耳穴贴压合穴位注射治疗带状疱疹后遗神经痛

Treatment of residual neuralgia of herpes zoster by ear point taping and pressing therapy combined with acupoint-injection

目的:评价耳穴贴压加穴位注射治疗带状疱疹后遗神经痛的疗效。方法:将116例患者随机分为综合组(60例)和西药组(56例)。西药组采用常规西药治疗,综合组在使用西药的同时给予耳穴贴压加穴位注射。耳穴贴压选神门、内分泌、皮质下、肝、胆、肺及相应病变部位所对应的耳穴,两耳交替贴穴,每日进行按压;穴位注射选足三里、内关、曲池、太冲,进针得气后注射VitB12注射液。定期记录患者疼痛程度、疼痛缓解时间、痛止时间。结果:综合组的平均疼痛缓解时间、止痛时间明显短于西药组(P<0.01)。综合组痊愈率为60.0%,愈显率为83.3%;西药组分别为28.6%、50.0%,2组比较差异均有显著性意义(P<0.05)。结论:耳穴贴压合穴位注射治疗带状疱疹后遗神经痛疗效显著、安全,值得临床推广应用。

Objective To Assess therapeutic effect of ear point taping and pressing therapy combined with acupoint-injection on residual neuralgia of herpes zoster. Methods One hundred and sixteen cases were randomly divided into a comprehensive group （n=60） and a medication group （n = 56）. The medication group were treated with routine western medicine, and the comprehensive group with ear point taping and pressing therapy combined with acupoint-injection besides the routine western medicine. Auricular points selected for ear point taping and pressing were Shemen, Neifenmi （endorine）, Pizhixia （subcortex）, Gan （liver）, Dan （gallbladder）, Fei （lung） and corresponding auricular points to the lesion parts, with the two ears alternatively used, pressing each day; points selected for point-injection of VitB12 were Zusanli （ST 36）, Neiguan （PC 6）, Quchi （LI 11） ,Taichong （LR 3）. The pain degrees, the time of pain alleviation and pain ceasing of the patient were regularly recorded. Results The average time of pain alleviation and pain ceasing of the patient in the comprehensive group were significantly shorter than those in the medication group （P〈0.01）. The cured rate and the cured and markedly effective rate were 60.0 % and 83.3% in the comprehensive group, and 28.6% and 50.0% in the medication group, with significant difference between the two groups （P〈0.05）. Conclusion Ear point taping and pressing therapy combined with acupoint-injection is effective and safe for treatment of residual neuralgia of herpes zoster.