以针灸为主的综合疗法治疗带状疱疹后遗神经痛临床疗效观察

目的：比较针灸为主的综合疗法与西药治疗带状疱疹后遗神经痛的疗效差异。方法：80例患者随机分为治疗组和对照组,每组各40例。治疗组采用以针灸为主的综合疗法,即电针夹脊穴配合穴位注射,并辅以He-Ne激光治疗。对照组口服羟考酮控释片10 mg,2次/日;甲钴胺片0.5 mg,3次/日。分别记录治疗前后患者疼痛、睡眠障碍、焦虑程度的评分,并统计两组疗效。结果：治疗组的总有效率为100.0%（40/40）,优于对照组的87.5%（35/40）;治疗组的愈显率为85.0%（34/40）,优于对照组的65.0%（26/40,均P〈0.05）。在改善患者的疼痛、睡眠障碍及焦虑程度方面治疗组均优于对照组（均P〈0.01）。结论：针灸为主的综合疗法可有效地治疗带状疱疹后遗神经痛,疗效优于西药组。

Observation on therapeutic effect of combined therapy mainly based on acupuncture for postherpetic neuralgia

Objective To compare the difference in therapeutic effect between the combined therapy mainly based on acupuncture and western medicine in treating postherpetic neuralgia. Methods Eighty patients were randomly divided into a treatment group and a control group by ballot, and 40 patients were included in each group. The patients in the treatment group were treated by using the combined therapy mainly based on acupuncture, in other words, electroacupuncture at Jiáj （夹脊 EX-B2） and acupoint injection, and He-Ne laser therapy was also carried out. The patients in the control group were orally administered with 10 mg oxycodone controlled release tablets, twice a day; 0.5 mg mecobalamin tablets, three times a day. Scores for pain, sleep disorders and anxiety degree of the patients were recorded respectively, and the therapeutic effect in the two groups was counted. Results The total effective rate in the treatment group was 100.0% （40/40）, which was higher than 87.5% （35/40） in the control group; the markedly effective rate in the treatment group was 85.0% （34/40）, which was better than 65.0% （26/40） in the control group （both P0.05）. The therapeutic effects in reliefing pain, sleep disorders and anxiety of the patients in the treatment group were better than that in the control group （all P0.01）. Conclusion The combined therapy mainly based on acupuncture can effectively treat postherpetic neuralgia and the therapeutic effect is better than that in the western medicine group