腧穴热敏灸配合穴位注射治疗带状疱疹后遗神经痛临床观察

目的：观察腧穴热敏灸配合穴位注射治疗带状疱疹后遗神经痛（PHN）的临床疗效。方法：将46例患者随机分为热敏灸组15例、穴位注射组16例、西药组15例。热敏灸组选取与皮损部位相对应夹脊穴中的热敏化穴，采用腧穴热敏灸配合穴位注射治疗；穴位注射组选取与皮损部位相对应的夹脊穴，采用穴位注射治疗；西药组采用阿昔若韦片口服治疗。3组均连续治疗3疗程评定疗效。结果：总有效率热敏灸组为93．3％，穴位注射组为81．3％，西药组为66．7％，热敏灸组临床疗效总有效率分别与穴位注射组、西药组比较，差异均有显著性意义（P〈0．05）；与治疗前比较，3组疼痛VAS评分均有所降低，热敏灸组疼痛VAS评分分别与穴位注射组、西药组比较，差异均有显著性意义（P〈0．05）。结论：腧穴热敏灸配合穴位注射治疗PHN，能显著减轻神经疼痛，其临床疗效优于单纯穴位注射或西药治疗。

Observation on Clinical Effect of Thermal Moxibustion Therapy Combined with Acupoint Injection on Postherpetic Neuralgia

Objective： To observe the clinical effect of thermal moxibustion therapy combined with Jiaji acupoint injection on postherpetic neuralgia （PHN）. Methods. Forty-six cases of PHN patients were randomly divided into thermal moxibustion group （n=15）, control group （n=16） and the western medicine group （n=15）. The thermal moxibustion group received the thermal moxibustion combined with Jiaji acupoint injection, the control group received Jiaji acupoint injection, and the western medicine group was given oral use of Aciclovir Tablets. Three groups received treatment for 2 months and then the clinical curative effect was assessed by the visual analogue scale （VAS） scores after treatment. Results： After treatment, the effective rate was 93.4% in the thermal moxibustion group, 81.3% in the control group and 66.7% in the western medicine group. The difference of total effective rate was statistical significance in the three groups （P 〈 0.05）.After treatment, VAS scores in the three groups were decreased, and VAS scores in thermal moxibustion group differed from those in the control group and western medicine group （P 〈 0.05）. Conclusion： The thermal moxibustion combined with acupoint injection can reduced the postherpetic neuralgia, and its clinical curative effect is better than acupoint injection or western medicine therapy alone.