带状疱疹后遗神经痛治疗中温针灸联合龙胆泻肝汤应用的效果分析

Effect of Warm Acupuncture Combined with Longdanxiegan Decoction in the Treatment of Postherpetic Neuralgia

目的分析温针灸联合龙胆泻肝汤在带状疱疹后遗神经痛治疗中应用的效果。方法方便选取2019年4月—2023年4月在滕州市中心人民医院治疗的112例带状疱疹后遗神经痛患者为研究对象,用随机数表法分为两组,每组56例。对照组行西医常规治疗,观察组行温针灸联合龙胆泻肝汤治疗,比较组间疼痛程度、睡眠质量、临床疗效及并发症发生情况。结果干预前两组疼痛程度评分比较,差异无统计学意义(P>0.05);干预后观察组低于对照组,差异有统计学意义(P<0.05)。干预前两组睡眠质量评分比较,差异无统计学意义(P>0.05),干预后观察组睡眠质量评分低于对照组,差异有统计学意义(P<0.05)。观察组治疗总有效率为98.21%高于对照组的85.71%,差异有统计学意义(χ^(2)=5.920,P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论温针灸联合龙胆泻肝汤在带状疱疹后遗神经痛治疗中的应用能有效降低患者的疼痛感,提升患者的睡眠质量,在治疗中可取得显著疗效,降低患者并发症发生的风险。

Objective To analyze the effect of warm acupuncture combined with Longdanxiegan decoction in the treatment of postherpetic neuralgia.Methods A total of one hundred and twelve patients with postherpetic neuralgia treated in Tengzhou Central People's Hospital from April 2019 to April 2023 were conveniently selected as the study objects and divided into two groups by random number table method,with fifty-six cases in each group.The control group received conventional Western medicine treatment,the observation group received warm acupuncture combined with Longdanxiegan decoction treatment.Pain degree,sleep quality,clinical efficacy and complications were compared between groups.Results There was no statistically significant difference between the two groups in pain degree before intervention(P>0.05).After intervention,the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in sleep quality scores before intervention(P>0.05).The sleep quality score of observation group was lower than that of control group after intervention,the difference was statistically significant(P<0.05).The total effective rate of the observation group was 98.21%higher than 85.71%of control group,the difference was statistically significant(χ^(2)=5.920,P<0.05).The complication rate of observation group was lower than that of control group,the difference was statistically significant(P<0.05).Conclusion The application of warm acupuncture combined with Longdanxiegan decoction in the treatment of postherpetic neuralgia can effectively reduce the pain of patients,improve the sleep quality of patients,achieve significant therapeutic effect in the treatment,reduce the risk of complications in patients.