗前明显下降(均P<0.01),且针药组两项评分均显著低于西药组,组间差异有统计学意义(均P<0.01).西药组总有效率为67.5%,针药组为92.5%,组间差异有统计学意义(P<0.05).结论:在口服普瑞巴林基础上加用针刺阳经郄穴和局部围刺可以减轻带状疱疹后神经痛,明显改善患者的生活质量,其疗效优于单独口服普瑞巴林治疗.

关 键 词：Acupuncture Therapy Surrounding Needling Acupuncture Medication Combined Point Xi(Cleft) Neuralgia Postherpetic Visual Analog Scale Quality of Life 

分 类 号：R246.7[医药卫生—针灸推拿学]