浮针配合刺络拔罐治疗带状疱疹后遗神经痛的临床研究

目的：观察浮针激光配合刺络拔罐治疗带状疱疹后遗神经痛的临床疗效。方法：将130例带状疱疹后遗神经痛患者,根据随机数字表按就诊先后顺序随机分浮针激光配合刺络拔罐组（A组）及电针组（B组）,各65例。B组选取合谷、太冲、支沟、曲池、足三里等穴行平补平泻手法得气后接G-6805电针仪治疗,A组采用浮针激光配合刺络拔罐治疗,2个疗程后比较两组治疗前后VAS评分及临床疗效。结果：两组患者治疗1个疗程后、治疗结束时及治疗结束3个月回访VAS评分与治疗前比较差异均具有统计学意义（all P〈0.05）。A组显效率和总有效率分别为38.5%（25/65）和98.5%（64/65）,B组分别为30.8%（20/65）和78.5%（51/65）,经Ridit分析,两组比较差异均具有统计学意义（P〈0.05）。结论：浮针激光配合刺络拔罐治疗带状疱疹后遗神经痛疗效显著。

Clinical research on postherpetic neuralgia treated by floating-acupuncture combined with collateral-bloodletting puncture and cupping

Objective To observe the clinical efficacy of treating postherpetic neuralgia （PHN） by combining floating-acupuncture laser with cupping following collateral bloodletting, and to analyze its mechanism. Method One hundred and thirty cases of PHN were randomly divided into a floating-acupuncture laser with cupping following collateral bloodletting group （group A） and an electroacupuncture group （group B） based on the treatment sequence and according to the random number table, with 65 cases in each group. In the group B, G-6805 electroacupuncture apparatus was adopted after the arrival of qi through even reinforcing and reducing （even method） in such acupoints as Hegu （合俗 LI 4）, Taihong （太冲 LR 3）, Zhigou （支沟 TE 6）, Quchi （ 曲池 LI 11） and Zusanli （足三里 ST 36）; in the group A, the treatment combining floatingacupuncture laser with cupping following collateral bloodletting was adopted, and the score of VAS and clinical efficacy before and after treatment in the two groups were compared. Result The differences of VAS scores of the two groups between the time points of after one course of treatment, after the entire treatment, follow up visit three months after the treatment and before treatment were statistically significant （all P〈0.05）. The rate of significant efficiency and total effective rate in the group A were respectively 37.8% and 98.5% （64/65）, and 11.2% and 78.5% （52/65） in the group B. The difference between the two groups was statistically significant after Ridit analysis （P〈0.05）. Conclusion The efficacy of treating PHN by combining floating-acupuncture laser with cupping following collateral bloodletting was significant.