阳和汤加减联合激光治疗带状疱疹后神经痛的临床观察

发布时间：2018-06-10 16:19

本文选题：带状疱疹后遗神经痛 + 阳和汤　；参考：《黑龙江中医药大学》2016年硕士论文

【摘要】：目的：观察阳和汤加减联合激光治疗带状疱疹后神经痛的临床疗效。方法：采用随机对照的方法,将符合入选标准72例患者(病例来源：黑龙江中医药大学附属第一医院皮肤科门诊患者),按就诊的先后顺序,随机分为治疗组和对照组,每组36例。治疗组36例给予口服中药汤剂阳和汤(加减),每日1剂；对照组36例给予消炎痛25mg每次,每日3次。两组均采用联合半导体激光照射治疗,皮损局部或疼痛区域照射每日1次。记录入组前、入组后28天疼痛、总体症状和睡眠的变化情况,分析两组之间的疗效差异。结果：两组的总有效率分别为治疗组72.00%、对照组42.00%。将两组总有效率进行比较,结果显示其具有显著性差异,治疗组的效果优于对照组(P0.05)；两组经过治疗后对比疼痛有显著性差异(P0.05)两组经过治疗后总体症状对比有显著差异(P0.05) 两组经过治疗后睡眠对比有显著差异(P0.05),治疗组效果明显优于对照组。结论：阳和汤(加减)联合激光治疗带状疱疹后神经痛能够有效的减轻患者疼痛,改善临床症状和睡眠情况,是治疗阳虚寒凝型带状疱疹后遗神经痛安全有效的治疗方法。
[Abstract]:Objective: to observe the clinical effect of Yanghe decoction combined with laser on post herpes zoster neuralgia. Methods: a randomized controlled method was used to divide 72 patients (from the dermatology department of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine) into treatment group and control group randomly. There were 36 cases in each group. The treatment group (36 cases) were given oral Chinese traditional medicine decoction Yanghe decoction (1 dose per day) and the control group (36 cases) were given indomethacin 25mg 3 times a day. Both groups were treated with combined semiconductor laser irradiation. The changes of pain, general symptoms and sleep were recorded before and 28 days after entering the group, and the difference of curative effect between the two groups was analyzed. Results: the total effective rate was 72.00 in the treatment group and 42.00 in the control group. The total effective rate of the two groups was compared and the results showed that there was a significant difference between the two groups. The effect of the treatment group is better than that of the control group (P0.05A; after treatment, there is a significant difference between the two groups in comparing pain and pain (P0.05) after treatment, there is a significant difference in the overall symptoms of the two groups (P0.05) there is a significant difference between the two groups in the sleep comparison after treatment, and there is a significant difference in the effect of the treatment group. The fruit was obviously superior to the control group. Conclusion: the treatment of postherpetic neuralgia with Yang he decoction (plus or minus) combined with laser is a safe and effective method for the treatment of postherpetic neuralgia due to deficiency of yang and cold coagulation.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R752.12

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