补阳还伍汤配合针刺治疗带状疱疹后遗神经痛36例

目的:观察益气活血、通络止痛类中药配合针刺治疗带状疱疹后遗神经痛的疗效。方法:采用补阳还伍汤(生黄芪、当归尾、川芎、桃仁、红花、赤芍、地龙等)配合毫针围刺治疗带状疱疹后遗神经痛36例。结果:总有效率95%以上。结论:本方法对本病有益气活血,通络止痛的功效。

复元活血汤联合超短波治疗带状疱疹后遗神经痛45例

目的:评价复元活血汤加减联合超短波治疗带状疱疹后遗神经痛临床疗效。方法:治疗组服用复元活血汤加减(柴胡、天花粉、当归、桃仁、红花、地龙、大黄、延胡索、甘草)联合超短波治疗,对照组只采用超短波治疗。结果:治疗组总有效率93.33%,对照组总有效率67.50%,两组有效率比较,经χ2检验有显著性差异(P<0.01)。结论:本方法治疗带状疱疹后遗神经痛,止痛效果好,无毒副作用。

七厘散加减治疗带状疱疹后遗神经痛32例

目的:观察活血化瘀,行气止痛类中药治疗带状疱疹后遗神经痛的临床疗效。方法:采用七厘散加减(血竭、儿茶、木香、青皮、陈皮、细辛、乳香、没药、红花等)治疗本病32例。结果:总有效率97%,在减轻疼痛,改善麻木、酸胀、睡眠等方面效果明显。结论:七厘散具有活血化瘀,行气止痛之效。治疗带状疱疹后遗神经痛具有较好的临床疗效。

MRI 3D-CISS序列在三叉神经痛相关疾病中的应用价值

目的探讨磁共振三维稳态进动结构相干（3D-CISS）序列在三叉神经痛相关疾病中的应用价值。方法回顾性分析62例以三叉神经痛为主要症状患者的颅脑MRI常规序列和3D-CISS序列图像，其中12例加做增强扫描，对比分析MRI 3D—CISS序列和常规平扫序列对三叉神经相关病变（主要包括三叉神经脑池段周围血管压迫或推移、实性肿瘤和肿瘤样病变）的显示情况，并与手术结果对照。结果手术探查48例发现责任血管；术前MRI 3D-CISS序列诊断三叉神经脑池段周围血管压迫或推移46例，3D—CISS序列显示与手术探查符合率达95．83％；常规序列无法显示三叉神经脑池段周围血管压迫或推移。3D-CISS序列显示实性肿瘤8例，常规平扫序列显示实性肿瘤6例。肿瘤样病变6例于MRI3D-CISS序列和常规平扫序列均得到显示。3D-CISS序列对三叉神经痛相关疾病诊断的敏感度（96．77％）显著高于MRI常规平扫序列（19．35％），差异有统计学意义（P〈0．01）。结论MRI3D—CISS序列对三叉神经痛相关疾病诊断的敏感度高，对术前评估有重要意义，值得临床推广应用。

护理程序在糖尿病神经痛3例中的应用

目的探讨护理程序在糖尿病神经痛患者护理中的效果,提高疼痛患者的舒适程度。方法在3例神经痛患者的护理中运用护理程序,观察护理效果。结果 3例患者疼痛状况得到明显改善。结论将护理程序应用于糖尿病神经痛患者的护理中,可以系统的了解疼痛的症状和发展并及时监控,使疼痛得到有效的改善,是一项重要的护理措施。

乌头外敷加音频电疗治疗带状疱疹后遗神经痛

该文观察川乌草乌外敷加音频电疗治疗带状疱疹后遗神经痛的疗效与安全性。笔者将89例患者随机分为联合治疗组(42例)与对照组(47例),联合治疗组用川乌、草乌研粉陈醋调匀,外敷疼痛部位加音频电疗,对照组仅用音频电疗。一个疗程后2组总有效率分别为92.9%、70.2%,(P<0.05);痊愈率分别为81.0%、51.1%(P<0.01)。表明川乌草乌外敷加音频电疗治疗带状疱疹后遗神经痛疗效好,安全性高。

Effect Observation on Point-through-point Needling Combined with Tuina for Post-stroke Shoulder-hand Syndrome

Objective：To observe the effect of point-through-point needling combined with tuina for shoulder-hand syndrome after stroke.Methods：Eighty-six cases with post-stroke shoulder-hand syndrome were randomly divided into an observation group and a control group,43 cases in each group.Patients in the observation group were treated by point-through-point needling combined with tuina therapy on the basis of the conventional treatment;while patients in the control group were treated by tuina therapy on the basis of conventional therapy.Six treatments constitute a course,and the efficacy was evaluated after 4 courses.Results：The total effective rate was 88.4% in the observation group,and it was 69.8% in the control group.And the comparison indicated that the observation group had a more efficient result than the control group did （χ 2 =4.497,P〈0.05）.The scores of visual analogue scale （VAS） and Fugl-Meyer assessment （FMA） were significantly improved after treatments in both groups （P〈0.05 or P〈0.01）.After treatment,the scores of VAS and FMA of the observation group were significantly different from that in the control group （P〈0.05）.Conclusion：Because of the efficacy,point-through-point needling combined with tuina therapy for shoulder-hand syndrome after stroke is certainly worthy of further study,and can be used in clinical practice.