药罐治疗带状疱疹后遗神经痛临床观察

Clinical observation of post-herpetic neuralgia treated with TCM herbal cupping therapy

目的:比较药罐、中药热敷与甲钴胺治疗带状疱疹后遗神经痛的疗效差异。方法:57例患者随机分为药罐组、热敷组和西药组,每组19例。各组均口服布洛芬缓释胶囊,药罐组采用中药药液煎煮竹罐,趁热吸附于疼痛最显著部位;热敷组用毛巾蘸取中药药液热敷于疼痛最显著部位;药物组采用甲钴胺注射液肌内注射,均每日治疗1次,共治疗2周。观察各组治疗前后SF-MPQ量表评分及临床疗效。结果:药罐组、热敷组、西药组愈显率分别为78.9%(15/19)、36.8%(7/19)和5.3%(1/19),药罐组疗效显著优于热敷组和西药组(均P<0.05),热敷组优于西药组(P<0.05)。各组治疗后疼痛SF-MPQ量表评分均显著降低(P<0.001,P<0.01),药罐组治疗后评分较热敷组、西药组降低更显著(均P<0.01),热敷组对疼痛的改善程度亦优于西药组(P<0.01)。结论:药罐治疗带状疱疹后遗神经痛具有良好的疗效,可以有效减轻患者疼痛程度,疗效优于中药热敷和甲钴胺治疗。

Objective To compare the difference in the efficacy on post-herpetic neuralgia among TCM herbal cupping therapy, Chinese medicine thermal compressing therapy and mecobalamine. Methods Fifty-seven cases were randomized into a TCM herbal cupping group, a thermal compressing group and a western medicine group, 19 cases in each one. The oral administration of ibuprofen was applied in every group. In the herbal cupping group, the bamboo cups soaked in the boiled Chinese herbal decoction were sucked on the most significant painful area. In the thermal compressing group, the towel soaked in the boiled Chinese herbal decoction was compressed on the most significant painful area. In the medication group, the muscular injection of mecobalamine was adopted. The treatment was given once a day, for 2 weeks totally in each group. SF-MPQ score and clinical efficacy before and after treatment were observed in each group. Results The remarkable effective rates were 78.9% （15/19）, 36.8% （7/19） and 5.3% （1/19） in the TCM herbal cupping group, thermal compressing group and western med- icine group separately. The efficacy in the TCM herbal cupping group was significantly superior to the thermal compressing group and western medicine group （all P^0.05）, and that in the thermal compressing group was su- perior to the western medicine group （P〈0.05）. After treatment, SF-MPQ score was reduced significantly in each group （P〈O. 001, P〈0. 01）. The score in the herbal cupping group was reduced more significantly as com- pared with the thermal compressing group and western medicine group （all P〈0.01）. The improvement in pain in the thermal compressing group was superior to the western medicine group （P〈0.01）. Conclusion TCM herbal cupping therapy achieves the superior efficacy for post-herpetic neuralgia and relieves pain effectively of the pa- tients, which is more advantageous than CM herbal thermal compressing therapy and Mecobalamine.