夹脊穴配合痛点皮内注射联合口服药物治疗胸背部带状疱疹后遗神经痛临床观察

Observing the Clinical Curative Effect of Using Intradermal Injection in the Clip Ridge Holes and Pain Points in Traces of Chest and Back Com-bined Oral Drug Cured Remaining Neuralgia after Herpes Zoster

[目的]观察夹脊穴配合痛点皮内注射联合口服药物治疗带状疱疹后遗神经痛的临床疗效。[方法]将76例确诊为胸背部带状疱疹后遗神经痛患者随机分为观察组40例和对照组36例,观察组采用夹脊穴配合痛点药物皮内注射联合口服加巴喷丁片及甲钴胺片,对照组口服加巴喷丁片和甲钴胺片。观察两组治疗前后视觉模拟评分和睡眠质量评分以综合评定治疗效果。[结果]两组治疗后各时期视觉模拟评分均较治疗前明显降低,睡眠质量评分均较治疗前明显增加;观察组在治疗后各时期视觉模拟评分较对照组同期明显降低,睡眠质量评分较对照组同期明显升高,差异具有统计学意义(P<0.05);观察组临床有效率显著高于对照组,差异具有统计学意义(P<0.05)。[结论]夹脊穴配合痛点皮内注射联合口服药物治疗胸背部带状疱疹后遗神经痛,可以迅速缓解疼痛症状,改善患者睡眠质量,是治疗带状疱疹后遗神经痛的有效方法。

[Objective]Using intradermal injection in the clip ridge holes and pain points combined oral drug cured remaining neuralgia after herpes zoster to observe the clinical curative effect. [Methods] 76 patients diagnosed with remaining neuralgia after herpes zoster in traces of chest and back were randomly divided into 40 cases of observation group and 36 oases of control group,the observation group was to use intradermal injection in the clip ridge bales and pain points combined oral drug, which was gabapentin cobalt and methyl amine pills.The control group was to use oral gabapentin cobalt and methyl amine pills. Observing two groups before and after the treatment with blurred vision score（VAS） and quality of sleep seore（QS） was to comprehensively evaluate the efficacy of treatment.[Result] The VAS score during the period of the two groups after treatment was significantly decreased and the sleep quality score was significantly increased ;After treatment ,the VAS score of observation group was significantly lower than the VAS score of control group in the same period, but the sleep quality score of observation group was significantly higher than the sleep quality score of control group in the same period.The observation group was significantly higher than the control group in clinical effectiveness.[Conclusion] It had good clinical effect to use intradermal injection in the clip ridge holes and pain points combined oral drug to cure remaining neuralgia after herpes zoster in traces of chest and back. It could quickly relieve pain symptoms and improve sleep quality, so it was a kind of effective method for the treatment of remaining neuralgia after herpes zoster.