A clinical study of acupuncture and SSP (silver spike point) electro-therapy for dry eye syndrome

The present study was designed as a clinical trial to assess the efficacy of acupuncture and silver spike point (SSP) electro-therapy on dry eye syndrome. A total of 43 dry eye syndrome patients participated in the present study. Subjects were divided into control, acupuncture and SSP electro-therapy groups. The three groups were all given artificial tears treatment. Patients in the treatment groups were given two 20-minute treatments of either acupuncture or SSP. Assessment was carried out using the Basal Schirmer test, tear break-up time (BUT), visual analog scale (VAS) and an overall score of eye condition. After four weeks of treatment, both the acupuncture and SSP treatment groups showed improvements over the control group, in Schirmer tests of the left eye and average tearing of both eyes. After 8 weeks of treatment, both treatment groups showed improvements over the control group both in Schirmer tests and VAS. For the right eye, treatment groups showed significant improvements in Schirmer test and VAS versus the control group averages for both eyes. There was no significant difference in BUT at any time. Comparing scores before and after treatment, the acupuncture and SSP groups showed a significant improvement compared to the control group. The acupuncture group showed a greater 8-week improvement in Schirmer tests scores compared to the SSP group. However, the SSP group patients used fewer applications of artificial tears. Acupuncture and SSP electro-therapy were effective in increasing tear secretion in patients with dry eye syndrome. The SSP electro-therapy not only alleviated dry eye syndrome, but also reduced the number of applications of artificial tears necessary.     

杞菊甘露饮及杞菊甘露饮配合针刺治疗肺肾阴虚型干眼症的临床研究

目的:探讨杞菊甘露饮及杞菊甘露饮配合针刺治疗肺肾阴虚型干眼症的疗效。方法:2012年10月至2013年8月在新加坡中华医院眼科组就诊的肺肾阴虚型干眼症患者90例。随机分为组1(杞菊甘露饮组)45例和组2(杞菊甘露饮配合针刺组)45例。2组均口服杞菊甘露饮,组2加针刺治疗,疗程均为30 d。结果:1)组1及组2的标准干眼症测量评分(Standard Patient Evaluation of Eye Dryness,SPEED),视觉模拟量化评分(Visual Analogue Scale Score,VAS)以及中医肺肾阴虚积分治疗前后均有统计学意义(P0.05),但2组间疗效比较则无统计学意义(P0.05)。泪膜破裂时间(tear break-up time,TBUT)在2组间疗效比较显示差异有统计学意义,组1高于组2(P=0.0000.01)。泪液分泌试验(Schirmer I test,SIt),组1显示泪液数量在治疗前后差异存在统计学意义(P=0.040.05),组2治疗前后差异无统计学意义(P=0.6680.05)。2)总有效率:SPEED,组1是54.4%,组2是53.3%。VAS,组1是61%,组2是55.5%。中医肺肾阴虚积分的总有效率,组1是68.18%,组2是71.11%。结论:单用杞菊甘露饮或杞菊甘露饮配合针刺治疗肺肾阴虚型干眼症均有效,两者在疗效上无统计学意义。研究结果提示新加坡卫生部或可考虑除西医常规治疗外,也可让不同规格的各级医院根据其自身条件,技术设备以及患者的依从性选择中药治疗或中药配合针刺治疗干眼症。     

Effect of hand-ear acupuncture on chronic low-back pain: a randomized controlled trial

OBJECTIVE: To evaluate the effect of hand-ear acupuncture on chronic low-back pain(cLBP).METHODS: This was an open, randomized and controlled trial in The General Hospital of Western Theater Command, Sichuan Province. The trial was registered with ClinicalTrials.gov, NCT02260284. All the 152 participates with cLBP were randomly assigned to hand-ear acupuncture(n = 54), standard acupuncture(n = 50), or usual care groups(n = 48).Eighteen treatments were provided over 7 weeks.Back-related dysfunction and symptom severity were assessed by the Roland-Morris Disability Questionnaire(RMDQ) and the Visual Analogue Scale(VAS), which were collected at baseline, 2 months and 6 months post to the treatment.RESULTS: At 6 months, the RMDQ scores improved by 7.74 points of hand-ear acupuncture group. Significant improvement of VAS and RMDQ was observed in hand-ear acupuncture group(P 0.001),but no significant changes of RMDQ were observed in both standard acupuncture group and usual care group. We also observed an overall efficacy rate of 88.89% in hand-ear acupuncture group, as evaluated by Diagnosis and Curative Effect Standard for Symptom pattern of Traditional Chinese Medicine, which was much higher than 45.84% in the usual care group(H = 16.000, P 0.001).CONCLUSION: Both of the hand-ear acupuncture and standard acupuncture modes have beneficial and persistent effectiveness against cLBP compared with the usual care. Furthermore, hand-ear acupuncture is significantly more effective than the standardized acupuncture, especially in the long term.     

