郄穴行龙虎交战配合电针治疗带状疱疹后遗神经痛疗效观察

Therapeutic Observation of Dragon-tiger Contending Needling at Xi-cleft Points plus Electroacupuncture for Postherpetic Neuralgia

目的评价郄穴行龙虎交战法配合电针治疗带状疱疹后遗神经痛的临床疗效。方法将70例带状疱疹后遗神经痛患者随机分为治疗组36例和对照组34例。治疗组采用郄穴行龙虎交战法配合电针治疗,对照组采用单纯电针治疗。治疗4星期后,分别记录两组治疗第1、2、6、9、12次前后各时点的VAS评分,观察两组患者"上次治疗后到目前最痛程度"和"即时止痛疗效",并进行总体疗效评价。结果治疗组治疗1、2、6次后即时止痛疗效均优于对照组,两组比较差异具有统计学意义(P<0.05)。两组第2、6、9、12次治疗前"上次治疗后到目前最痛程度"评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组第6、9、12次治疗前"上次治疗后到目前最痛程度"评分与对照组比较,差异均具有统计学意义(P<0.05)。治疗组总有效率和愈显率分别为97.2%和77.8%,对照组分别为91.2%和59.2%,两组愈显率比较差异具有统计学意义(P<0.05)。结论郄穴行龙虎交战法配合电针是一种治疗带状疱疹后遗神经痛的有效方法 ,起效较快,即时止痛疗效较好。

Objective To evaluate the clinical efficacy of dragon-tiger contending needling at Xi-cleft points plus electroacupuncture in treating postherpetic neuralgia （PHN）. Method Seventy PHN patients were randomized into a treatment group of 36 cases and a control group of 34 cases. The treatment group was intervened by dragon-tiger contending needling at Xi-cleft points plus electroacupuncture, while the control group was treated with electroacupuncture alone. In the 4-week treatment, the Visual Analogue Scale （VAS） scores right before and after the 1st, 2nd, 6th, 9th and 12th treatment sessions were recorded, ＂the maximum pain intensity since the last treatment session＂ and ＂real-time analgesic effect＂ were observed, and the total therapeutic efficacy was also evaluated. Result The real-time analgesic effects right after the 1 st, 2nd and 6th treatments in the treatment group were significantly better than those in the control group （P〈0.05）. The ＂maximum pain intensities since the last treatment session＂ prior to the 2nd, 6th, 9th, and 12th treatment sessions were significantly different from the pain intensity before the intervention in the two groups （P〈0.05）. The ＂maximum pain intensities since the last treatment session＂ prior to the 6th, 9th, and 12th treatment sessions were significantly different from those in the control group （P〈0.05）. The total effective rate and recovery plus markedly-effective rate were respectively 97.2% and 77.8% in the treatment group, versus 91.2% and 59.2% in the control group. There was a statistically significant difference in the recovery plus markedly-effective rate between the two groups （P〈0.05）. Conclusion Dragon-tiger contending needling at Xi-cleft points plus electro- acupuncture is an effective approach in treating PHN; it acts efficiently and can produce a satisfactory real-time analgesic effect.