益气通络疏肝汤治疗带状疱疹后遗神经痛随机平行对照研究

目的]观察益气通络疏肝汤治疗带状疱疹后遗神经痛疗效。方法]使用随机平行对照方法,将43例门诊患者按抽签法简单随机分为两组。对照组20例阿米替林,50~100mg/次,3次/d;甲钴胺,0.5mg/次,3次/d;维生素B1,20mg/次,2次/d。治疗组23例益气通络疏肝汤(桃仁、红花各10g,当归15g,柴胡10g,白芍20g,生黄芪30g,栀子15g,蜈蚣2条,山药20g,延胡索25g,甘草6g),1剂/d,水煎200mL,早晚饭后温服。连续治疗10d为1疗程。观测临床症状、VAS评分、皮损、不良反应。连续治疗2疗程,判定疗效。结果]治疗组痊愈16例,显效2例,有效4例,无效1例,总有效率95.65%。对照组痊愈7例,显效6例,有效2例,无效5例,总有效率75.00%。治疗组疗效优于对照组(P0.05)。VAS评分两组均有明显降低(P0.05),治疗组降低优于对照组(P0.05)。结论]益气通络疏肝汤治疗带状疱疹后遗神经痛效果显著,值得推广。

Yiqi Tongluo Shugan Soup Treatment of Herpes Zoster Neuralgia Random Parallel Control Study

Objective ] To observe the spirit only strengthen Yiqi Tongluo Shugan soup after the treatment of herpes zoster neuralgia curative effect. Methods ] Using random parallel control method, 43 cases of clinic patients into two groups according to random number table method. Control group 20 cases of amitriptyline tablets, 50 - 100 mg/time, 3 times/d;A cobalt amine capsule, 0.5 mg/time, 3 times/d;Vitamin B1 piece, 20 mg/times, 2 times/d. Treatment group （ 23 cases yiqi t2dm liver soup （ Taoren, Honghua each 10g, Dangguil5g, Chaihul0 g, Baishao20g, Shenghuangqi 30 g, Zhizi 15 g, Wugong 2, Shanyao 20 g, Yanhusuo 25 g, Gancao6 g ）, 1 / d, Fried 200 ml water, morning and night after dinner warm clothing. Continuous treatment of 10 d to 1 course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 2 period of treatment, judge curative effect. Results ] the treatment group 16 cases cured, 2 cases were markedly effective, effective 4 cases, 1 had no effect, total effective rate was 95.65%. Control group recovered in 7 cases, 6 cases were markedly effective, effective in 2 cases, 5 no effect, the total effective rate was 75.00%. The treatment group curative effect is better than that of control group （ P〈0.05 ）. Conclusion ] Yiqi Tongluo Shugan Soup treatment of herpes zoster neuralgia effect is remarkable, is worth promoting.