针灸治疗干眼的系统评价

目的 评价针灸治疗干眼的临床疗效及安全性.方法 采用计算机检索、手工检索及网络补充检索方法相结合,语言限于中、英文,收集针灸治疗干眼的临床随机对照试验(randomized controlled trials,RCTs).根据Cochrane系统评价员手册(5.1.0)对文献进行质量评估,并采用Cochrane协作网专用统计软件包Review Manager 5.1.0进行统计分析.结果 1.纳入研究的RCTs文献共8篇,低质量7篇,中等质量1篇.2.meta分析结果显示,针灸或针灸结合人工泪液与人工泪液组比较,对泪液基础分泌量和泪膜破裂时间影响的疗效差异有统计学意义,针灸或针灸结合人工泪液优于人工泪液治疗.3.定性分析结果显示,2个研究认为针灸结合人工泪液较人工泪液更能改善患者的干涩感和眼疲劳;5个研究认为在临床症状改善、增加泪液基础分泌量和眼表损害恢复方面,二者等效;1个研究认为在泪膜稳定性的改善方面,人工泪液优于针刺.结论 相对于人工泪液,针灸或针灸结合人工泪液治疗干眼在改善临床症状、增加泪液分泌量及泪膜稳定性方面有一定优势;但仍需高质量的随机对照试验来进一步确定针灸治疗干眼的疗效和安全性.     

左右眼针划区埋线治疗顽固性呃逆的疗效比较

目的:比较先取左眼和先取右眼针划区埋线治疗顽固性呃逆的疗效。方法:顽固性呃逆患者39例,以随机数字表法分为两组,其中左眼针划区组20例,取左眼3、5、7区埋线治疗,第3天仍有呃逆症状再取右眼3、5、7区同法治疗;右眼针划区组19例,取右眼3、5、7区埋线治疗,第3天仍有呃逆症状再取左眼3、5、7区同法治疗。每位患者最多观察5天,随访2周,分别统计每组患者的疗效并加以比较。结果:两组间疗效无显著性差异(P>0.05)。结论:先取左眼和先取右眼针划区埋线治疗顽固性呃逆的疗效相当。     

杞菊地黄丸治疗干眼症的临床研究

目的探讨杞菊地黄丸治疗干眼症的效果。方法 2010年1月—2010年6月在PCO(Pennsylvania College of Optometry)眼科医院就诊的干眼症患者120例(240只眼),均以干眼为主诉,年龄45～72岁,身体健康无其他眼疾,无吸烟史,无接触镜佩戴史。所有患者的McMonnies DEQ(McMonnies DryEye Questionnaire)量表评分为阳性,辨证为肝肾阴虚。随机分为杞菊地黄丸组和人工泪液组,各60例。分别予口服杞菊地黄丸,局部羧甲基纤维素钠滴眼液(Refresh Plus滴眼液)点眼,均治疗30 d。比较2组患者的治疗效果。结果1.泪液分泌试验(Schirmer I test,SIt):杞菊地黄丸组(14.27±1.41)mm/5 mins,人工泪液组(12.55±1.37)mm/5 mins(Z=-4.573,P=0.0000)。2.泪膜破裂时间(tear break-up time,TBUT):杞菊地黄丸组(18.07±3.58)s,人工泪液组(13.38±3.17)s(t=7.578,P=0.0000)。3.总有效率:杞菊地黄丸组96.70%,人工泪液组86.7%(Z=-3.310,P=0.001)。4.西医临床积分:杞菊地黄丸组6.27±3.27,人工泪液组9.47±3.57(Z=-4.87,P=0.000)。5.中医症状积分:杞菊地黄丸组3.10±1.398,人工泪液组3.81±1.387(Z=-2.370,P=0.018)。结论杞菊地黄丸治疗干眼症有效;除了西医常规的人工泪液外,也可以考虑使用相关的中医方法治疗干眼症。     

