夹脊穴温针灸联合局部艾灸治疗带状疱疹后遗神经痛随机平行对照研究

Random Parallel Control Study of Treatment of Post-Herpetic Neuralgia with Needle Warming Moxibustion Combined with Moxa-Moxibustion at Jiaji Points

[目的]观察夹脊穴温针灸配合局部艾灸治疗带状疱疹后遗神经痛疗效。[方法]使用随机平行对照方法，将68例门诊患者按就诊顺序编号简单随机法分为两组。对照组34例夹脊穴针刺，取病变相应脊髓节段夹脊穴：胸背部疼痛取胸4～胸11：腰腹取胸10～腰2：上肢取颈5～胸2：下肢取腰1～腰5；操作方法，稍向内斜刺0．5～1寸，待有麻胀感即停止进针．留针20～30min．1次d。治疗组34例夹脊穴温针灸配合局部艾灸，夹脊穴针刺同对照组，留针时，用一段长约1～2cm艾条．插在针柄上．点燃施灸．待艾条烧完后除去灰烬，将针取出；温针灸同时配合患处温和灸，将艾条的一端点燃．对准患处．约距离皮肤2～3cm，进行熏烤，使患者局部有温热感而无灼痛为宜，灸10～15min，至皮肤红晕潮湿为度。连续治疗15d为1疗程。观测临床症状、疼痛程度（视觉模拟评分）、不良反应。连续治疗2疗程，判定疗效。[结果]治疗组痊愈23例．显效6例。有效3例，无效2例，总有效率94．12％。对照组痊愈12例，显效5例，有效7例，无效10例，总有效率70．59％：治疗组疗效优于对照组（P〈0．05）。VAS评分两组均有改善（P〈0．05），治疗组改善优于对照组（P〈0．05）。[结论]夹脊穴温针灸配合局部艾灸治疗带状疱疹后遗神经痛。疗效满意，无副作用。值得推广。

[Objective] To observe Jiaji temperature Acupuncture and moxibustion treatment of partial efficacy of postherpetic neuralgia. [Method] Random parallel control method, 68 cases outpatient treatment order numbers simply randomly divided into two groups. A control group of 34 patients Jiaji acupuncture, taking lesions corresponding spinal segment Jiaji ： chest and back pain, chest take 4 to chest 11 ; waist and chest 10 waist take 2 ; upper chest to take the neck 5 to 2 ; take back the lower limbs 1 - L5 ; operating method, slightly obliquely within 0.5 to l inch, until there is a sense of expansion hemp stop the needle, the needle 20 - 30min, 1 times / d. Treatment group of 34 patients with locally Jiaji warm acupuncture moxibustion, acupuncture Jiaji with the control group, while the needle, with a period of about 1 - 2cm moxa needle inserted in the handle, lit moxibustion, moxa to be burned after removing the ashes, the needle removed ; warm the affected area with mild while acupuncture moxibustion, moxa lit one end, align the affected area, approximately from the skin 2 - 3 cm, be smoked, so that patients feel warm without burning locally as Yi, moxibustion 10 - 15min, to flush the skin moist for the degree. 15d is a continuous course of treatment. Observation of clinical symptoms, pain （ visual analog scale ）, adverse reactions. 2 courses of continuous treatment, to determine efficacy. [Results] The cure 23 cases, 6 cases were markedly effective in 3 cases, 2 cases, the total efficiency of 94.12%. Cured 12 cases in the control group, 5 cases markedly effective in 7 cases, 10 cases, the total efficiency of 70.59%; treatment group than the control group （P 〈0.05 ） . VAS scores were improved in both groups （ P 〈0.05 ）, improvement in the treatment group than the control group （ P 〈0.05 ） . [Conclusion] Jiaji temperature Acupuncture and moxibustion treatment of partial postherpetic neuralgia, results were satisfactory, no side effects, it is worth promoting