电针联合穴位放血疗法治疗带状疱疹后遗神经痛的疗效观察

Efficacy of electroacupuncture combined with acupoint blood-letting therapy for postherpetic neuralgia

目的观察电针、穴位放血疗法联合卡马西平、甲钴胺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试验组和对照组,每组35例。对照组口服卡马西平、甲钴胺治疗,试验组在此基础上采用电针、穴位放血疗法治疗。观察并比较两组VAS评分、血清P物质水平及治疗效果差异。结果治疗后,两组VAS评分和血清P物质含量均明显下降,且试验组VAS评分及血清P物质水平均低于对照组,差异均有统计学意义(P<0.05)。试验组总有效率明显高于对照组,差异无统计学意义(P>0.05)。结论卡马西平及甲钴胺口服的同时,联合电针、穴位放血疗法治疗带状疱疹后遗神经痛是一种有效的方法,可缓解患者的疼痛,提高生活质量。

ObjectiveTo observe the clinical efficacy of electroacupuncture and acupoint blood-letting therapy combined with carbamazepine and mecobalamin in the treatment of postherpetic neuralgia. MethodsSixty patients with postherpetic neuralgia were randomly divided into experimental group and control group, with 35 cases in each group. The control group was orally administered carbamazepine and mecobalamin, and the experimental group was treated with electroacupuncture and acupoint blood-letting therapy on this basis. The Visual Analogue Scale（VAS）score , serum P substance level and efficacy were observed and compared between the two groups. ResultsAfter treatment, the VAS scores and serum P substance levels significantly decreased in both groups, and those indices above were significantly lower in the experimental group compared to the control group （all P〈0.05）. The total effective rate of the experimental group was higher than that of the control group, but no significant difference was found （P〉0.05）. ConclusionElectroacupuncture combined with acupoint blood-letting therapy on the basis of carbamazepine and mecobalamin is an effective therapeutic approach for postherpetic neuralgia, and can relieve the pain of patients and improve the quality of life.