带状疱疹神经痛中西医辨证分型针刺治疗临床观察

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1、带状疱疹神经痛中西医辨证分型针刺治疗临床观察【摘要】廿的观察辨证取穴与阿是穴取穴针刺治疗带状疱疹神经痛疗效间差异及不同病程针刺疗效间差异。方法对不同病程的带状疱疹神经痛患者进行中西医辨证，分为肝火炽盛型、脾经湿盛型、肝郁气滞型、带状疱疹后神经痛四型，治疗组以辨证取穴位针刺结合泛昔洛韦治疗；对照组以阿是穴取穴针刺结合泛昔洛韦治疗。采用疼痛五级评分法，对带状疱疹神经痛患者治疗前后的疼痛积分进行评估。在第3d、第7d、1个月吋段评估疗效。结果治疗组、对照组对针刺的疗效均显著，但两组比较无明显差异(P>0

2、.05)；不同病程患者接受针刺治疗的疗效比较差异有显著性(PvO.05)。结论治疗组辩证取远处穴位针刺对带状疱疹神经痛的止痛效果与对照组单纯阿是穴取穴针刺差异不大。而与病程针刺治疗早晚有显著差异，提示病程早期在皮损相应脊神经根旁阿是穴排列状取穴施治甚为重耍。【关键词】辨证针刺治疗带状疱疹神经痛Clinicalobservationontheeffectofacupuntureonneuralgiainherpeszosterpatients.HAUNGWen-fu,PENGJian-min,CHE

3、NJun-zhao.(HuizhouMunicipalCenterPeople’sHospital,Huizhou516001,Guangdong,PR.China)Abstract：ObjectiveToobservethetherapeuticeffectofacupuntureonneuralgiainherpeszosterpatients.MethodsCaseswithHerpesZosterNeuralgiaweredividedintofourtypesaccordin

4、gtothesymptomsofpatientsbasedonthedifferentiationoftraditionalmedicineandwesternmedicine.PatientsintheobservationgroupweretreatedbyacupunctureonacupointchosenbaseddifferentialdiagnosisincombinationwithFamciclovir.Patientsinthecontrolgroupweretreatedby

5、acupunctureontheAshipointscombinedwithFamciclovir.Theresultswereassessedbasedonthethefivedgreesofpainbeforethetreatmentandthree,sevenadthirtydaysaftertreatment.ResultsMarkedtherapeuticeffectswereobtainedbothinobservationgroupandcontrolgroup,butwithout

6、significantdifferences(P>0.05).Butsignificantdifferenceswereobservedinpatientstreatedwithacupunctureatdifferentstages(P<0.05).ConclusionThereacupuncturetreatmentofneuralgiainherpeszosterpatientsonselectiveacupointsisaseffectiveasonAshiacupoints・Butthe

7、effectisassociatedwiththecourseoftreatmentandtimeofstartingtreatmetn,suggestingthatselectiveacupunctureonarrangedacupointslikeAshipointsadjacenttothecoiTespondingspinalnerverootsatthetimeofearlylesionisfundamentallyimportant.Keywords：Differentiation;A

8、cupuncture;Treatment;HerpesZoster;Neuralgia带状疱疹神经痛是由水痘一带状疱疹病毒侵犯神经，使受侵犯的神经组织发生炎症性病理改变，引起剧烈疼痛。针刺治疗是减轻疼痛的有效方法之-。木文川中西医辨证分型取穴针刺法与单纯阿是穴针刺法对不同病程就诊的患者进行治疗并观察其疗效。1资料和方法1.1研究对象纳入标准：参照赵俊等主编《疼痛诊断治疗学》第一版、马绍尧主编的《现代中更皮肤性病学》第一版及有关文献报道观点确定：①在某一脊神经后根或脑神经支分布的一个