梅花针叩刺拔罐治疗配合甲钴胺穴位注射带状疱疹后遗神经痛疗效观察(1)
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【摘要】 目的 观察梅花针叩刺拔罐治疗配合甲钴胺穴位注射带状疱疹后遗神经痛(PHN)疗效。方法 将80例患者随机分为梅花针叩刺拔罐组和梅花针叩刺拔罐配合甲钴胺穴位注射组各40例。2组疗程均为20 d。结果 梅花针叩刺拔罐配合甲钴胺穴位注射组与梅花针叩刺拔罐组均能有效的治疗PHN,但梅花针叩刺拔罐组的总有效率明显低于梅花针叩刺拔罐配合甲钴胺穴位注射组;经统计学分析,差异具有显著性(P<0.01),梅花针叩刺拔罐配合甲钴胺穴位注射组与梅花针叩刺拔罐组治疗前VAS评分比较(P>0.05),无显著性差异,二者具有可比性。梅花针叩刺拔罐配合甲钴胺穴位注射组与梅花针叩刺拔罐组治疗前后情况对比均有显著性差异(P<0.01)治疗后梅花针叩刺拔罐配合甲钴胺穴位注射组与梅花针叩刺拔罐组比较有显著性差异(P<0.01)。结论 说明梅花针叩刺拔罐配合甲钴胺穴位注射组治疗PHN明显优于梅花针叩刺拔罐组。说明二者均可有效的治疗带状疱疹后遗神经痛;说明梅花针叩刺拔罐配合甲钴胺穴位注射组在治疗带状疱疹后遗神经痛的疼痛程度方面明显优于梅花针叩刺拔罐组,可有效消除患者的疼痛。
【关键词】 带状疱疹后遗神经痛;梅花针叩刺拔罐; 梅花针叩刺拔罐配合甲钴胺穴位注射;疗效
The curative effect of percussopunctator-cupping combined point-injection Mecobalamin in post herpetic neuralnia
WANG Dong,WANG Xue-wu,HA Li-pu.Department of Chinese Medicine,People’s Hospital of Xinjiang,Urumqi 830001,China
【Abstract】 Objective To observe the curative effect of percussopunctator-cupping combined point-injection Mecobalamin in post herpetic neuralnia.Methods Eighty cases of herpes zoster patients were equally randomized into percussopunctator-cupping group and percussopunctator-cupping combined point-injection Mecobalamin group(once daily for 20 times).Results After treatmentthe curative effect in the two groups weere decreased significantly as time went on,but there was obvious difference between the two groups(all P<0.01).there was no obvious difference between the two groups in the pretreatment of VAS(P>0.O5).Thetotal effectiverates of percussopunctator-cupping combined point-injection Mecobalamin is better of percussopunctator-cupping group.There was statistical significance in the pretreatment andpost treatincnt between the two groups(P<0.01).Conclusion Percussopunctator-cupping combined point-injection Mecobalamintreated on PHN is effective and safe with good tolerance than percussopunctator-cupping.
【Key words】 Post herpetic neuralnia; Percussopunctator-cupping; Percussopunctator-cupping combined point-injection Mecobalamin; The therapeutic effect
带状疱疹是由水痘-带状疱疹病毒引起的常见病毒性皮肤病,以集群小水疱沿神经走形单侧分布,伴明显神经痛为特征。某些带状疱疹患者在皮损完全消退后,仍遗留有神经痛,可使人精疲力竭持续数月之久,称为带状疱疹后遗神经痛(Post herpetic neuralgia,PHN)。祖国医学对带状疱疹也有详细的论述,称其为缠腰火丹、火带疮、蛇串疮等[1]带状疱疹后遗神经痛的病机为年老体弱者,正气已不足,再因病程迁延而致血虚肝旺,湿热毒盛,壅滞经脉,且痛久必伤气,气虚无力行血,共致气血凝滞而疼痛剧烈[2] ......
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