瓜蒌全蝎汤联合火针治疗老年带状疱疹后神经痛的疗效评价

发布时间：2018-03-19 10:48

本文选题：带状疱疹后神经痛　切入点：瓜蒌全蝎汤　出处：《重庆医学》2017年31期 　论文类型：期刊论文

【摘要】：目的评价瓜蒌全蝎汤联合火针治疗老年带状疱疹后神经痛(PHN)的临床疗效及安全性。方法将150例PHN患者分为对照组和观察组。两组均采用加巴喷丁胶囊+盐酸阿米替林片治疗。对照组内服瓜蒌全蝎汤,观察组采用瓜蒌全蝎汤+火针。疗程4周。进行治疗前后简化McGill疼痛量表、健康调查简表(SF-36)、阿森斯失眠量表(AIS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)和总体感觉(PGIC)评价,并进行安全性评价。结果治疗后观察组患者疼痛分级指数(PRI)、视觉模拟评分(VAS)和现在疼痛状况(PPI)评分均低于对照组(P0.01);观察组生理机能、生理职能、躯体疼痛、情感职能评分高于对照组(P0.01);观察组患者AIS、SDS和SAS评分低于对照组(P0.01);观察组PGIC明显好转的患者多于对照组(χ2=6.654,P0.05)。结论瓜蒌全蝎汤联合火针治疗老年PHN,可有效缓解疼痛症状,提高睡眠质量和生活质量,临床使用安全,患者总体感觉好。
[Abstract]:Objective to evaluate the clinical efficacy and safety of Gualou Quanxiao decoction combined with fire acupuncture in the treatment of postherpetic neuralgia in the elderly. Methods 150 patients with PHN were divided into control group and observation group. The control group was treated with Gualouquan decoction, The observation group was treated with Guilou Quanxiao decoction fire needle for 4 weeks. The simple McGill pain scale was used before and after treatment, the health survey summary table was SF-36, the Ascension Insomnia scale was AIS, the Self-Rating Depression scale (SDS), the Self-Rating anxiety scale (SAS), and the whole sense of pain (McGill) were evaluated. Results after treatment, the pain grading index, visual analogue score (vas) and present pain status (PPI) scores in the observation group were lower than those in the control group (P 0.01), the physiological function, physiological function and somatic pain in the observation group were significantly lower than those in the control group. The scores of affective function were higher than those of the control group (P 0.01), the scores of AISN SDS and SAS in the observation group were lower than those in the control group (P 0.01), and the patients in the observation group were significantly better than those in the control group (蠂 2, 6.654, P 0.05). Conclusion Gualou Quanxiao decoction combined with fire needle therapy can effectively relieve the pain symptoms in the elderly patients. Improve the quality of sleep and quality of life, clinical use of safety, patients overall feel good.
【作者单位】：河南省南阳市中心医院疼痛科;河南省南阳市宛城区第一人民医院;
【分类号】：R275.9

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