中医疗法对带状疱疹后遗神经痛患者疼痛状况及生活质量的影响  

Effects of TCM Therapy on Pain Management, Sleep and Quality of Life of PHN Patients

作　　者：赵静 李晓静 曹慧娜[1] 俞慈敏 ZHAO Jing;LI Xiao-jing;CAO Hui-na;YU Ci-min(Shanghai Pudong New Area Punan Hospital,Shanghai,200125,China)

机构地区：[1]上海市浦东新区浦南医院,上海200125

出　　处：《中国初级卫生保健》2022年第6期110-113,共4页Chinese Primary Health Care

基　　金：上海市浦东新区科技发展基金(PKJ2020-Y88)。

摘　　要：目的:探讨中医疗法对带状疱疹后遗神经痛(PHN)患者疼痛状况及生活质量的影响。方法:选取2020年1月—2021年1月上海市浦东新区浦南医院就诊的160例PHN患者,将其随机分为对照组和研究组,每组各80例。两组患者均实施常规治疗,对照组患者采用常规护理,研究组患者在常规护理的基础上采用耳穴贴压和穴位按摩护理。干预3个月后,对比两组患者干预前后的疼痛状况、生活质量及治疗效果。结果:干预3个月后,两组患者的视觉模拟评分法(VAS)、匹茨堡睡眠质量指数量表(PSQI)评分均明显降低,且研究组患者的VAS、PSQI评分均明显低于对照组,差异有统计学意义(P<0.05);两组患者中医生活质量量表总评分均明显降低,且研究组患者中医生活质量量表总评分明显低于对照组,差异有统计学意义(P<0.05);研究组患者治疗总有效率为93.75%,对照组为81.25%;研究组患者治疗后复发率为3.75%,对照组患者为15.00%。结论:中医疗法能够有效改善PHN患者疼痛状况和睡眠质量,提高其生活质量,在明显提高治疗效果的同时,可降低其治疗后的复发率,值得临床上推广应用。OBJECTIVETo investigate the effect of TCM therapy on pain management, sleep and life quality of PHN patients.METHODS A total of 160 PHN patients treated in Punan Hospital, Pudong New Area, Shanghai from January 2020 to January 2021were selected as the research subjects. They were divided into control group and study group with 80 cases in each group. Patients in both groups were given routine treatment, patients in control group were given routine nursing, patients in research group were given simple and feasible auricular sticking and acupoint massage nursing. Three months after intervention, the pain management effect, sleep and quality of life of the two groups before and after intervention were compared, and the treatment effect and recurrence rate of the two groups were compared. RESULTS Three months after intervention, the Visual Analog Scale(VAS) and Pittsburgh Sleep Quality Index(PSQI) scores of the two groups of patients were significantly reduced, and the VAS and PSQI scores of patients in study group were points, which were significantly lower than the control group’s, the difference was statistically significant(P<0.05);three months after intervention, the total score of TCM quality of life scale in the two groups of patients were significantly reduced, and the total score of TCM quality of life scale in study group was significantly lower than that in control group, the difference was statistically significant(P<0.05);the total effective rate of the study group was 93.75%, which was significantly higher than 81.25% in the control group;the recurrence rate of the study group was 3.75%, which was significantly lower than 15.00% in the control group. CONCLUSION Traditional Chinese medicine therapy can effectively improve the pain management effect of PHN patients, improve their sleep conditions, and significantly improve their quality of life,significantly improve the treatment effect of patients, while reducing the recurrence rate after treatment, which is worthy of promotion and application.

关 键 词：带状疱疹后遗神经痛 中医 穴位按摩 疼痛管理 

分 类 号：R275[医药卫生—中医皮科]