针药配合治疗带状疱疹后遗神经痛22例

目的:对针刺配合中药治疗带状疱疹后遗神经痛的疗效进行评价.方法:45位带状疱疹患者,随机分为两组,治疗组以针刺夹脊穴、局部围刺与口服汤药配合治疗,对照组采用以常规量口服普瑞巴林胶囊,局部外涂辣椒碱软膏,肌注甲钴胺注射液.均连续治疗15天后根据视觉模拟法,根据数值的变化观察疗效.结果:治疗组治愈率45.4％,总有效率95.5％,对照组治愈率26.1％,总有效率78.3％,差异具有统计学意义(P＜0.05).结论:针药配合治疗带状疱疹后遗神经痛疗效显著,具有推广价值.

Combination of Acupuncture and Chinese Medicinal in the Treatment of Post-herpetic Neuralgia

Objective:To evaluate clinical curative effect of acupuncture combined with Chinese medicine on post-herpetic neuralgia(PHN).Methods:45 patients of PHN were randomly divided into treatment group(n=22) treated by inserting Huatuo Jiaji point,surrounding puncture,and oral administration of Chinese medicine and control group(n=23) given oral use of pregabalin capsule,capsaicin ointment and mecobalamin for muscular injection.The treatment lasted for 15 days and then the clinical curative effect was assessed by variation of visual analogue scale scores(VAS) after treatment.Results:In treatment group,the cure rate was 45.4% and total effective rate was 95.5%,while in control group,the rates were 26.1% and 78.3% respectively.The difference of total effective rate showed a statistical significance in the two groups(P﹤0.05).Conclusion:A better curative effect on post-herpetic neuralgia is reached by combination of acupuncture and Chinese medicinal compared with that of control group.Therefore,it is worth widely extending.