龙虎交战针刺力敏腧穴治疗气滞血瘀型带状疱疹后神经痛的临床效果观察  

Clinical Observation on the Treatment of Postherpetic Neuralgia of Qi Stagnation and Blood Stasis Type by"LONGHUJIAOZHAN"Acupuncture at Pressing Sensitive Acupoint

作　　者：颜纯钏[1] 陈平 李琳慧 刘慧[1] 熊俊[1] 万磊 YAN Chunchuan;CHEN Ping;LI Linhui;LIU Hui;XIONG Jun;WAN Lei(Department of Acupuncture and Moxibustion,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang 330000,China;不详)

机构地区：[1]江西中医药大学附属医院针灸科,江西南昌330000 [2]江西省中西医结合医院皮肤科,江西南昌330000

出　　处：《中国医学创新》2024年第36期43-47,共5页Medical Innovation of China

基　　金：江西省中医药管理局科技计划项目(2021A076)。

摘　　要：目的:探讨龙虎交战针刺力敏腧穴治疗气滞血瘀型带状疱疹后神经痛(PHN)的临床效果。方法:选取74例江西中医药大学附属医院针灸科2020年1月—2023年8月收治的PHN患者作为研究对象,按随机数字表法分为两组,各37例。对照组行常规西药治疗,观察组加用龙虎交战针刺力敏腧穴治疗,持续4周。比较两组临床疗效、疼痛评分、血清神经递质水平、炎症水平、生活质量、中医症状积分及不良反应。结果:较之对照组,观察组治疗总有效率升高,治疗后疼痛评分、P物质(SP)、神经激肽-1(NK-1)及5-羟色胺(5-HT)水平均下降,差异均有统计学意义(P<0.05);相比于对照组,观察组治疗后炎症水平及中医症状积分均明显下降,生活质量评分则均明显升高,差异均有统计学意义(P<0.05);两组均无明显不良反应发生。结论:龙虎交战针刺力敏腧穴治疗可提高PHN患者疗效,降低炎症水平,加快疼痛消失,利于改善生活质量,安全可靠。Objective:To explore the clinical effect of"LONGHUJIAOZHAN"acupuncture at pressing sensitive acupoint in the treatment of postherpetic neuralgia(PHN)of Qi stagnation and blood stasis type.Method:A total of 74 cases of PHN admitted to the Department of Acupuncture and Moxibustion,Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2020 to August 2023 were selected and divided into two groups by random number table,37 cases in each group.The control group was treated with routine western medicine,and the observation group added"LONGHUJIAOZHAN"acupuncture at pressing sensitive acupoint for 4 weeks.The clinical efficacy,pain score,serum neurotransmitter level,inflammation level,quality of life,traditional Chinese medicine(TCM)symptom score and adverse reactions in two groups were compared.Result:Compared with control group,the overall effective rate in observation group was higher,while the pain score,substance P(SP),neurokinin-1(NK-1)and serotonin(5-HT)in observation group were lower after treatment,with significant differences(P<0.05);after treatment,compared with control group,the levels of inflammation and the TCM symptom scores in observation group were lower,the scores of quality of life in observation group were higher,with significant differences(P<0.05);no obvious adverse reactions occurred in both groups.Conclusion:"LONGHUJIAOZHAN"acupuncture at pressing sensitive acupoint can improve the therapeutic effect of PHN patients,reduce inflammation levels,accelerate pain relief,and enhance quality of life,which is safe and reliable.

关 键 词：带状疱疹后神经痛 龙虎交战针刺 力敏腧穴 疼痛 生活质量 

分 类 号：R246.7[医药卫生—针灸推拿学]