刺血拔罐治疗带状疱疹后遗神经痛临床观察

Clinical Observation of Blood-letting Puncture and Cupping Therapy in Treating Post-herpetic Neuralgia

目的:观察刺血拔罐治疗带状疱疹后遗神经痛(PHN)临床疗效。方法:采用随机对照研究方法将符合纳入标准的68例PHN患者随机分为2组。治疗组35例采用刺血拔罐疗法。对照组33例采用口服氟哌噻吨美利曲辛联合甲钴胺治疗。以疼痛视觉模拟评分法(VAS)、抑郁自评量表(SDS)观察治疗前后疼痛及情绪的变化情况,同时观察患者的睡眠质量和疼痛缓解的时间。结果:2组治疗前后VAS评分比较,差异均有统计学意义(P<0.01);2组治疗后睡眠质量改善情况及情绪状态SDS评分分别与治疗前比较,差异均有统计学意义(P<0.01);治疗后,2组在睡眠质量改善情况及情绪状态SDS评分方面比较,差异均有统计学意义(P<0.01)。提示2组治疗方法均能改善睡眠质量及情绪状况,且治疗组优于对照组。2组间临床疗效比较,治疗组总有效率97.14%,愈显率94.29%;对照组总有效率为96.97%,愈显率为90.90%。2组总有效率及愈显率分别比较,差异均无统计学意义(P>0.01)。结论:刺血拔罐疗法可缓解PHN患者疼痛,提高睡眠效率,改善情绪状态,具有临床运用价值。

Objective：To observe the clinical effect of blood-letting puncture and cupping Therapy in treating post-herpetic neuralgia（PHN）.Methods：Divided 68 cases of patients who were compliant to standards into two groups by adopting randomized controlled research method.35 cases of patients in the treatment group received blood-letting puncture and cupping,while 33 cases of patients in the control group were treated with deanxit combined with mecobalamin orally.Observed variations of pain and emotions of patients before and after treatment with visual analogue scale（VAS） and self-rating depression scale（SDS）,and quality of sleep and pain relief time.Results：Compared VAS scores in two groups before and after treatment,the differences were significant（P〈0.01）.Compared improvements of quality of sleep as well as emotional state SDS scores of patients in two groups after treatment respectively,differences were significant（P〈0.01）.Comparisons between improvements of quality of sleep as well as emotional state SDS scores of patients in two groups showed significance in differences（P〈0.01）,which indicates that treatment in two groups can both improve quality of sleep and emotional state,and the effect of the treatment group is superior to that of the control group.Compared clinical effect between two groups,the total effective rate was 97.14%and cure-remarkable-effectiveness rate was 94.29%in the treatment group,the total effective rate was 96.97%and cure-remarkable-effectiveness rate was 90.90%in the control group.Comparison of the total effective rate and cure-remarkable-effectiveness rate in two groups displayed no significance in differences（P〈0.01）.Conclusion：Blood-letting puncture and cupping therapy can relieve pain of PHN patients,increase effect of sleep and improve emotional state,which is of clinical and practical value.