宫氏脑针治疗顽固性带状疱疹后遗神经痛临床观察
江西省鹰潭市余江区中医院, 内科, 江西鹰潭 335200
| 摘 要： | 背景: 带状疱疹后遗神经痛是最常见的一种神经病理性疼痛，发病机制复杂，目前中西医临床疗效并不理想。本研究旨在探讨宫氏脑针治疗顽固性带状疱疹后遗神经痛的疗效及安全性，为临床治疗顽固性带状疱疹后遗神经痛提供依据。目的：观察宫氏脑针治疗顽固性带状疱疹后遗神经痛的临床疗效。方法：60例随机分为治疗组30例和对照组30例。治疗组用宫氏脑针，观察组用普瑞巴林胶囊（辉瑞制药有限公司生产）口服治疗，两组观察周期均为30天，治疗结束后一个月电话随访行最后一次评分。结果：治疗组治疗第5、15、30及治疗一月后和对照组的治疗第15、30天及治疗一月后的VAS评分均显著低于治疗前（均P﹤0.05）；治疗组治疗第5、15、30及治疗一月后的VAS评分均显著低于对照组（均P﹤0.05）。均有统计学意义（P<0.05）。结论：宫氏脑针治疗顽固性带状疱疹后遗神经痛，可显著提高带状疱疹后遗神经痛的临床疗效，缩短疼痛的缓解时间，显著减轻患者的疼痛症状，显著提高患者的生活质量。具有创新性，解决了顽固性带状疱疹后遗神经痛长期治疗欠佳的困境，具有“简便、快捷、规范、安全、效验”等特点，是值得尝试的一种治疗方法，值得临床推广运用。 |
| 关 键 词： | 带状疱疹后遗神经痛; 宫氏脑针; 临床观察 |
| DOI： | 10.57237/j.cmrd.2022.01.005 |
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收稿日期: 2022-10-31
接受日期: 2022-12-02
在线出版日期: 2022-12-15
Clinical Observation on the Treatment of Intractable Postherpetic Neuralgia by Gong's brain Acupuncture
Internal Medicine, Yujiang Hospital of Traditional Chinese Medicine, Yingtan 335200, China
| Abstract: | Background: Postherpetic neuralgia is one of the most common neuropathic pain. Its pathogenesis is complex, and the clinical efficacy of Chinese and western medicine is not ideal at present. The purpose of this study was to investigate the efficacy and safety of Gongshi brain acupuncture in the treatment of intractable postherpetic neuralgia, and to provide evidence for the clinical treatment of intractable postherpetic neuralgia. Objective: To observe the clinical effect of Gong Shi brain acupuncture on intractable postherpetic neuralgia. Methods: 60 cases were randomly divided into treatment group (30 cases) and control group (30 cases). The treatment group was treated with Gong's brain needle, and the observation group was treated with pregabalin capsule (produced by Pfizer) orally. The observation period of both groups was 30 days, and the last score was performed by telephone follow-up one month after the treatment. Results: VAS scores of the treatment group at the 5th, 15th, 30th day and 1 month after treatment and the control group at the 15th, 30th day and 1 month after treatment were significantly lower than those before treatment (all P<0.05). VAS scores in the treatment group were significantly lower than those in the control group at the 5th, 15th, 30th and 1 month after treatment (all P<0.05). All of them had statistical significance (P<0.05). Conclusion: Gongshi brain acupuncture in the treatment of intractable postherpetic neuralgia can significantly improve the clinical efficacy of postherpetic neuralgia, shorten the time of pain relief, significantly reduce the pain symptoms of patients, and significantly improve the quality of life of patients. It is innovative, solves the dilemma of poor long-term treatment of intractable postherpetic neuralgia, and has the characteristics of "simple, fast, standard, safe and effective". It is a treatment method worth trying and worth clinical promotion and application. |
| Keywords: | Postherpetic Neuralgia; Gong's Brain Needle; Clinical Observation |
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