针灸、刺血拔罐联合桃红四物汤治疗带状疱疹的疗效及对后遗神经痛的影响(1)
摘要 目的：探讨老年带状疱疹后遗神经痛(PHN)患者使用针灸、刺血拔罐联合桃红四物汤治疗的临床效果。方法：选取2013年9月至2018年2月武警北京总队医院收治的老年PHN患者60例作为研究对象，按照随机数字表法分为观察组和对照组，每组30例。观察组予以口服汤药桃红四物汤，刺血拔罐治疗，对照组予以单纯口服汤药桃红四物汤治疗，分析比较2组的治疗效果。结果：治疗后，观察组的治疗总有效率为90%，对照组的总有效率为80%，差异无统计学意义(P>0.05);2组患者的VAS评分均较前降低，其中对照组的VAS评分高于观察组患者，且差异有统计学意义(P<0.05)。结论使用针灸、刺血拔罐联合桃红四物汤治疗PHN患者，可显著改善其临床症状，减轻疼痛，改善睡眠，值得临床推广。
关键词 带状疱疹后遗神经痛;桃红四物汤;针灸;拔罐
Abstract Objective：To explore the clinical effects of acupuncture and pricking blood with cupping combined with Taohong Siwu Decoction in the treatment of elderly patients with postherpetic neuralgia(PHN).Methods：A total of 60 elderly patients with PHN diagnosed and treated in Beijing Armed Police General Hospital from September 2013 to February 2018 were randomly divided into an observation group and a control group according to the random number table，with 30 cases in each group.The observation group was treated with Taohong Siwu Decoction orally，pricking blood and cupping therapy，while the control group was treated with Taohong Siwu Decoction orally only.The therapeutic effects in the 2 groups were analyzed and compared.Results：After treatment，the total effective rate in the observation group was 90%，and the control group was 80%.There was no significant difference between the 2 groups(P>0.05).After treatment，the scores of VAS in the 2 groups were significantly reduced，and the control group was higher than the observation group，with the statistical difference significant(P<0.05).Conclusion：Acupuncture，pricking blood and cupping combined with Taohong Siwu Decoction can effectively improve the clinical symptoms of PHN patients，alleviate pain and improve sleep，which is worthy of clinical promotion.
Key Words Senile postherpetic neuralgia; Taohong Siwu Decoction; Acupuncture; Cupping therapy
中图分类号：R245;R283文献标识码：Adoi：10.3969/j.issn.1673-7202.2019.08.052
带状疱疹是由水痘-带状疱疹病毒(Varicella-zoster Virus，VZV)感染引起的一種炎症性皮肤病，老年人多发[1]。其中带状疱疹后遗神经痛(Postherpetic Neuralgia，PHN)为其最常见的一种并发症，PHN表现为待皮损消退后于在原皮疹及临近皮肤处常出现持续多于1个月的间断刀割或烧灼样痛，多表现为顽固性疼痛[2]，严重的影响了患者的日常工作、生活和睡眠质量[3]。目前临床的治疗方式多为针灸、刺血拔罐及中药汤剂口服治疗[4]，有研究[5]发现多重治疗方式联合治疗可以达到更好的治疗效果，故对老年PHN患者使用针灸、刺血拔罐联合桃红四物汤治疗进行研究，为临床治疗提供理论依据。
1 资料与方法
1.1 一般资料
选取2013年9月至2018年2月武警北京总队医院收治的老年PHN患者60例作为研究对象，按照随机数字表法分为观察组和对照组，每组30例。观察组中男19例，女11例;年龄61～82岁，平均年龄(71.78±7.53)岁;病程2个月至3年，平均病程(1.67±0.14)年。对照组中男20例，女10例;年龄63～83岁，平均年龄(73.16±7.34)岁;病程3个月至2年，平均病程(1.13±1.25)年。2组患者一般资料经统计学分析，差异无统计学意义(P>0.05)，具有可比性。
1.2 纳入标准 1)符合第八版《皮肤性病学》中PHN的诊断标准[6];2)年龄>60岁的患者;3)入院前未对后遗神经痛采取任何治疗措施;4)无其他皮肤病者;5)无严重心肺功能障碍者;6)无凝血机制障碍者;7)患者及其家属均知情同意并签署相关文书。, 百拇医药(高京宏 娄志云 于龙)
关键词 带状疱疹后遗神经痛;桃红四物汤;针灸;拔罐
Abstract Objective：To explore the clinical effects of acupuncture and pricking blood with cupping combined with Taohong Siwu Decoction in the treatment of elderly patients with postherpetic neuralgia(PHN).Methods：A total of 60 elderly patients with PHN diagnosed and treated in Beijing Armed Police General Hospital from September 2013 to February 2018 were randomly divided into an observation group and a control group according to the random number table，with 30 cases in each group.The observation group was treated with Taohong Siwu Decoction orally，pricking blood and cupping therapy，while the control group was treated with Taohong Siwu Decoction orally only.The therapeutic effects in the 2 groups were analyzed and compared.Results：After treatment，the total effective rate in the observation group was 90%，and the control group was 80%.There was no significant difference between the 2 groups(P>0.05).After treatment，the scores of VAS in the 2 groups were significantly reduced，and the control group was higher than the observation group，with the statistical difference significant(P<0.05).Conclusion：Acupuncture，pricking blood and cupping combined with Taohong Siwu Decoction can effectively improve the clinical symptoms of PHN patients，alleviate pain and improve sleep，which is worthy of clinical promotion.
Key Words Senile postherpetic neuralgia; Taohong Siwu Decoction; Acupuncture; Cupping therapy
中图分类号：R245;R283文献标识码：Adoi：10.3969/j.issn.1673-7202.2019.08.052
带状疱疹是由水痘-带状疱疹病毒(Varicella-zoster Virus，VZV)感染引起的一種炎症性皮肤病，老年人多发[1]。其中带状疱疹后遗神经痛(Postherpetic Neuralgia，PHN)为其最常见的一种并发症，PHN表现为待皮损消退后于在原皮疹及临近皮肤处常出现持续多于1个月的间断刀割或烧灼样痛，多表现为顽固性疼痛[2]，严重的影响了患者的日常工作、生活和睡眠质量[3]。目前临床的治疗方式多为针灸、刺血拔罐及中药汤剂口服治疗[4]，有研究[5]发现多重治疗方式联合治疗可以达到更好的治疗效果，故对老年PHN患者使用针灸、刺血拔罐联合桃红四物汤治疗进行研究，为临床治疗提供理论依据。
1 资料与方法
1.1 一般资料
选取2013年9月至2018年2月武警北京总队医院收治的老年PHN患者60例作为研究对象，按照随机数字表法分为观察组和对照组，每组30例。观察组中男19例，女11例;年龄61～82岁，平均年龄(71.78±7.53)岁;病程2个月至3年，平均病程(1.67±0.14)年。对照组中男20例，女10例;年龄63～83岁，平均年龄(73.16±7.34)岁;病程3个月至2年，平均病程(1.13±1.25)年。2组患者一般资料经统计学分析，差异无统计学意义(P>0.05)，具有可比性。
1.2 纳入标准 1)符合第八版《皮肤性病学》中PHN的诊断标准[6];2)年龄>60岁的患者;3)入院前未对后遗神经痛采取任何治疗措施;4)无其他皮肤病者;5)无严重心肺功能障碍者;6)无凝血机制障碍者;7)患者及其家属均知情同意并签署相关文书。, 百拇医药(高京宏 娄志云 于龙)
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