血府逐瘀片联合刺络拔罐治疗带状疱疹后遗神经痛疗效观察

Effects of Xuefuzhuyu tablets combined with acupuncture and pricking and cupping therapy in treating postherpetic neuralgia

目的观察血府逐瘀片联合刺络拔罐治疗带状疱疹后遗神经痛的疗效。方法将136例带状疱疹后遗神经痛的患者随机分为2组,治疗组和对照组各68例。对照组口服维生素B1、甲钴胺、芬必得等治疗;治疗组在对照组基础上加服血府逐瘀片6片,2次/天,并辅以刺络拔罐治疗。2组均10 d为1个疗程。采用视觉模拟评分法(VAS)对2组患者治疗前后疼痛程度进行评分,判定疗效。结果治疗组总有效率82.35%,对照组总有效率48.52%,治疗组总有效率明显高于对照组(P<0.05)。2组治疗后疼痛积分较治疗前均明显下降,且治疗组明显低于对照组(P<0.05)。结论血府逐瘀片联合刺络拔罐治疗带状疱疹后遗神经痛,明显减轻患者疼痛,无明显不良反应,适宜临床使用。

Objective To observe the therapeutic effects with Xuefuzhuyu tablets combined with acupuncture and pricking and cupping therapy in the treatment of postherpetic neuralgia after herpes zoster. Methods 136 patients with postherpetic neuralgia were randomly divided into two groups, the treatment group（68 cases）and the control group（68 cases）. The patients of control group took vitamin B l, methylcobalamin, Fenbid treatment, those in treatment group took 6 additional Xuefuzhuyu tablets except the same amount medicines applied in the control group, 2 times a day and supplemented by pricking and cupping therapy. The 2 groups were given 10 days for a course of treatment. By using visual analogue scale （VAS） score in two groups before and after treatment the degree of pain, curative effects were measured. Results The total effective rate was 82.35% in the treatment group, the total efficiency of control group was 48.52%, the total effective rate of treatment group was significantly higher than that of the control group （P〈0.05）. After treatment the pain scores of the 2 groups decreased, and thecurative effects of the treatment group was significantly lower than that of the control group （P〈0.05）. Conclusion Xuefuzhuyu tablets combined with cupping therapy can significantly reduce the pain caused by postherpetic neuralgia after herpes zoster, which has no obvious side effects, which is suitable for clinical use.