Correlation of serum inflammatory cytokine and immunoglobulin content with post-herpetic neuralgia in patients with acute herpes zoster

Objective:To study the correlation of serum inflammatory cytokine and immunoglobulin content with post-herpetic neuralgia in patients with acute herpes zoster.Methods:Patients diagnosed with herpes zoster in our hospital between May 2012 and October 2015 were selected and divided into herpes zoster-post-herpetic neuralgia group (VZV-PHN group) and herpes zoster-control group (VZV-Con group) according to the incidence of post-herpetic neuralgia (PHN);healthy volunteers receiving physical examination in our hospital during the same period were selected as normal control group (Con group).Results: Serumβ-EP, NT, IFN-γ and IL-2 levels of VZV-PHN group and VZV-Con group were significantly lower than those of Con group (P<0.05), while SP, VGF, CGRP, IL-4, IL-6, IL-17, IL-21, TNF-α, IL-10, TGF-β1, IgG, IgM and IgA levels were significantly higher than those of Con group (P<0.05);serumβ-EP, NT, IFN-γ, IL-2, IgG, IgM and IgA levels of VZV-PHN group were significantly lower than those of VZV-Con group (P<0.05) while SP, VGF, CGRP, IL-4, IL-6, IL-17, IL-21, TNF-α, IL-10 and TGF-β1 levels were significantly higher than those of VZV-Con group (P<0.05);β-EP and NT were positively correlated with IFN-γ, IL-2, IgG, IgM and IgA, and negatively correlated with IL-4, IL-6, IL-17, IL-21, TNF-α, IL-10 and TGF-β1;SP, VGF and CGRP were negatively correlated with IFN-γ, IL-2, IgG, IgM and IgA, and positively correlated with IL-4, IL-6, IL-17, IL-21, TNF-α, IL-10 and TGF-β1.Conclusions:Abnormal secretion of inflammatory cytokines and immunoglobulin caused by humoral immune and cellular immune response disorder is associated with the occurrence of post-herpetic neuralgia in patients with acute herpes zoster.

A qualitative study of the psychological processes in patients with post-herpetic neuralgia

Objective:To understand the psychological process of patients with post-herpetic neuralgia(PHN)and provide references for the psychological management of PHN.Methods:The objective sampling method was used to conduct semi-structural in-depth interviews on 10 PHN patients,and Colaizzi’s phenomenological analysis method was used for data analysis.Results:According to the different pain durations of PHN patients,the patients were divided into three stages and five themes were extracted:the need for strong pain relief,the helpless tolerance of pain,the self-feeling burden,the need for health education,and the positive response to pain.Conclusions:PHN has complex psychological activities,so it is necessary to pay attention to the psychological process of patients and take effective psychological measures to intervene negative psychology so that patients can actively cope with the pain.

Correlation of p38MAPK,ERK1/2 and JNK expression in peripheral blood with the cytokines and pain mediators in patients with post-herpetic neuralgia

Objective: To study the correlation of p38MAPK, ERK1/2 and JNK expression in peripheral blood with the cytokines and pain mediators in patients with post-herpetic neuralgia (PHN). Methods: Patients who were diagnosed with herpes zoster for the first time in the Second Hospital of Hanbin District Ankang City between March 2015 and April 2016 were selected and divided into the PHN group who were combined with post-herpetic neuralgia and the pure HZ group who were without neuralgia, and the healthy volunteers who received physical examination in the Second Hospital of Hanbin District Ankang City during the same period were selected as control group. The peripheral blood was collected to determine the expression of MAPK signaling molecules, and serum was collected to determine the contents of cytokines and pain mediators. Results: p38MAPK, ERK1/2 and JNK mRNA expression in peripheral blood as well as 5-HT, CGRP, SP, NSE, S100B, IFN-γ, TNF-α and IL-17 levels in serum of PHN group and HZ group were significantly higher than those of control group while β-EP levels were significantly lower than that of control group;p38MAPK, ERK1/2 and JNK mRNA expression in peripheral blood as well as 5-HT, CGRP, SP, NSE, S100B, IFN-γ, TNF-α and IL-17 levels in serum of PHN group were significantly higher than those of HZ group while β-EP level was significantly lower than that of HZ group. p38MAPK, ERK1/2 and JNK expression in peripheral blood of PHN patients were positively correlated with CGRP, 5-HT, SP, NSE, S100B, IFN-γ, TNF-α and IL-17 levels in serum, and negatively correlated with β-EP level in serum. Conclusion: The high expression of p38MAPK, ERK1/2 and JNK in peripheral blood of PHN patients can increase the secretion of cytokines and algogenic mediators and decrease the secretion of analgesic mediators.

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.

