彩超引导下椎旁PRP注射联合揿针治疗带状疱疹性神经痛的临床研究  

Clinical Study of Ultrasound Guided Paravertebral PRP Injection Combined with Press Needle for Herpes Zoster Neuralgia

作　　者：肖永焕 熊清丽 余绪超 文武 李矛 XIAO Yong-huan;XIONG Qing-li;YU Xu-chao;WEN Wu;LI Mao(Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine,Nanchang330006)

机构地区：[1]江西中医药大学附属医院,南昌330006

出　　处：《实用中西医结合临床》2025年第5期1-4,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：江西省卫生健康委科技计划项目(编号:202410316)。

摘　　要：目的探讨彩超引导下椎旁富血小板血浆(PRP)注射联合揿针治疗带状疱疹性神经痛(ZRN)的临床效果。方法选取2023年6月至2024年5月在江西中医药大学附属医院住院的ZRN患者75例作为研究对象,按照治疗方法不同分为三组,各25例。A组实PRP注射治疗,B组实施揿针治疗,C组实施PRP注射联合揿针治疗。比较三组临床疗效、疼痛程度、睡眠质量和不良事件发生情况。结果C组临床总有效率为96.00%,明显高于A组(68.00%)、B组(64.00%),差异有统计学意义(P<0.05);治疗后,C组的匹兹堡睡眠质量指数量表(PSQI)评分、疼痛视觉模拟评分(VAS)均低于A组、B组,差异有统计学意义(P<0.05)。结论在ZRN患者中应用椎旁PRP注射联合揿针治疗效果更佳,可降低患者疼痛程度,促进睡眠质量改善,为ZRN临床治疗提供新思路及新方法。Objective To explore the clinical effects of ultrasound guided paravertebral platelet-rich plasma(PRP)injection combined with press needle in the treatment of herpes zoster neuralgia(ZRN).Methods Seventy-five ZRN patients hospitalized in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from June 2023 to May 2024 were selected as the study objects and then divided into 3 groups with 25 cases each according to different treatment methods.Group A received PRP injection treatment,group B received press needle treatment,and group C received PRP injection combined with press needle treatment.Compared the clinical efficacy,degree of pain,sleep quality and adverse events among three groups.Results The total clinical effective rate of group C was 96.00%,which was significantly higher than that of group A(68.00%)and group B(64.00%),the differences were statistically significant(P<0.05).After treatment,the Pittsburgh Sleep Quality Index(PSQI)score and the pain Visual Analog Scale(VAS)score of Group C were lower than those of Group A and Group B,the differences were statistical significance(P<0.05).Conclusion The application of paravertebral PRP injection combined with press needle is more effective in ZRN patients,can reduce patient pain,promote sleep quality improvement,and provide new ideas and methods for clinical treatment of ZRN.

关 键 词：带状疱疹性神经痛 彩超引导 椎旁PRP注射 揿针治疗 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]