Diverse needling methods for dry eye syndrome: A randomized controlled study

Objective:To explore a proper acupuncture treatment protocol for dry eye syndrome(DES),by comparing the therapeutic effects between ordinary acupuncture and electroacupuncture(EA).Methods:Forty-seven eligible subjects with DES were randomized into an acupuncture group(n=23)and an EA group(n=24).With the same acupoint formula,the acupuncture group was treated with ordinary acupuncture,and the EA group was treated with ordinary acupuncture plus electrical stimulation.After a treatment course,eye symptom score,Schirmer I test(SIT),Break-up Time(BUT)of tear film,Corneal Fluorescein Staining(CFS),and Visual Analogue Scale(VAS)were adopted in evaluation and comparison of the two groups.Results:The total effective rate was 79.2%in the EA group versus 56.5%in the acupuncture group,and the difference was statistically significant(P<0.05).After treatment,both groups had marked improvements in eye symptom score,SIT,BUT,CFS,and VAS values(P<0.001);the EA group was better than acupuncture group in improving eye symptom score and SIT value(both P<0.05);the differences were insignificant in comparing VAS,BUT and CFS results between the two groups(P>0.05).Conclusion:Both EA and ordinary acupuncture are effective in treating DES,but EA is better than ordinary acupuncture in improving eye symptom and SIT score.     

Moxibustion for Knee Osteoarthritis: A Protocol for a Pilot Randomized Controlled Trial

Objectives: The purpose of this study was to evaluate the feasibility of massive clinical research and to make a basic analysis on the effectiveness and the safety of moxibustion treatment for knee osteoarthritis compared to usual care.Methods and Results: This study was a protocol for a pilot randomized controlled trial. Forty participants were assigned to the moxibustion group (n=20) and the usual care group (n=20). Participants assigned to the moxibustion group received moxibustion treatment on the affected knee(s) at six standard acupuncture points (ST36, ST35, ST34, SP9, Ex-LE04 and SP10) three times per week for four weeks (total of 12 sessions). Participants in the usual care group did not receive moxibustion treatment during the study period and follow-ups were made during the 5th, 9^th and 13th weeks after random allocation. Both groups were allowed to use any kind of treatment, including surgery, conventional medication, physical treatment, acupuncture, herbal medicine, over-the-counter drugs and other active treatments. Education material that explained knee osteoarthritis and current management options and self-exercise was provided for each group. The pain scale of the Korean Western Ontario and McMaster Universities Questionnaire (K-WOMAC) was the primary outcome measurement used in this study. Other subscales of the K-WOMAC, the Short-Form 36 Health Survey (SF-36), Beck Depression Inventory (BDI), Physical Function Test, Patient Global Assessment, and Pain Numeric Rating Scale (NRS) were used as outcome variables to evaluate the effectiveness of acupuncture. Safety was assessed at every visit.Conclusions: The result of this trial will provide a basis for establishing the effectiveness and the safety of acupuncture treatment for knee osteoarthritis.Key Words: moxibustion; osteoarthritis; pilot trial     

“濡润神珠针刺法治疗干眼”的临床疗效及其安全性评估

目的观察“濡润神珠针刺法治疗干眼”的临床疗效及安全性。方法60例干眼患者随机分为针刺组（30例）和药物对照组（30例）,分别予以“濡润神珠针刺法”和玻璃酸钠滴眼液治疗,疗程为1个月．在治疗前、治疗2周后、治疗1个月时比较2组患者临床症状积分和眼部安全性指标的变化。并进行症状疗效对比。结果针刺组和药物组在治疗2周后与治疗前组内坞较,临床症状积分均减少（P〈O．01）,治疗1个月后临床症状改善优于治疗2周后（P〈0．01）,针刺组好于同期药物对照组（P〈0．01）。针刺组和药物对照组在治疗1个月后眼部耐受性均明显改善,针刺组疗效优于药物组（P〈0．01）。针刺组患者无一例发生裸眼视力下降及出现不良反应。2组的症状疗效比较无明显差别（P〉0．05）。结论“濡润神珠针刺法”对干眼患者治疗有效．能显著改善干眼患者的临床症状,增加患者眼部的耐受性,且无任何不良反应。     

