蜈蚣托毒丸联合火针治疗带状疱疹后遗神经痛（气滞血瘀型）的临床观察

发布时间：2018-03-22 08:15

本文选题：蜈蚣托毒丸　切入点：火针疗法　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察蜈蚣托毒丸联合火针治疗带状疱疹后遗神经痛(气滞血瘀型)的临床疗效。方法:将适合纳入标准和排除标准的120例带状疱疹后遗神经痛(气滞血瘀型)的患者,根据随机数表法随机分为3组,每组患者均为40人。入选病例均选自2016年2月～2017年2月在黑龙江中医药大学附属第一医院门诊部皮肤科就诊的患者。A组给以蜈蚣托毒丸联合火针疗法治疗,B组给以血府逐瘀胶囊联合火针疗法治疗,C组给以血府逐瘀胶囊方案,疗程4周。疗程结束后,分别记录3组患者治疗前后的疼痛程度、疼痛持续时间、疼痛时间间隔、睡眠程度、抑郁程度、其他症状综合等指标、不良反应发生例数,最后进行统计学比较。结果:治疗前,三组患者一般资料比较差异无统计学意义(P0.05),具有可比性。治疗后,在疼痛程度、疼痛持续时间、疼痛时间间隔、睡眠程度、心理抑郁程度、其他综合症状的评分上,与疗前比较,差异具有显著统计学意义(P0.05),且差值评分A组B组C组;三组治疗后,各个指标,组间比较,差异具有统计学意义(P0.05);A组治疗带状疱疹后遗神经痛的总有效率95.00%,B组治疗带状疱疹后遗神经痛的总有效率为85.00%,C组治疗带状疱疹后遗神经痛的总有效率为77.50%;三组临床疗效在统计学处理分析下,A组疗效优于B组且有显著性差别(P0.05)、B组疗效优于C组且有显著性差别(P0.05),均有统计学意义。结论:1蜈蚣托毒丸联合火针、血府逐瘀胶囊联合火针、血府逐瘀胶囊均为治疗带状疱疹后遗神经痛的有效治疗方案。2蜈蚣托毒丸联合火针的治疗方案为优秀的治疗方案,并且安全可靠、不良反应发生率低。3蜈蚣托毒丸联合火针的治疗方案对睡眠质量及生活质量的改善较好。
[Abstract]:Objective: to observe the clinical effect of Centipede Tuodu Pill combined with fire acupuncture in treating postherpetic postherpetic neuralgia (Qi stagnation and blood stasis type). Methods: 120 cases of postherpetic postherpetic neuralgia (Qi stagnation and blood stasis type), which were suitable for inclusion and exclusion criteria, were selected. According to the random number table method, it was randomly divided into three groups. The selected patients were selected from February 2016 to February 2017 in the Department of Dermatology, the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. Group A was given Centipede Tuotuo Pill combined with Fire Needle Therapy. Group C was treated with Xuefu Zhuyu capsule combined with fire acupuncture therapy. After the course of treatment, the pain degree, pain duration, pain interval, sleep degree, depression degree and other symptoms were recorded before and after treatment. Results: before treatment, there was no significant difference in general data between the three groups (P 0.05), which was comparable. The scores of psychological depression and other comprehensive symptoms were significantly different from those before treatment (P 0.05), and the difference was significant in group A (group B), group C (group C), and in comparison between the three groups after treatment. The total effective rate of group A in treating postherpetic neuralgia was 95.000.The total effective rate of group B in treating postherpetic neuralgia was 85.00% and the total effective rate of group C in treating postherpetic neuralgia was 77.50%. The curative effect of group A was better than that of group B and there was significant difference in curative effect between group A and group B (P 0.05) and there was significant difference between group B and group C (P 0.05). Xuefu Zhuyu capsule combined with Fire Needle, Xuefu Zhuyu capsule is an effective treatment scheme for postherpetic neuralgia caused by herpes zoster. The adverse reaction rate was low. 3. 3 centipede toxiu pill combined with fire needle had better effect on sleep quality and quality of life.
【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】：2017
【分类号】：R275.9

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