芪皮血府逐瘀汤治疗带状疱疹后遗神经痛疗效观察

目的:观察芪皮血府逐瘀汤治疗带状疱疹后遗神经痛的疗效。方法:选取本院确诊为带状疱疹后遗神经痛患者160例,随机分为治疗组和对照组。治疗组采用芪皮血府逐瘀汤(黄芪、白鲜皮、生地、桃仁、红花、枳实、赤芍、柴胡、川芎、橘梗、牛膝、防风、玄参、白蒺藜、当归)治疗本病100例,并设对照组60例常规治疗。观察两组疗效。结果:治疗组痊愈率达87%,显效率达95%;对照组痊愈率为46.7%,显效率为86.7%。两组疗效比较具有显著差异(P<0.05),治疗组明显优于对照组。结论:芪皮血府逐瘀汤对带状疱疹后遗神经痛有活血化瘀,行气止痛的功效;尤其对带状疱疹后遗神经痛有显著疗效。

针刺拔罐为主治疗带状疱疹后遗神经痛35例疗效观察

带状疱疹后遗神经痛是由水痘——带状疱疹病毒感染引起的神经损伤所致。近3年来，我院康复科运用针刺拔罐为主治疗该病35例，并与西药治疗进行了临床对照，疗效满意，现报告如下：

中医治疗带状疱疹后遗神经痛的进展分析

带状疱疹后遗神经痛是带状疱诊的常见并发症,给患者的健康与生活质量带来了严重的危害。本研究从带状疱疹后遗神经痛的中医病因病机着手,分析了中医治疗带状疱疹后遗神经痛的进展,发现带状疱疹后遗神经痛主要与气滞血瘀、余毒未清、阴虚气弱有关。诸多学者从不同角度进行了相应的论治,并提出了自己的观点,无论是内服还是外用中药,均是基于辨证论治的基础,其中通络活络、活血化瘀之法镇痛效果明显。

甲钴胺联合普瑞巴林治疗带状疱疹后遗神经痛的临床疗效及其安全性

目的探讨甲钴胺联合普瑞巴林治疗带状疱疹后遗神经痛的临床疗效及其安全性.方法选取江门市五邑中医院2015年7月-2018年4月收治的带状疱疹后遗神经痛患者84例,按照治疗方式分为对照组和观察组,各42例.对照组患者给予曲马多治疗,观察组患者给予甲钴胺注射液联合普瑞巴林胶囊治疗.两组患者均持续治疗14d.比较两组患者临床疗效,治疗前后视觉模拟评分法(VAS)评分,并观察两组患者不良反应发生情况.结果观察组患者总有效率高于对照组,不良反应发生率低于对照组(P<0.05).治疗前两组患者VAS评分比较,差异无统计学意义(P>0.05);治疗后观察组患者VAS评分低于对照组(P<0.05).结论甲钴胺联合普瑞巴林治疗带状疱疹后遗神经痛的临床疗效确切,可有效缓解患者疼痛,且安全性较高.

针灸联合臭氧治疗带状疱疹后遗神经痛的疗效

目的:探讨针灸联合臭氧治疗对带状疱疹后遗神经痛患者的疗效。方法:选择许昌市中心医院南区医院2017年7月至2018年9月收治的带状疱疹后遗神经痛患者60例进行研究。随机分为对照组与观察组,各30例。对照组采用臭氧治疗,观察组加以针灸治疗。比较两组患者疗效、疼痛情况、睡眠状况、焦虑、抑郁状况。结果:观察组总有效率为93.33%高于对照组的70.00%,差异具有统计学意义(P<0.05);治疗后两组患者的视觉模拟评分法(VAS)、睡眠状况自评量表(SRSS)、焦虑自评量表(SAS)及抑郁自评量表(SDS)得分均明显下降,且观察组得分下降程度幅度大于对照组,差异具有统计学意义(P<0.05)。结论:针灸联合臭氧治疗较单独使用臭氧治疗可明显提高带状疱疹后遗神经痛疗效,缓解疼痛、改善睡眠状况、并能缓解焦虑、抑郁等。

丹栀逍遥散加减联合伐昔洛韦治疗带状疱疹遗后神经痛30例

目的:观察丹栀逍遥散联合伐昔洛韦治疗带状疱疹遗后神经痛的疗效。方法:将60例门诊带状疱疹遗后神经痛患者随机分为观察组和对照组,两组各30例。两组分别采用丹栀逍遥散加减(丹皮、山栀子、当归、白芍、柴胡、云苓、白术、甘草、薄荷)联合伐昔洛韦治疗和单纯伐昔洛韦治疗,观察两组疗效。结果:观察组治愈率93%。对照组治愈率53%,两组有效率比较,P<0.05。结论:采用丹栀逍遥散联合伐昔洛韦治疗带状疱疹遗后神经痛疗效满意。

蜂毒注射液治疗带状疱疹41例

笔者试用蜂毒注射液治疗41例带状疱疹,获得较好效果。现报告如下。 临床资料 本文8例带状疱疹均为门诊病人,随机分为治疗组和对照组。治疗组:41例中,男18例,女23例;年龄12～70岁,平均45岁。治疗前出疹2～6天,平均4天。自觉症状均有局部疼痛和烧灼感,部分有轻微骚痒。皮损形态:丘疱疹型26例,水疱型11例,出血型2例,坏疽型1例。分布:头面部:3例,胸背部23例,腰腹部6例,上肢5例,下肢4例。对照组40例,男24例,女16例;年龄14～68岁,平均34岁。皮损形态:丘疱疹型24例,水疱型13例,出血型3例。治疗前出疹天数、自觉症状及分布与治疗组类同。

