威伐光联合针刺治疗带状疱疹后遗神经痛的临床观察

Clinical Observation of Water-filtered Infrared-A Combined with Conventional Acupuncture in Treatment of Post-Herpetic Neuralgia

目的:观察威伐光联合针刺治疗带状疱疹后遗神经痛(PHN)的疗效。方法:将符合纳入标准的PHN患者96例随机分为针刺组32例,给予常规取穴针刺加皮损局部围刺治疗;威伐光组31例,给予单纯威伐光治疗;联合组33例,给予常规取穴针刺加皮损局部围刺联合威伐光治疗。比较治疗前后3组视觉疼痛模拟量表(VAS)评分、匹兹堡睡眠质量指数(PSQI)及疗效。结果:治疗后,3组VAS评分均低于同组治疗前(P<0.05),且联合组低于其他2组(P<0.05);除"催眠药物"因子外,3组PSQI及其他6个因子得分均低于同组治疗前(P<0.05),且联合组低于其他2组(P<0.05);联合组的总有效率高于其他2组(P<0.05)。结论:威伐光联合常规取穴针刺加皮损局部围刺治疗PHN的疗效优于单纯使用其中一种治疗手段。

Objective： To observe the curative effect of water-filtered infrared-A（wIRA） combined with acupuncture in the treatment of post-herpetic neuralgia（PHN）. Methods： Ninety-six patients with PHN who met the recruitment criteria were randomly divided into three groups. The acupuncture group consisted of 32 patients with PHN and was treated by conventional acupoint acupuncture and surrounded acupuncture. The wIRA group consisted of 31 patients with PHN and was treated by only wIRA. The combination group consisted of 33 patients with PHN and was treated by conventional acupoint acupuncture and surrounded acupuncture combined with wIRA. Evaluations before and after treatment in the 3 groups were obtained by the visual analogue scale（VAS） and Pittsburgh Sleep Quality Index（PSQI）. Results： The 3 groups of patients all showed a decrease in VAS and PSQI scores after treatment（P0.05）; furthermore, the combination group showed a larger decrease than the other 2 groups（P0.05）. The scores of PSQI and those of 6 other factors（excluding the＂sleep medication＂factor） after treatment were lower than those before treatment in all 3 groups（P0.05）, with scores in the combination group being lower than those of the other 2 groups（P0.05）. The combination group showed a higher overall effectiveness rate than the other 2 groups（P0.05）. Conclusion： Combining wIRA with conventional acupoint acupuncture and surrounded acupuncture for the treatment of PHN is more effective than using either method alone.