体外冲击波联合电针治疗冈上肌肌腱炎的临床研究

目的观察体外冲击波联合电针对冈上肌肌腱炎的临床疗效,探索其治疗机制。方法将60例冈上肌肌腱炎患者随机均分为电针组、冲击波组及联合治疗组。各组患者在治疗前、治疗1疗程结束后2周、4周、3月行VAS评定(休息、活动时)及Constant-Murley评定。结果各组患者治疗后各期VAS评分及C-M评分均较治疗前有改善,联合治疗组优于其他两组;冲击波组在治疗结束后2周VAS(休息)改善与电针组相近,但治疗结束后4周和3月优于电针组;冲击波组在治疗后VAS(活动)各期均优于电针组;冲击波组及联合治疗组随着时间延长VAS评分及C-M评分逐渐改善,但电针组治疗结束后3月却较2周及4周后VAS评分增高,C-M评分降低,提示病情可能反复。结论体外冲击波和电针对冈上肌肌腱炎都具有临床疗效,但联合治疗明显优于单一治疗,具有近期及远期疗效方面的共同优势,其既可弥补针灸治疗远期疗效差方面的不足,又能增强体外冲击波即时镇痛效应。     

Diagnosis and objective pain assessment of traditional Chinese medicine may be useful to demonstrate specific effects of acupuncture in low back pain: A prospective, randomized, controlled and single blinded pre-study

Objective： To prove specific effects of acupuncture on chronic pain. It was speculated that the potential specific effectiveness of acupuncture could be better shown in more properly designed studies. Therefore, diagnoses of both Western medicine and traditional Chinese medicine （TCM） were used as inclusion criteria to allocate acupoints more precisely to the complaints of the patients. Secondly, objectively measurable parameters of pain relief in addition to usual Visual Analogue Scale （VAS） were chosen to quantify the effects of acupuncture. Methods： The study was prospective, randomized, controlled and single-blinded. Eighteen patients with chronic back pain and TCM diagnosis of a Taiyang/Yangming syndrome received one single session of acupuncture chosen according to TCM diagnosis or acupuncture on points outside the meridian system （controls）. We evaluated pain via VAS and increased mobility via inclinometry of the back. Results： Although the sample size was small, there was a statistically significant improvement in pain and mobility in the intervention group （n=13）, but not in the control group （n=5）. The calculated sample size adequate power was lower for inclinometry than for VAS, indicating that VAS is less probable to discriminate acupuncture effects. Conclusion： Objectively measurable physical parameters such as the angle of flexion before and after acupuncture （inclinometry） may be more suitable to measure pain relief than subjective assessment by VAS in acupuncture studies. TCM diagnosis may be a helpful inclusion criterion in studies on acupuncture, so as to potentially allocate interventions better to the complaints of patients.     

针刺对家兔慢性高眼压及视网膜超微结构的影响

目的：探讨针刺对家兔慢性高眼压及慢性高眼压下视网膜超微结构的影响。方法：将上有实验性慢性高眼压的30只家兔随机分为针刺组、噻吗心安治疗组和实验对照组。并以10只无高眼压家兔作为正常对照组，每组各10只家兔。各组分别用针刺治疗，滴用0．5％噻吗心安滴眼液和不治疗。观察每组家兔的眼压变化和视网膜超微结构的变化。结果：针刺组在第3天的眼压明显低于实验对照组（P＜0．01）；针刺组与噻吗心安治疗组的眼压变化差异无显著性（P＞0．05）；与实验对照组相比，针刺组高眼压对视网膜超微结构的损害可明显减轻，结论：连续针刺可降低实验性高眼压，有减轻高眼压下视网膜结构损害的作用。     

调神法针刺治疗肝肾阴虚型干眼症临床观察

目的:比较调神法针刺结合人工泪液与单纯人工泪液治疗肝肾阴虚型干眼症的疗效.方法:将70例肝肾阴虚型干眼症患者随机分为针药组(35例,脱落2例)和药物组(35例,脱落3例).药物组采用0.1％玻璃酸钠滴眼液治疗,每日3次,每次1滴;针药组在药物组治疗基础上予调神法针刺,穴取神庭、神门、本神、太溪、太冲、光明、风池、瞳子髎...     

