中医辨证论治对带状疱疹后遗神经痛的疼痛缓解及预后的影响分析

Efficacy of TCM differentiation on pain relief and prognosis of postherpetic neuralgia

目的:探讨中医辨证论治对带状疱疹后遗神经痛的疼痛缓解以及预后的影响。方法:选择2015年1月-2016年2月接受治疗的90例患者,分为活血组、止痛组、通络组。对三组患者的病因进行分析,在辨证的基础上,采用不同的治疗方式,观察止痛效果并分析对预后的影响。结果:活血组康复率为73.33%,无效率为3.33%,总有效率为93.33%;止痛组康复率为53.33%,无效率为0.00%,总有效率为90.00%;通络组康复率为56.67%,无效率为3.33%,总有效率为86.67%。仅有1例出现不良反应,放弃治疗。三组数据用χ2进行检验,P<0.05,差异有统计学意义。结论:在辨证的基础上,根据患者的病因制定适合的治疗方式,如清热解毒,活血化瘀;疏肝理气,通络止痛;活血化瘀通络,它们的止痛效果较为明显。

Objective:To explore efficacy of TCM differentiation on the pain relief and prognosis of postherpetic neuralgia.Methods:90patients were divided into3groups.The etiology in the groups were analyzed,and TCM differentiation was applied.Effects and prognosis were observed.Results:In the Huoxue group,the recovery rate was73.37%,the ineffective rate was3.33%,the effective rate was93.34%.In the Zhitong group,the recovery rate was53.33%,the inefficiency rate was0.00%,the effective rate was90.00%.In the Tongluo group,the rehabilitation rate was56.67%,the inefficiency was3.33%and the effective rate was86.67%.Only one case suffered from adverse reactions,and gave up.Effects among three groups were tested byχ2,P<0.05.Conclusion:TCM differentiation on the pain relief and prognosis of postherpetic neuralgia was effective.