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中药祛痛汤结合多虑平治疗带状疱疹后遗神经痛疗效观察
引用本文:黄俊青,陈长丽,张丽珠.中药祛痛汤结合多虑平治疗带状疱疹后遗神经痛疗效观察[J].检验医学与临床,2014,0(9):1165-1166.
作者姓名:黄俊青  陈长丽  张丽珠
作者单位:黄俊青 (广东省深圳市宝安区西乡人民医院皮肤科 518102); 陈长丽 (广东省深圳市宝安区人民医院皮肤科 518101); 张丽珠 (广东省深圳市宝安区人民医院皮肤科 518101);
基金项目:广东省深圳市宝安区科技计划资助项目(2010626).
摘    要:目的:探讨中药祛痛汤结合多虑平治疗带状疱疹后遗神经痛(PHN)的临床效果。方法选择自2011年9月以来接诊的PHN患者90例,分为试验组和对照组,每组各45例。对照组患者采取常规西药治疗,肌肉注射维生素B1和B12以及多虑平;试验组在对照组的基础上再加上口服中药祛痛汤治疗。每个疗程10d,治疗持续3个疗程。治疗结束后立即采用视觉模拟评分法(VAS)对患者疼痛进行评分,比较两组治疗效果。结果试验组综合疗效评定为痊愈12例,显效18例,好转11例,无效4例,总有效率达到91.1%;对照组综合疗效评定为痊愈8例,显效14例,好转13例,无效10例,总有效率达到77.8%,两组有效率相比差异有统计学意义(P<0.05);两组患者不良反应比较差异无统计学意义(P>0.05)。结论中药祛痛汤结合多虑平治疗PHN的效果明显,无明显不良反应,是PHN较佳的治疗选择之一,值得在临床上进一步推广。

关 键 词:中药祛痛汤  带状疱疹后遗神经痛  视觉模拟评分

Therapeutic effects of Qutong Soup combined with doxepin on postherpetic neuralgia
Institution:HUANG Jun-qing, CHEN Chang-li, ZHA NG Li-zhu( 1. Department of Dermatology, Xixiang People's Hospital of Baoan District, Shenzhen ,Guangdong 518102, China ; 2. Department of Dermatology, People's Hospital of Baoan District, Shenzhen , Guangdong 518101 ,China)
Abstract:Objective To explore the Therapeutic effects of Qutong Soup combined with doxepin on posther-petic neuralgia(PHN) .Methods A total of 90 patients with PHN ,treated in this hospital since September 2011 , were randomly divided into control group(45 cases) ,treated with intramuscular injection of vitamin B1 and B12 ,and doxepin ,and experiment group(45 cases) ,treated with Qutong Soup ,except for the treatment of control group .Each course was 10 d ,and all patients were treated for continuous 3 courses .Visual analogue scales(VAS) were performed after treatment to assess the degree of pain in all patients ,and the therapeutic effects of the two groups were com-pared .Results In patients of experiment group ,12 cases were cured ,18 cases were markedly effective ,11 cases were improved ,4 cases were ineffective ,and the total effective rate was 91 .1% .In patients of control group ,8 cases were cured ,14 cases were markedly effective ,13 cases were improved ,10 cases were ineffective ,and the total effective rate was 77 .8% .The difference of total effective rate between the two groups was significant (P〈0 .05) ,while the differ-ence of incidence rate of adverse reactions was not significant between the two groups (P〉0 .05) .Conclusion Com-bined application of Qutong Soup and doxepin might be with fine efficiency for the treatment of PHN ,and be without significant side effects ,which could be a better treatment options for PHN ,thus worth for further promotion .
Keywords:Qutong Soup  postherpetic neuralgia  visual analogue scales
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