针刺夹脊穴联合中药内服外用对肱骨髁间骨折术后患者视觉模拟评分法和生命质量评分及关节功能的影响

目的:研究针刺夹脊穴联合中药内服外用对肱骨髁间骨折术后患者是视觉模拟评分法(VAS)、生命质量(QOL)评分及关节功能的影响。方法:选取2014年2月至2016年2月文登整骨医院收治的肱骨踝间骨折患者100例。按照随机数字表法均分为对照组和观察组,每组50例。对照组予以常规骨折术治疗,观察组则在对照组的基础上予以针刺夹脊穴联合中药内服外用治疗。分别比较2组临床治疗总有效率,治疗2周后、4周后的疼痛情况、生命质量情况、肘关节功能变化情况。结果:观察组临床治疗总有效率为96. 00%(48/50),明显高于对照组的84. 00%(42/50),差异有统计学意义(P 0. 05)。治疗4周后观察组VAS评分为(2. 05±0. 95)分,明显低于对照组的(3. 57±0. 91)分,而QOL评分为(88. 86±11. 25)分,明显高于对照组的(80. 54±10. 65)分,差异有统计学意义(P 0. 05)。治疗4周后观察组ROM、Mayo评分分别为(105. 87±22. 38)分、(91. 85±6. 29)分,均明显高于对照组的(87. 27±24. 19)分、(82. 57±7. 31)分,差异有统计学意义(P 0. 05)。观察组并发症发生率为6. 00%(3/50),明显低于对照组的22. 00%(11/50),差异有统计学意义(P 0. 05)。结论:针刺夹脊穴联合中药内服外用可提高肱骨髁间骨折术后患者临床疗效,同时缓解患者疼痛,提高生命质量,且有效改善关节功能,具有较好的安全性。     

参麦合剂对兔干眼症模型泪液分泌及眼表结构的影响

目的：探索参麦合剂对兔干眼症模型泪液分泌及眼表结构的影响。方法：将30只健康新西兰大白兔随机分为空白对照组、实验对照组、药物治疗组。制作干眼动物模型后,各组给予相应治疗。治疗前和治疗后第7、14、21、28 d分别测定Schirmer试验值,BUT值、眼表荧光素染色（FL）、结膜印记细胞学检查（CIC）,观察眼表泪膜状态和细胞学变化。治疗28 d后,每组随机选取5只动物,处死后剪下角结膜组织,行角结膜石蜡切片光镜观察。结果：药物治疗组用药14 d后,Schirmer值及BUT值均较其他两组明显增加（P〈0.01）;结膜细胞印迹学检查发现药物治疗组结膜杯状细胞数量较其他两组明显增多;光镜检查发现药物治疗组与其他两组相比,部分结膜上皮层数增多、杯状细胞增多。结论：参麦合剂能明显增加兔干眼症模型泪液分泌、改善泪膜稳定性和眼表细胞结构。     

Effect of acupuncture therapies combined with usual medical care on knee osteoarthritis

OBJECTIVE: To observe the effect of acupuncture or electroacupuncture(EA) combined with usual medical care for treating knee osteoarthritis(KOA).METHODS: A total of 90 patients with KOA were randomly allocated to 3 groups: usual care group(UC group, n = 30) was treated by pharmacological treatment of non-steroidal anti-inflammatory drugs(NSAIDs) and drugs for activating blood circulation(Ds-ABC), acupuncture(AP) combined with usual care group(UC group)(AP + UC group, n =30) and EA combined with UC group(EA + UC group, n = 30). The primary outcome measurements included pain visual analogue scale/score(VAS), Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC Index) and its subscales. Secondary outcome measurement was Assessment of Quality of Life instrument version of the 36-item Short Form Health Survey(AQoL-SF36).RESULTS: By the end of the 1 st week, AP + UC group and EA + UC group exhibited statistically significant improvements in primary outcome measures, except for WOMAC stiffness, compared with the UC group(P 0.05). Moreover, the energy/fatigue domain of AQoL-SF36 in the AP + UC group showed better results than UC group(P 0.05). By the end of the 2 nd week, all the primary outcome measures revealed that either the AP + UC or EA +UC group demonstrating remarkable advantages compared with the UC group(P 0.05). The social functioning and general health domains of AQoLSF36 in the two acupuncture-intervention groups were improved significantly than UC group(P 0.05). We also found the energy/fatigue and emotional wellbeing domains of AQoL-SF36 in the EA +UC group demonstrated better results than UC group(P 0.05).CONCLUSION: AP or EA combined with usual care is more effective than usual care alone for the treatment of KOA, the intervention of electric current in the process of acupuncture may improve more domains of AQoL-SF36 in KOA patients.     

