火针毛刺法治疗带状疱疹后遗神经痛的临床效果观察  

Observation on the clinical effect of treating postherpetic neuralgia with fire needle acupuncture

作　　者：严定丰 普天强 李卫林 魏华英 何绍祥 张忠顺 YAN Ding-feng;PU Tian-qiang;LI Wei-lin(Yunnan University of Traditional Chinese Medicine Affiliated Xuanwei Traditional Chinese Medicine Hospital,Xuanwei 655400,China)

机构地区：[1]云南中医药大学附属宣威市中医医院,655400

出　　处：《中国实用医药》2024年第23期146-148,共3页China Practical Medicine

摘　　要：目的评价火针毛刺法治疗带状疱疹后遗神经痛(PHN)的临床效果。方法150例PHN患者,随机分为观察组、对照A组、对照B组,各50例。对照A组采用普通针刺治疗,对照B组采用口服加巴喷丁胶囊治疗,观察组采用火针毛刺法治疗。对比三组临床疗效、视觉模拟评分法(VAS)评分、匹兹堡睡眠质量指数(PSQI)评分、健康调查简表(SF-36)评分。结果观察组的临床总有效率96%明显高于对照A组的84%和对照B组的80%,差异有统计学意义(P<0.05)。治疗后,观察组的VAS评分(3.76±1.61)分和PSQI评分(6.56±1.43)分均显著低于对照A组的(4.70±1.90)、(9.16±2.46)分和对照B组的(4.95±1.99)、(10.51±2.69)分,差异有统计学意义(P<0.05)。观察组生理功能评分(92.40±6.08)分、情感功能评分(90.70±6.67)分、社会功能评分(91.09±6.17)分、健康状态评分(91.82±6.37)分、活力评分(91.96±6.45)分均明显高于对照A组的(83.31±5.91)、(82.72±5.35)、(82.44±5.32)、(83.57±5.88)、(82.76±5.41)分和对照B组的(81.35±5.43)、(80.21±4.95)、(80.01±4.58)、(81.02±4.78)、(80.06±5.02)分,差异有统计学意义(P<0.05)。结论治疗PHN选择火针毛刺法治疗的临床效果显著,对解除其神经痛和改善睡眠具有积极效果。Objective To evaluate the clinical effect of treating postherpetic neuralgia(PHN)with fire needle acupuncture based on meridian differentiation.Methods 150 PHN patients were randomly divided into observation group,control group A and control group B,each with 50 cases.Control group A was treated with ordinary acupuncture,control group B was treated with oral gabapentin capsule,and observation group was treated with fire needle acupunture.The clinical efficacy,Visual Analogue Scale(VAS)score,Pittsburgh Sleep Quality Index(PSQI)score and 36-Item Short-Form Health Survey(SF-36)score were compared among the three groups.Results The total clinical effective rate of the observation group was 96%,which was significantly higher than that of control group A(84%)and control group B(80%),and the difference was statistically significant(P<0.05).After treatment,the observation group had VAS score of(3.76±1.61)points and PSQI score of(6.56±1.43)points,which were significantly lower than those of control group A[(4.70±1.90)and(9.16±2.46)points]and control group B[(4.95±1.99)and(10.51±2.69)points],and the difference was statistically significant(P<0.05).In observation group,the physical functioning score was(92.40±6.08)points,the emotional functioning score was(90.70±6.67)points,the social functioning score was(91.09±6.17)points,the health status score was(91.82±6.37)points,and the vitality score was(91.96±6.45)points,which were significantly higher than control group A[(83.31±5.91),(82.72±5.35),(82.44±5.32),(83.57±5.88),and(82.76±5.41)points]and control group B[(81.35±5.43),(80.21±4.95),(80.01±4.58),(81.02±4.78),and(80.06±5.02)points],and the difference was statistically significant(P<0.05).Conclusion The clinical effect of fire needle acupuncture is remarkable on PHN,and it has positive effect on relieving neuralgia and improving sleep.

关 键 词：带状疱疹后遗神经痛 火针毛刺法 加巴喷丁 经络辨证 

分 类 号：R246.7[医药卫生—针灸推拿学]