针刺补泻手法用于夹脊穴、阿是穴为主治疗带状疱疹后遗神经痛临床观察

Clinical observation of reinforcing and reducing technique at Jiaji and ashi points for post-herpetic neuralgia

目的观察针刺补泻手法用于夹脊穴和阿是穴为主治疗带状疱疹后遗神经痛(PHN)的临床疗效。方法将PHN患者随机分为治疗组35例和对照组30例。治疗组采取针刺补泻手法用于夹脊穴和阿是穴为主的穴位,对照组采取相同穴位电针治疗,7天为1个疗程,均治疗3个疗程。于治疗前、治疗结束、治疗后1个月随访时比较2组视觉模拟评分(VAS)、匹兹堡睡眠质量指数(PSQI)及临床疗效。结果 3个疗程结束时,2组间疗效差异无统计学意义(P>0.05);2组治疗结束、治疗后1个月随访时的VAS、PSQI评分均低于治疗前,差异均有统计学意义(P<0.01);治疗组在治疗后1个月随访时的VAS评分以及治疗结束时、治疗后1个月随访时PSQI评分均低于对照组,差异有统计学意义(P<0.05,P<0.01)。结论针刺补泻手法用于夹脊穴、阿是穴为主治疗PNH的远期镇痛效果和对睡眠质量的改善效果优于相同穴位的电针治疗。

Objective To observe the ctinical efficacy of reinforcing and reducing technique at Jiaji and ashi points for post-herpetic neuralgia （PHN）. Methods Seventy cases of PHN were randomly divided into a treatment group （35 cases） and a control group （35 cases）, and 5 cases in the control group were dropped out. In the treatment group, the reinforcing and reducing technique at Jiaji and ashi points was applied. In the control group, electroacupuncture therapy was applied at the same acupoints. The treatment of 3 courses was required. The scores of visual analogue scale （VAS）, Pittsburgh sleep quality index （PSQI） and total clinical efficacy were compared before and after the treatment as well as one-month follow-up visit, separately, between two groups. Results Mter the treatment of 3 courses, the total clinical efficacy was not statistically significant between two groups （P〉0.05）. The VAS and PSQI scores of two groups after the treatment and one-month follow-up visit were significantly decreased compared with those before the treatment （P〈0.01）. The VAS scores in one-month of follow-up visit and PSQI scores after the treatment and one-month of follow-up visit in the treatment group were decreased compared with those in the control group, which both had significantly differences in statistics （P〈0.05,P〈0.01）. Conclusion The reinforcing and reducing technique at Jiaji and ashi points for PHN has better effect of long-term analgesia and improvement of sleep quality than electroacupuncture therapy at the same acupoints.