滋水涵木法针刺对围绝经期女性干眼患者视觉相关生存质量的影响

目的评价“滋水涵木”法针刺治疗围绝经期女性干眼患者的疗效及其对视觉相关生存质量的影响。方法收集门诊就诊的围绝经期干眼患者40例,计算机随机法分为2组,分别给予人工泪液治疗（对照组）或针刺（主穴为太溪、太冲、三阴交、足三里、睛明、承泣、丝竹空透鱼腰）＋人工泪液治疗（治疗组）治疗,治疗前及治疗后2周分别观察患者的泪膜破裂时间（BUT）、基础泪液分泌量（SIT）。并对患者的主观症状评分及视觉相关生存质量评分（VRQOL）进行分析。结果试验组治疗后14d的SIT、BUT、主观症状评分、VRQOL总评分、VRQOL情绪状况评分等均优于治疗前（P〈0．05）,而对照组仅治疗后14d的SIT及VRQOL评分优于治疗前（P〈0．05）;此外组间比较提示治疗14d后试验组SIT、VRQOL评分及VRQOL情绪状况评分的改善幅度优于对照组（P〈0．05）。结论泪液替代治疗和针刺治疗均可改善围绝经期干眼患者的症状和体征,与单纯泪液替代治疗比较,增加针刺治疗可进一步改善患者基础泪液分泌量及视觉相关生存质量,对患者情绪的改善作用亦较为明显,提示针刺配合泪液替代治疗是治疗更年期女性干眼的有效方法。     

眼针疗法配合膈俞穴治疗顽固性呃逆60例

目的比较膈俞组、眼针组和眼针膈俞组治疗顽固性呃逆的疗效。方法收集顽固性呃逆患者60例,按就诊先后顺序平均分3组,每组20例患者。膈俞组体针针刺膈俞穴;眼针组眼针针刺双侧3、4、5、7区;眼针膈俞组针刺体针膈俞穴和双侧眼针3、4、5、7区。每位患者治疗至少7 d,随访2周,分别统计3组患者的疗效并加以对比。结果眼针膈俞组的总好转率高于眼针组、膈俞组,眼针膈俞组的总好转率分别与眼针组和膈俞组对比,疗效均有提高,并有显著性差异(P<0.05)。结论相比单独使用眼针疗法或者单独使用膈俞穴疗法,眼针疗法配合膈俞穴治疗顽固性呃逆的疗效更好。     

鬼针草治疗阿托品干眼兔模型的实验研究

目的:探讨鬼针草治疗实验性干眼症的疗效和作用机制。方法:将18只成年新西兰白兔随机分为正常对照组、模型组、鬼针草治疗组,每组6只。模型组和鬼针草治疗组点用阿托品滴眼液建立干眼模型,鬼针草治疗组同时给予鬼针草灌胃,连续4周。实验前和实验后2周、4周对角膜荧光染色和泪液分泌量进行眼表评估,并在第4周取泪腺标本行免疫组织化学染色检测IL-1、TNF-α、Fas和bcl-2表达。结果:模型组2周角膜荧光染色阳性,4周加重,鬼针草治疗组2周时角膜荧光染色阳性,但较模型组轻,且4周时未加重;泪液分泌量方面,模型组实验2周、4周较实验前明显下降(P0.O5);鬼针草治疗组实验后SIT较实验前下降,但无统计学意义(P0.05),与模型组相比,明显优于模型组(P0.05);鬼针草治疗组泪腺腺泡上皮细胞中Fas和IL-1蛋白阳性表达量较模型组减少,差异有统计学意义(P0.05)。结论:鬼针草能改善干眼兔的角膜上皮损伤和泪液分泌,能够抑制泪腺组织的凋亡和炎性反应,对干眼症泪腺组织具有保护作用。     

针灸优势技术组合治疗带状疱疹后遗神经痛的疗效观察

目的观察针灸优势技术组合治疗带状疱疹后遗神经痛(PHN)的临床疗效。 方法选取2017年7月至2018年5月山西省针灸医院国医堂门诊收治的PHN患者64例。采用随机数字表法将患者分为针灸组和西药组,每组32例。针灸组患者给予针刀、拔罐、梅花针、毫针及艾灸综合治疗,西药组给予口服普瑞巴林胶囊治疗。以视觉模拟评分法(VAS)为标准观察治疗前后2组患者的疼痛变化及临床疗效。采用χ²检验比较2组患者临床疗效;采用两独立样本t检验比较2组患者治疗前后VAS评分差异。 结果针灸组和西药组经过2周治疗后VAS评分比较,差异具有统计学意义(t＝2.896,P<0.05)。针灸组痊愈13例,显效14例,有效3例,无效2例,总有效率为97.75%(30/32);西药组痊愈3例,显效9例,有效13例,无效7例,总有效率为78.12%(25/32)。2组患者总有效率比较,差异具有统计学意义(χ²＝ 18.387,P<0.05)。 结论采用针灸优势技术组合治疗PHN疗效确切,值得临床推广运用。