| 引用本文: |
唐毅,郑全成,黄建福,陈颖.针刺联合自制穴位贴对带状疱疹后遗神经痛血脉瘀阻证患者疗效与安全性的影响[J].湖南中医药大学学报,2022,42(2):265-270[点击复制] |
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| 针刺联合自制穴位贴对带状疱疹后遗神经痛血脉瘀阻证患者疗效与安全性的影响 |
| 唐毅,郑全成,黄建福,陈颖 |
| (三亚市中医院, 海南 三亚 572000) |
| 摘要: |
| 目的 探究通督扶阳针法联合自制穴位贴治疗带状疱疹后遗神经痛血脉瘀阻证的疗效与安全性。方法 纳入本院于2019年4月至2021年3月收治的带状疱疹后遗神经痛血脉瘀阻证的患者116例，随机分为观察组58例、对照组58例。观察组应用通督扶阳针法联合自制穴位贴治疗，对照组应用利多卡因凝胶贴膏治疗，两组治疗周期均为4周。应用简易McGill量表评估疼痛情况，应用匹兹堡睡眠指数评估睡眠情况，应用广泛性焦虑量表评估焦虑情况，应用中医证侯积分评估患者证候的严重程度，记录治疗过程中的不良反应。治疗完成后进行为期1个月的随访，评估临床疗效。结果 治疗后，两组患者疼痛情况较治疗前有所降低（P<0.001），且观察组简易McGill量表得分低于对照组（P<0.001）；两组患者中医证候积分较治疗前有所降低（P<0.001），且观察组中医证侯积分低于对照组（P<0.001）；两组患者睡眠情况均较治疗前有所好转（P<0.001），且观察组的患者睡眠质量更好（P<0.001；两组患者焦虑情况均有消除迹象（P<0.001），且观察组焦虑情况较对照组更少（P<0.001）；不良反应发生情况，两组差异无统计学意义（P>0.05）；综合有效率方面，观察组优于对照组（P<0.05）。结论 针剌联合自制穴位贴治疗带状疱疹后遗神经痛血脉瘀阻证患者，可以使其疼痛情况好转，改善焦虑状态，提升睡眠质量，安全性高。 |
| 关键词: 带状疱疹后遗神经痛 血脉瘀阻证 针灸 穴位贴敷 睡眠质量 焦虑情况 不良反应 |
| DOI：10.3969/j.issn.1674-070X.2022.02.016 |
| 投稿时间：2021-10-15 |
| 基金项目:海南省卫生健康行业科研项目（20A200199）。 |
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| Effect of acupuncture combined with self-made acupoint plaster on the efficacy and safety of patients with herpes zoster neuralgia and blood stasis syndrome |
| TANG Yi,ZHENG Quancheng,HUANG Jianfu,CHEN Ying |
| (Traditional Chinese Medicine Hospital of Sanya City, Sanya, Hainan 572000, China) |
| Abstract: |
| Objective To explore the efficacy and safety of Tongdu Fuyang acupuncture combined with self-made acupoint plaster in the treatment of blood stasis syndrome of postherpetic neuralgia. Methods 116 patients with blood stasis syndrome of postherpetic neuralgia treated in our hospital from April 2019 to March 2021 were randomly divided into observation group (58 cases) and control group (58 cases). The observation group was treated with Tongdu Fuyang acupuncture combined with self-made acupoint plaster, while the control group was treated with lidocaine gel plaster. The two groups were treated for 4 weeks. Simple McGill scale was used to evaluate pain, Pittsburgh sleep index was used to evaluate sleep, generalized anxiety scale was used to evaluate anxiety, TCM syndrome score was used to evaluate the severity of symptoms, and adverse reactions during treatment were recorded. After treatment, the patients were followed up for 1 month to evaluate the clinical efficacy. Results After treatment, the pain of the two groups was lower than that before treatment (P<0.001), and the score of simple McGill scale in the observation group was lower than that in the control group (P<0.001); the TCM syndrome score of the two groups was lower than that before treatment (P<0.001), and the TCM syndrome score of the observation group was lower than that of the control group (P<0.001); the sleep condition of the two groups was better than that before treatment (P<0.001), and the sleep quality of the observation group was better (P<0.001); the anxiety of the two groups showed signs of elimination (P<0.001), and the anxiety of the observation group was less than that of the control group (P<0.001); the incidence of adverse reactions was similar between the two groups (P>0.05); in terms of comprehensive effective rate, the observation group was better than the control group (P<0.05). Conclusion Acupuncture combined with self-made acupoint plaster in the treatment of patients with blood stasis syndrome of postherpetic neuralgia can improve their pain, improve anxiety, improve sleep quality and has high safety. |
| Key words: postherpetic neuralgia blood stasis syndrome acupuncture acupoint plaster sleep quality anxiety adverse reactions |
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