Needle-embedding therapy for fifty cases of post-herpetic neuralgia

Objective To observe the clinical efficacy of needle-embedding therapy for the treatment of post-herpetic neuralgia. Method Fifty patients of post-herpetic neuralgia treated with needle-embedding therapy from January 2013 to June 2014 at Department of pain of the Second People＇s Hospital of Yibin City were selected. At each time of needle-embedding therapy, 4-8 points were selected. Patients were treated once a day, 5 times for a course of treatment and received a total of 1-3 courses of treatment. Meanwhile, the curative effect was analyzed in accordance with Criteria of Diagnosis and Therapeutic Effect of Diseases and Syndromes in Traditional Chinese Medicine. Result Among the 50 patients, the markedly effective rate was 84.0% （42/50）, the effective rate was 16.0% （8/50） and the total effective rate was 100.0%. Conclusion Needle-embedding therapy for the treatment of post-herpetic neuralgia offers a good curative effect.

Collateral-pricking and blood-letting cupping combined with electroacupuncture for post-herpetic neuralgia

Objective:To explore the clinical efficacy of collateral-pricking and blood-letting cupping combined with surrounding needling technique electroacupuncture in the treatment of post-herpetic neuralgia(PHN).Methods:Seventy-two patients with post-herpetic neuralgia were randomized into observation group and control group.Of the 72 cases,12 cases fell off,so finally 30 cases in each group.The observation group was treated with collateral-pricking and blood-letting cupping combined with surrounding needling technique electroacupuncture,while the control group was treated simply with pregabalin capsules for 20 consecutive days.On the basis of the western medication pregabalin capsules,the same as that of the control group,collateral-pricking and blood-letting cupping combined with electroacupuncture in a surrounding needling technique,was adopted for the observation group,once every two days,ten days as one course of treatment,a total of two courses.The immediate visual analogue scale(VAS)before and after treatment were observed in the two groups,and their clinical effects were compared.Results:The VAS scores of PHN patients in the two groups after treatment were lower than those before treatment(both P<0.01),and the scores of observation group were lower than those of control group(P<0.05).The total effective rate of the observation group was 86.7%,higher than 73.3% of the control group.Conclusion:The clinical effect of collateral-pricking and blood-letting cupping combined with electroacupuncture is relatively satisfactory in the treatment of post-herpetic neuralgia.

脉冲射频用于三叉神经疱疹后神经痛治疗的对比观察

目的:三叉神经带状疱疹后神经痛是头面部疼痛疾病中最有代表性的疾病之一,本文报道脉冲射频为主治疗三叉神经区疱疹后遗神经痛的效果。方法:本组共计疼痛科住院的三叉神经带状疱疹后神经痛患者30例,门诊患者30例,观察药物及脉冲射频治疗前、后疼痛程度和性质、患区遗留症状和睡眠质量。结果:患者主诉头面部自发性闪电样疼痛、刀割样疼痛、烧灼样疼痛为主。激惹型42例,麻痹型18例,平均VAS评分为8.2分。药物组患者治疗后平均VAS评分为5.4分。经过加用2次脉冲射频治疗(2Hz4,0℃1,20s)平均VAS评分为3.3分。经过14～18个月的随访,脉冲射频组疗效稳定。结论:本组三叉神经疱疹后神经痛患者结果表明:加用脉冲射频治疗后大部分患者疼痛缓解明显,效果比较稳定,患者的生活质量明显改善。

阿霉素与无水乙醇治疗三叉神经痛疗效对照研究

目的 观察三叉神经痛患者两种药物阻滞的效果。方法 将原发性三叉神经痛患者 15 3例随机分为两组 ,无水乙醇组 :应用无水乙醇 0 .3～ 0 .5ml半月神经节阻滞 ;阿霉素组 :应用 0 .5 %阿霉素 0 .3～ 0 .5ml半月神经节阻滞。观察期为 2年。根据患者治疗前后的症状 ,疼痛程度变化 ,所得数据进行统计学处理。结果 无水乙醇组 :1周、2年优良率分别为 92 .7%、74 .5 % ;阿霉素组 :1周、2年优良率分别为 91.8%、86 .7%。χ2 检验 ,P <0 .0 5 ,有统计学意义。不良反应及并发症情况 :无水乙醇组不良反应发生率为 2 7.3% ,并发症发生率为 2 3.6 % ;阿霉素组不良反应发生率为 2 0 .4 % ,并发症发生率为 15 .3%。结论 阿霉素治疗三叉神经痛有利于提高对三叉神经痛患者止痛的疗效 ,降低并发症的发生率 ,优于无水乙醇。

亚甲蓝翼外肌深面注射治疗三叉神经第三支痛

目的:探讨应用亚甲蓝翼外肌深面阻滞术治疗三叉神经第三支痛以达到疼痛缓解的效果。方法:对56例三叉神经痛改良阻滞术治疗的患者进行回顾性分析。结果:40例经翼外肌深面阻滞术治疗后完全缓解,12例第3次治疗后完全缓解,缓解疼痛不佳3例。结论:认为翼外肌深面阻滞术治疗三叉神经第三支简便、有效、安全,可作为三叉神经第三支痛治疗的方法之一。

Two proved cases of treating herpes zoster pain by needling wei

Two cases of herpes zoster neuralgia treated by shallow needling combined with electroacupuncture were introduced. The literature basis and possible mechanisms were discussed.