脉络宁复合液硬膜外阻滞与针灸刺络放血拔罐治疗带状疱疹的临床观察

Clinical Observation on Herpes Zoster Treated With Mailuoning Compound Epidural Anesthesia and Acupuncture Cupping

目的观察脉络宁复合液硬膜外阻滞与针灸刺络放血拔罐治疗带状疱疹的临床疗效。方法 47例带状疱疹患者分成两组,脉络宁复合液硬膜外阻滞组(A组)26例,针灸刺络放血拔罐组(B组)21例。两组分别给予脉络宁复合液硬膜外阻滞及针灸刺络放血拔罐治疗。记录治疗前后视觉模拟评分(VAS)的变化,随访带状疱疹后神经痛(PHN)发生情况。结果两组病例VAS评分治疗后比较,差异有统计学意义(P<0.01);A组临床治愈率达到69.23%,明显高于B组(33.33%,P<0.05)。A组没有PHN发生,B组发生PHN 3例。结论脉络宁复合液硬膜外阻滞比针灸刺络放血拔罐止痛效果快,临床治愈率高,无1例出现PHN。说明脉络宁复合液硬膜外阻滞治疗带状疱疹是一种很好的治疗方法,值得临床推广应用。

Objective To observe the clinical efficacy on herpes zosterb treated with Mailuoning compound epidural anesthesia and acupuncture cupping. Methods 47 patients with herpes zoster were divided into two groups. Two groups were given with Mailuoning compound epidural anesthesia and aeupuncturing with cupping therapy respectively. The change of VAS score before and after and PHN occurrence in follow - up visit were recorded. Results The difference of VAS score was statistically significant after treatment in two groups（ P 〈 0.01 ）, The clinical cure rate of A group was higher than that of B group （ P 〈 O. 05 ）. There was no PHN in group A, Group B occurred in 3 patients with PHN. Conclusion The analgesic effect and clinical cure rate of Mailuoning compound epidural anesthesia is superior to that of acupuncture cupping. It is suggested that Mailuouing and epidural block is a good method for the treatment of herpes zoster, which is worthy of clinical application.