摘要
目的探究蜈蚣粉外敷联合刺血拔罐法治疗带状疱疹后神经痛(PHN)的临床效果。方法选取广东省阳江市中医医院2019年1-7月收治的60例PHN患者为研究对象,采用随机数字表法将其分为对照组(30例)与观察组(30例)。对照组采用常规西药治疗(阿昔洛韦+甲钴胺片+加巴喷丁胶囊),观察组在对照组治疗的基础上加用蜈蚣粉外敷与刺血拔罐法治疗。观察两组患者治疗前后视觉模拟评分、疼痛开始缓解时间、治疗前后其他症状积分、临床治疗效果、睡眠质量、不良反应,以及出院3、6个月后遗神经痛发生情况。结果两组治疗后视觉模拟评分均明显低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组疼痛开始缓解时间短于对照组(P<0.05)。观察组治疗后的痒、触觉敏感、灼烧感积分均明显低于对照组及治疗前(P<0.05)。观察组总有效率明显高于对照组,差异有统计学意义(P<0.05)。两组治疗后匹兹堡睡眠质量指数量表评分均明显低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较差异无统计学意义(P>0.05)。观察组出院3、6个月后遗神经痛发生率低于对照组,差异有统计学意义(P<0.05)。结论蜈蚣粉外敷联合刺血拔罐法治疗PHN效果肯定,能有效缓解临床症状,改善睡眠质量,缩短疼痛开始缓解时间,降低疼痛程度,安全性高,不良反应少,值得临床推广应用。
Objective To explore clinical effect of Centipede Powder external application combined with blood-letting puncturing and cupping in the treatment of postherpetic neuralgia(PHN).Methods Sixty patients with PHN admitted to Yangjiang Hospital of Traditional Chinese Medicine in Guangdong Province from January to July 2019 were selected as research objects,they were divided into control group(30 cases)and observation group(30 cases)by random number table method.Control group was treated with conventional Western medicine treatment(Acyclovir+Mecobalamin Tablets+Gabapentin Capsules),observation group was treated with Centipede Powder external application and blood-letting puncturing and cupping on the basis of control group.The visual analogue score,pain relief time,other symptom scores before and after treatment,clinical treatment effect,sleep quality,adverse reactions and the incidence of postoperative neuralgia in three and six months after discharge between two groups were observed.Results The visual analogue scores of two groups after treatment were significantly lower than those before treatment,and observation group was lower than that in control group,the differences were statistically significant(P<0.05).The pain relief time of observation group was shorter than that of control group(P<0.05).The scores of itching,tactile sensitivity and burning sensation in observation group after treatment were significantly lower than those in control group and before treatment(P<0.05).Total effective rate of observation group was significantly higher than that of control group(P<0.05).The scores of Pittsburgh sleep quality index scale in two groups after treatment were significantly lower than those before treatment,and observation group was lower than that in control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between two groups(P>0.05).The incidence rates of postoperative neuralgia in observation group at three and six months after discharge were lower than those in control group,the differences were statistically significant(P<0.05).Conclusion Centipede Powder external application combined with blood-letting puncturing and cupping therapy in the treatment of PHN has positive effect.It can effectively relieve clinical symptoms,improve sleep quality,shorten the time of pain onset,reduce the degree of pain,high safety,less adverse reactions.It is worthy of clinical application.
作者
李莲英
李爱民
洪荣庆
LI Lianying;LI Aimin;HONG Rongqing(The Third Department of Internal Medicine,Yangjiang Hospital of Traditional Chinese Medicine,Guangdong Province,Yangjiang529500,China)
出处
《中国医药导报》
CAS
2020年第25期129-132,共4页
China Medical Herald
基金
广东省中医药局面上科研项目(20191379)。
关键词
蜈蚣粉
刺血拔罐
带状疱疹后神经痛
症状
疼痛
睡眠质量
Centipede Powder
Blood-letting puncturing and cupping
Postherpetic neuralgia
Symptoms
Pain
Quality of sleep
