神经阻滞对带状疱疹及其带状疱疹后神经痛的治疗作用

目的:探讨使用神经阻滞的方法在带状疱疹及其带状疱疹后神经痛治疗过程中的治疗作用。方法通过对我院的带状疱疹及其带状疱疹后神经痛患者进行三种不同方法的治疗,即A院单一药物治疗,B院单一神经阻滞治疗,C院神经阻滞及药物联合治疗,对各种不同方法的治疗结果进行如实的记录,通过分析比较数据,评价三种不同治疗方法的治疗效果。结果通过对临床治疗的结果进行研究,主要是应用一些统计学知识和一些对比的方法,对治疗的结果进行讨论分析说明院应用神经阻滞治疗带状疱疹及其带状疱疹后神经痛疗效比单一应用药物好<0.01,单一神经阻滞的治疗效果与联合治疗的治疗效果无显著差异>0.05。结论应用神经阻滞对带状疱疹及其带状疱疹后神经痛患者有显著疗效,值得推广应用。

带状疱疹后遗神经痛相关危险因素分析

明确导致带状疱疹后遗神经痛(postherpetic neuralgia, PHN)相关危险因素。方法:分析威海市中心医院收治的从2021年10月至2022年10月带状疱疹病患的临床资料。观察患病后发生PHN的与否,将病患分为试验组与对照组两组。通过单因素和多因素对两组病患行logistic回归分析。结果:本次研究共纳入318例病患,其中74例病患发生看PHN(23.3%)。单因素分析:年龄、皮疹面积、早期医治时间、使用糖皮质激素、糖尿病、恶性肿瘤、CD4+、CD8+与PHN发生相关。多因素logistic回归分析:年 龄 ≥60 岁、早期治疗时间, CD4+、CD8+、恶性肿瘤及糖尿病是发生PHN的独立危险因素。

Treatment of Herpes Zoster with Electroacupuncture plus Collateral-pricking and Cupping Therapy

Objective:To observe the clinical effect of electroacupuncture(EA)plus collateral-pricking and cupping therapy for herpes zoster.Methods:Fifty-three cases with herpes zoster were randomly divided into two groups.Thirty-one cases in the treatment group were treated with EA at Jiaji(EX-B 2)points plus local collateral-pricking and cupping therapy.Twenty-two cases in the control group were treated with oral administration of Valaciclovir Hydrochloride and Indomethacin.Results:The curative and remarkable effective rate was 93.5%in the treatment group and 72.7%in the control group.The difference between the two groups was statistically significant(P<0.01),indicating that EA plus collateral-pricking and cupping therapy is better than Western medications in the clinical effects for herpes zoster.Conclusion:The EA plus collateral-pricking and cupping method is an effective therapy for herpes zoster.

Therapeutic Observation on Swift Needling with Fire Needle plus Medication for Herpes Zoster

Objective:To discuss the effectiveness and safety of swift needling with fire needle plus medication in treating herpes zoster and the change of substance P.Methods:Seventy-nine patients with herpes zoster were selected and randomized into a fire-acupuncture group(41 cases)and a Westernmedication group(38 cases).The fire-acupuncture group was intervened by swift needling with fire needle,and simultaneously prescribed with Valaciclovir Hydrochloride tablets and Vitamin B1;the Western-medication group was by the same oral medicines alone.The therapeutic efficacies were evaluated afterwards.Results:The total effective rate was 95.1%in the fire-acupuncture group versus 89.5%in the Western-medication group,and the difference was statistically significant(P<0.05).After treatment,the concentration of substance P and visual analogue scale(VAS)score dropped significantly in both groups(both P<0.05);the inter-group differences were statistically significant(both P<0.05).Conclusion:Swift needling with fire needle plus medication has better therapeutic efficacy than medication alone in treating herpes zoster.

Clinical Study on Surrounding Acupuncture for Herpes Zoster

Objective:To observe the clinical effects of the surrounding acupuncture for herpes zoster.Methods:Sixty patients with herpes zoster were randomly divided into two groups,a treatment group and a control group,30 cases in each.The cases in the treatment group were treated with surrounding acupuncture,intravenous infusion of Acyclovir and Ne-Ne laser radiation on the macular areas.While,those in the control group were treated with intravenous infusion of Acyclovir and topical application of Acyclovir ointment.The therapeutic effects were assessed in both groups after two courses of treatment.Results:The treatment group was obviously better than the control group in the effective rate,relief of blister,drying up of blister,relief of pain and time of complete relief of pain(P<0.05).Conclusion:Surrounding acupuncture,combined with intravenous infusion of Acyclovir and He-Ne laser radiation,is remarkable in the therapeutic effects for herpes zoster and worthy of clinical application.