针刺+刺络拔罐联合威伐光照射治疗带状疱疹后遗神经痛的疗效观察  

Curative effect of combined acupuncture and pricking-cupping bloodletting and wIRA-Hyperthermia in the treatment of postherpetic neuralgia

作　　者：谢素春[1] 国海超 毛玉璇 陈保延[1] 牛哲 张慧婷 田赞 王艳君[5] XIE Suchun;GUO Haichao;MAO Yuxuan;CHEN Baoyan;NIU Zhe;ZHANG Huiting;TIAN Zan;WANG Yanjun(Department of Acupuncture and Physiotherapy,Xingtai People's Hospital,Xingtai,Hebei 054000;Department of Dermatology,Xingtai Hospital of Traditional Chinese Medicine,Xingtai,Hebei 054000;Department of Acupuncture and Moxibustion,The First Affiliated Hospital of Hebei University of Chinese Medicine,Shijiazhuang,Hebei 050011;Department of Dermatology,Hebei Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei 050011;Department of Acupuncture and Moxibustion,Hebei Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei 050011)

机构地区：[1]河北省邢台市人民医院针灸理疗科,河北邢台054000 [2]河北省邢台市中医院皮肤科,河北邢台054000 [3]河北中医学院第一附属医院针灸科,河北石家庄050011 [4]河北省中医院皮肤科,河北石家庄050011 [5]河北省中医院针灸科,河北石家庄050011

出　　处：《河北中医》2022年第11期1874-1878,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省科学技术厅2020年河北省省级科技计划项目(编号:20377712D);河北省中医药管理局2022年度中医药类科研计划课题(编号:2022306);2022年度河北省引进国外智力项目(冀科专函[2022]11号)。

摘　　要：目的 观察针刺+刺络拔罐联合威伐光照射治疗带状疱疹后遗神经痛(PHN)的临床疗效。方法 将64例PHN患者按照随机数字表法分为2组,对照组32例予威伐光照射联合常规西药口服治疗,治疗组32例予针刺+刺络拔罐联合威伐光照射治疗。2组均治疗2周。比较2组治疗前后疼痛视觉模拟评分(VAS)、匹兹堡睡眠质量指数(PSQI)评分,并统计2组疗效。结果 治疗组总有效率93.75%(30/32),对照组总有效率84.37%(27/32),治疗组临床疗效优于对照组(P<0.05)。2组治疗后疼痛VAS均较本组治疗前降低(P<0.05),且治疗组治疗后低于对照组(P<0.05)。2组治疗后PSQI各项评分及总分均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。结论 针刺+刺络拔罐联合威伐光照射治疗PHN,能够改善患者疼痛及睡眠质量,提高临床疗效。Objective To observe the clinical effect of acupuncture + pricking-cupping bloodletting + wIRA-Hyperthermia on postherpetic neuralgia(PHN). Methods Totally 64 patients with PHN were randomized 1:1 to receive wIRA-Hyperthermia +oral conventional western medicine(the control group) or acupuncture + pricking-cupping bloodletting + wIRA-Hyperthermia(the treatment group) for 2 weeks. The pain visual analogue scale(VAS) score and Pittsburgh sleep quality index(PSQI) were compared to evaluate the clinical efficacy before and after treatment. Results The total effective rate in the treatment group was higher than that in the control group(93.75% [30/32] vs 84.37% [27/32], [P<0.05], respectively). The VAS and PSQI scores of pain in the both groups after treatment were lower than those before treatment(both P<0.05), and which were lower in the treatment group than in the control group(both P<0.05). Conclusion Combined acupuncture and pricking-cupping bloodletting and wIRA-Hyperthermia can improve the pain and sleep quality of PHN patients, and improve the clinical efficacy.

关 键 词：神经痛 带状疱疹后 针刺疗法 拔罐疗法 

分 类 号：R752.12[医药卫生—皮肤病学与性病学] R245.31[医药卫生—临床医学]