[1]贺利锋 董 博 ** 欧国峰 李小群 袁普卫 刘德玉.小针刀松解配合疏肝活血汤治疗带状疱疹后遗神经痛 40例[J].陕西中医药大学学报,2018,(03):030-33.[doi:10.13424/j.cnki.jsctcm.2018.03.012]
 He Lifeng,Dong Bo,Ou Guofeng,et al.Treatment of 40 Cases of Postherpetic Neuralgia with Small - Needle - Knife Release Combined with Shugan Huoxue Decoction[J].Journal of Shaanxi University of Traditional Chinese Medicine,2018,(03):030-33.[doi:10.13424/j.cnki.jsctcm.2018.03.012]
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小针刀松解配合疏肝活血汤治疗带状疱疹后遗神经痛 40例()
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《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2018年03期
页码:
030-33
栏目:
临床研究
出版日期:
2018-05-10

文章信息/Info

Title:
Treatment of 40 Cases of Postherpetic Neuralgia with Small - Needle - Knife Release Combined with Shugan Huoxue Decoction
文章编号:
2096-1340(2018)03-0030-04
作者:
贺利锋1 董 博2 ** 欧国峰3 李小群2 袁普卫2 刘德玉2
1. 咸阳市第一人民医院,陕西 咸阳 712000; 2. 陕西中医药大学附属医院,陕西 咸阳 712000; 3. 陕西中医药大学,陕西 咸阳 712046
Author(s):
He Lifeng1Dong Bo3Ou Guofeng3Li Xiaoqun2Yuan Puwei2Liu Deyu2
1. The First People's Hospital of Xianyang,Xianyang 712000,China; 2. Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712038,China; 3. The First Clinical College of Shaanxi University of Chinese Medicine,Xianyang 712038,China
关键词:
小针刀 夹脊穴 疏肝活血汤 带状疱疹后遗神经痛
Keywords:
small - needle - knifeJiaji acupointShugan Huoxue decoctionpostherpetic neuralgia
分类号:
R752. 1 + 2
DOI:
10.13424/j.cnki.jsctcm.2018.03.012
文献标志码:
A
摘要:
目的 观察小针刀松解配合疏肝活血汤治疗带状疱疹后遗神经痛患者的临床疗效。方法 对 2011 年 7 月 ~ 2017 年 2 月陕西中医药大学附属医院和咸阳市第一人民医院门诊和住院部的 80 例带状疱疹后遗神经痛 患者,按随机数字表法随机分为治疗组和对照组各 40 例患者。治疗组采用针刀松解夹脊穴和病变局部环形松 解配合疏肝解郁汤治疗,对照组采用维生素 B120mg、维生素 B1250ug 口服,每日三次,连续治疗三周,观察两组患 者治疗前后的疼痛、疗效评分的变化。结果 治疗组总有效率 95. 00% ,对照组总有效率 72. 50% ,两组间总有效 率比较差异有统计学意义( P < 0. 01) 。两组治疗前后 VAS 评分比较,治疗前两组积分没有显著性差异( P > 0. 05) 。治疗后治疗组疼痛减轻评分明显优于对照组评分,差异有统计学意义( P < 0. 05) 。结论 小针刀松解配合 疏肝活血汤治疗带状疱疹后遗神经痛疗效确切,复发率低,费用低廉,操作简便,安全性高,可在临床推广应用。
Abstract:
To observe clinical effect of small - needle - knife release and Shugan Huoxue decoction in treating postherpetic peuralgia. Method: A retrospective analysis was made on 80 cases of postherpetic neuralgia in outpa- tient and inpatient departments of the Affiliated Hospital of Shaanxi University of Chinese Medicine and The First People' s Hospital of Xianyang from July 2011 to February 2017. By random number table,the 80 patients were divided into treat- ment group and control group with 40 cases in each. The treatment group were given small - needle - knife release on Jiaji acupoint and annular release on local lesion as well as Shugan Jieyu Decoction. The control group were orally given 50ug of vitamin B12 for 3 times a day and the treatment lasted for 3 weeks. Finally,changes of the pain and curative effect scores before and after treatment of each group were observed. Result: The total effective rate of the treatment group and the control group were 95% and 72. 5% respectively. The comparison of the two rates had statistical meaning ( P < 0. 01) . VAS scores before and after treatment between the two groups were compared and the result showed no significant difference ( P > 0. 05) . pain - relieving score of the treatment group was obviously superior to that of the control group af- ter the treatment and the difference was statistically significant ( P < 0. 05) . Conclusion: Small - needle - knife release and Shugan Huoxue decoction combined have obvious curative effect on postherpetic neuralgia,the recurrence rate and cost are low,the operation is simple with high safety. So it is worthy of clinical application.

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 He Lifeng,Dong Bo*,Ou Guofeng,et al.Clinical Observation on Small - Needle - Knife Release and Shugan Huoxue Decoction in Treating Postherpetic Neuralgia[J].Journal of Shaanxi University of Traditional Chinese Medicine,2017,(03):052.[doi:10.13424/j.cnki.jsctcm.2017.05.019]

备注/Memo

备注/Memo:

基金项目: 陕西省咸阳市科学技术研究计划项目( 2016k02 - 83) ; 陕西省咸阳市科学技术研究计划项目( 2015K04 - 02) ; 国家中医药管理局科研专项( 2JDZX2015280) ; 陕西省教育厅课题( 16JK1213) 陕西省重点科技创新 团队项目( 2013KJT - 26) ; 全国名老中医药专家刘德玉传承工作室建设资助项目
通讯作者: 董博( 1978 - ) ,男,汉族,硕士,副主任医师,研究方向: 中西医结合骨科。E - mail: 297065203@ qq. com。收稿日期: 2017 - 03 - 14 编辑: 杨芳艳
更新日期/Last Update: 2019-12-10