Observation on the effect of fire needle combined with Linggui Bafa for post-herpetic neuralgia

Objective To observe the clinical effect of fire needle combined with Linggui Bafa for post-herpetic neuralgia （PHN）. Methods One hundred and twenty patients were randomly divided into an observation group and a control group with 60 cases each. For observation group, fire needle was applied to prick Zusanli （足三里 ST 36）, Yanglingquan （阳陵泉 GB 34）, Taichong （太冲 LR 3）, Sanyinjiao （三阴交 SP 6） and partial Ashi points around the lesion, and Linggui Bafa was combined to perform acupuncture therapy, once every other day, 10 times as a course of treatment; for the control group, only fire needle was applied. After 2 courses of treatment, the comparison of the value of visual analogue scale （VAS） and the total effective rate for the two groups were carried out. Results The VAS value of the observation group after treatment was obviously lower than that before treatment （2.28±2.08 vs 6.12±1.96） and that of the control group （2.28±2.08 vs 3.62±2.90）, there were significant differences （all P〈0.01）. The total effective rate of the observation group was obviously higher than that of the control group [93.3% （56/60） vs 76.7% （46/60）], the difference between the two groups was statistically significant （P〈0.05）. Conclusion The effect of fire needle combined with Linggui Ba.fa for PHN is obviously superior to that of single fire needle therapy.

Clinical research on postherpetic neuralgia treated by floating-acupuncture combined with collateral-bloodletting puncture and cupping

Objective To observe the clinical efficacy of treating postherpetic neuralgia （PHN） by combining floating-acupuncture laser with cupping following collateral bloodletting, and to analyze its mechanism. Method One hundred and thirty cases of PHN were randomly divided into a floating-acupuncture laser with cupping following collateral bloodletting group （group A） and an electroacupuncture group （group B） based on the treatment sequence and according to the random number table, with 65 cases in each group. In the group B, G-6805 electroacupuncture apparatus was adopted after the arrival of qi through even reinforcing and reducing （even method） in such acupoints as Hegu （合俗 LI 4）, Taihong （太冲 LR 3）, Zhigou （支沟 TE 6）, Quchi （ 曲池 LI 11） and Zusanli （足三里 ST 36）; in the group A, the treatment combining floatingacupuncture laser with cupping following collateral bloodletting was adopted, and the score of VAS and clinical efficacy before and after treatment in the two groups were compared. Result The differences of VAS scores of the two groups between the time points of after one course of treatment, after the entire treatment, follow up visit three months after the treatment and before treatment were statistically significant （all P〈0.05）. The rate of significant efficiency and total effective rate in the group A were respectively 37.8% and 98.5% （64/65）, and 11.2% and 78.5% （52/65） in the group B. The difference between the two groups was statistically significant after Ridit analysis （P〈0.05）. Conclusion The efficacy of treating PHN by combining floating-acupuncture laser with cupping following collateral bloodletting was significant.

Thin cotton moxibustion combined with plum-blossom needle in treatment of herpes zoster:a controlled trial

Objective To compare the difference of clinical efficacy of thin cotton moxibustion combined with plum-blossom needle and western medication in treatment of herpes zoster.Method Eighty patients with herpes zoster were divided into thin cotton moxibustion group（group A,n=40） and western medication group（group B,n=40） according to the sequence of admission.Patients in group A received thin cotton moxibustion that the colton was used as thin as a cicada＇s wings,combined with plum-blossom needle,and patients in group B received intravenous infusion with 0.25 g of acyclovir once a day,and acyclovir ointment application on affected part for 3-5 times per day.Five days were considered as a course of treatment.Analgesic effect and the incidence of postherpetic neuralgia were observed after two consecutive courses.Result The total effective rate was 97.5%（39/40） in group A,and80.0%（32/40） in group B（P〈0.05）;it was shown from the comparison of course between two groups that the cure rate after one in group A was markedly higher than that in group B（P〈0.01,P〈0.05）;the differences in effectual time and analgesic time between group A and group B were statistically significant（P〈0.05）;after treatment,the incidence of postherpetic neuralgia in group A was markedly lower than that in group B（P〈0.05）.Conclusion Thin cotton moxibustion combined with plum-blossom needle in treatment of herpes zoster can obviously shorten the time of therapy,effectively control pain,and reduce the incidence of postherpetic neuralgia.

Observation on therapeutic effect of combined therapy mainly based on acupuncture for postherpetic neuralgia

Objective To compare the difference in therapeutic effect between the combined therapy mainly based on acupuncture and western medicine in treating postherpetic neuralgia. Methods Eighty patients were randomly divided into a treatment group and a control group by ballot, and 40 patients were included in each group. The patients in the treatment group were treated by using the combined therapy mainly based on acupuncture, in other words, electroacupuncture at Jiáj （夹脊 EX-B2） and acupoint injection, and He-Ne laser therapy was also carried out. The patients in the control group were orally administered with 10 mg oxycodone controlled release tablets, twice a day; 0.5 mg mecobalamin tablets, three times a day. Scores for pain, sleep disorders and anxiety degree of the patients were recorded respectively, and the therapeutic effect in the two groups was counted. Results The total effective rate in the treatment group was 100.0% （40/40）, which was higher than 87.5% （35/40） in the control group; the markedly effective rate in the treatment group was 85.0% （34/40）, which was better than 65.0% （26/40） in the control group （both P0.05）. The therapeutic effects in reliefing pain, sleep disorders and anxiety of the patients in the treatment group were better than that in the control group （all P0.01）. Conclusion The combined therapy mainly based on acupuncture can effectively treat postherpetic neuralgia and the therapeutic effect is better than that in the western medicine group