腕踝针治疗肿瘤并发带状疱疹疼痛疗效观察

Observations on the Efficacy of Wrist-ankle Acupuncture in Treating Tumor-associated Herpes Zoster Pain

目的观察腕踝针在治疗肿瘤并发带状疱疹疼痛方面的临床疗效。方法将48例肿瘤并发带状疱疹疼痛患者随机分为治疗组和对照组,每组24例。对照组采用利巴韦林注射液静脉用药加外用炉甘石洗剂涂擦10 d;治疗组在对照组治疗基础上配合腕踝针按疼痛分区进行针刺治疗,每日1次,治疗10 d。比较两组临床疗效。结果治疗组治疗后疼痛持续时间与对照组比较,差异具有统计学意义(P<0.01)。治疗组治疗后疼痛开始缓解时间、疼痛缓解程度及VAS评分与对照组比较,差异均无统计学意义(P>0.05)。治疗组总有效率为87.5%,对照组为54.2%,两组比较差异具有统计学意义(P<0.01)。结论腕踝针治疗肿瘤并发带状疱疹疼痛具有良好的疗效,能缩短疼痛持续时间,减少后遗神经痛的产生,且治疗过程中无明显不良反应发生。

Objective To investigate the clinical efficacy of wrist-ankle acupuncture in treating tumor-associated herpes zoster pain. Methods Forty-eight patients with tumor-associated herpes zoster pain were randomly allocated to treatment and control groups, 24 cases each. The control group received intravenous injection ofribavirin and external application of calamine lotion for 10 days. In addition to the treatment given to the control group, the treatment group received wrist-ankle acupuncture according to pain regions, once daily for 10 days. The clinical therapeutic effects were compared between the two groups. Results There was a statistically significant post-treatment difference in pain duration between the treatment and control groups （P〈0.01）. There were no statistically significant post-treatment differences in the time for pain relief, pain relief degree and the VAS score between the treatment and control groups （P〉0.05）. The total efficacy rate was 87.5% in the treatment group and 54.2% in the control group; there was a statistically significant difference between the two groups （P〈0.01）. Conclusions Wrist-anNe acupuncture has a good therapeutic effect on tumor-associated herpes zoster pain. It can shorten the pain duration and decrease the occurrence ofpostherpetic neuralgia without obvious adverse reactions during the treatment.