针灸优势技术组合治疗带状疱疹后遗神经痛的疗效观察

Observation of combination technique of acupuncture and moxibustion on postherpetic neuralgia

目的观察针灸优势技术组合治疗带状疱疹后遗神经痛(PHN)的临床疗效。方法选取2017年7月至2018年5月山西省针灸医院国医堂门诊收治的PHN患者64例。采用随机数字表法将患者分为针灸组和西药组,每组32例。针灸组患者给予针刀、拔罐、梅花针、毫针及艾灸综合治疗,西药组给予口服普瑞巴林胶囊治疗。以视觉模拟评分法(VAS)为标准观察治疗前后2组患者的疼痛变化及临床疗效。采用χ~2检验比较2组患者临床疗效;采用两独立样本t检验比较2组患者治疗前后VAS评分差异。结果针灸组和西药组经过2周治疗后VAS评分比较,差异具有统计学意义(t=2. 896,P <0. 05)。针灸组痊愈13例,显效14例,有效3例,无效2例,总有效率为97. 75%(30/32);西药组痊愈3例,显效9例,有效13例,无效7例,总有效率为78. 12%(25/32)。2组患者总有效率比较,差异具有统计学意义(χ~2=18. 387,P <0. 05)。结论采用针灸优势技术组合治疗PHN疗效确切,值得临床推广运用。

Objective To observe the clinical effect of combination technique of acupuncture and moxibustion in the treatment of postherpetic neuralgia (PHN).Methods Sixty four PHN patients admitted to the National Acupuncture Hall of Shanxi Provincial Acupuncture Hospital from July 2017 to May 2018 were selected.Patients were divided into the acupuncture group and the western medicine group by random number table method, 32 cases in each group.Patients in the acupuncture group were treated with akupotomye, cupping , plum blossom needling, filiform needling, and moxibustion.The western medicine group was given oral pregabalin.The pain changes and clinical efficacy of the two groups before and after treatment were observed by VAS score.The clinical efficacy of the two groups was compared by χ^2 test.The VAS scores of the two groups before and after treatment were compared by two independent samples t test.Results The difference in the VAS scores between the acupuncture group and the western medicine group after 2 weeks of treatment was statistically significant ( t=2.896, P <0.05).In the acupuncture group, 13 cases were cured, 14 cases were markedly effective, 3 cases were effective, 2 cases were ineffective, and the total effective rate was 97.75%(30/32).In the western medicine group, 3 cases were cured, 9 cases were markedly effective, 13 cases were effective, 7 cases were ineffective, and the total efficiency was 78.12%(25/32).The difference in the clinical efficacy between the two groups was statistically significant (χ^2=18.387, P <0.05 ).Conclusion The combination technique of acupuncture and moxibustion in the treatment of postherpetic neuralgia is effective and worthy of clinical application.