筋针疗法结合桃红四物汤治疗带状疱疹后遗神经痛临床观察

Research on the Clinical Effect of Tendon Acupuncture Therapy Combined with Taohong Siwu Decoction in the Treatment of Post-herpetic Neuralgia

目的分析筋针疗法结合桃红四物汤加减治疗带状疱疹后遗神经痛的效果。方法选取2021年1月—2021年9月上海市闵行区七宝社区卫生服务中心符合带状疱疹后遗神经痛纳入标准的患者32例,采用筋针疗法结合桃红四物汤加减治疗。分析治疗前、治疗1周、2周、4周后疼痛视觉模拟量表评分(Visual analogue scale,VAS评分)及匹兹堡睡眠质量指数(PSQI)评分,观察并记录患者疼痛明显缓解(VAS评分<4分)的治疗时间和不良反应发生率。结果治疗4周后随访1个月,共完成32例,在治疗1周、2周、4周后VAS显著降低(P<0.01),睡眠质量较治疗前明显改善(P<0.01)。结论筋针疗法结合桃红四物汤加减可明显减轻患者疼痛并且改善睡眠质量,无不良反应。

Objective To investigate the therapeutic effect of tendon acupuncture therapy with Taohong Siwu decoction on post-herpetic neuralgia.Methods A total of 32 patients met the inclusion criteria for post-herpetic neuralgia in Qibao Community Health Service Center of Minhang District were selected from January 2021 to September 2021.The tendon acupuncture therapy with Taohong Siwu decoction was applied.The visual analogue scale(VAS)score and Pittsburgh Sleep Quality Index(PSQI)score were analyzed before treatment,1 week,2 weeks and 4 weeks after treatment,and the treatment time and incidence of adverse reactions for patients with significant pain relief(VAS score<4)were observed and recorded.Results A total of 32 patients were followed up for 1 month after 4 weeks of treatment.The VAS decreased significantly after 1 week,2 weeks and 4 weeks of treatment(P<0.01).The PSQI was significantly improved compared with that before treatment(P<0.01).Conclusion Tendon acupuncture therapy with Taohong Siwu decoction can obviously relieve pain and improve sleep quality without adverse reactions.