针刺配合臭氧穴位注射治疗急性带状疱疹神经痛疗效观察

Therapeutic Observation of Acupuncture plus Ozone Injection for Neuralgia Due to Acute Herpes Zoster

目的观察针刺配合臭氧穴位注射治疗急性带状疱疹神经痛的临床疗效。方法将60例急性带状疱疹神经痛患者随机分为治疗组和对照组,每组30例。对照组采用静脉点滴阿昔洛韦注射液、肌肉注射甲钴胺注射液及外用阿昔洛韦软膏治疗。治疗组在对照组治疗基础上采用针刺配合臭氧穴位注射治疗。观察两组患者止疱时间、结痂时间、脱痂时间及治疗前后VAS评分变化情况,并比较两组临床疗效。结果两组止疱时间、结痂时间、脱痂时间比较,差异均具有统计学意义(P<0.01,P<0.05)。两组治疗后VAS评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后VAS评分与对照组比较,差异具有统计学意义(P<0.01)。治疗组总有效率为96.7%,对照组为83.3%,两组比较差异具有统计学意义(P<0.05)。结论针刺配合臭氧穴位注射是一种治疗急性带状疱疹神经痛的有效方法。

Objective To observe the clinical efficacy of acupuncture plus ozone injection in treating neuralgia due to acute herpes zoster. Method Sixty patients with neuralgia due to acute herpes zoster were randomized into a treatment group and a control group, 30 cases in each group. The control group was intervened by intravenous injection of Acyclovir, muscular injection of Mecobalamin, and external application of Acyclovir cream. The treatment group was intervened by acupuncture plus zone injection in addition to the treatment given to the control group. The time taken for the blisters to cease, crust, and decrust was observed, as well as the change of Visual Analogue Scale（VAS）, and the clinical efficacies were compared between the two groups. Result There were significant inter-group differences in comparing the time for the blisters to cease, crust and decrust（P〈0.01, P〈0.05）. The VAS scores were significantly changed after treatment in both groups（P〈0.01）. After treatment, the VAS score in the treatment group was significantly different from that in the control group（P〈0.01）. The total effective rate was 96.7% in the treatment group versus 83.3% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Acupuncture plus zone injection is an effective method in treating neuralgia due to acute herpes zoster.