针刺结合耳穴按压治疗带状疱疹后遗神经痛（PHN）的临床观察

发布时间：2018-06-09 20:47

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

【摘要】：目的：通过对针刺结合耳穴按压治疗带状疱疹后遗痛(PHN)疗效观察,探索配合应用规律,为临床推广针刺结合耳穴按压疗法提供客观的有价值的临床研究依据。方法：选择60例符合标准纳入、发病时间在病程1个月至6个月之间的病患,随机分成针刺结合耳穴按压组30例、针刺组30例。各组患者的基础针刺穴位,手法,刺激量相同。耳穴贴压,贴在所选之穴上,2天替换1次(若有脱落应及时替换),两耳交替贴穴,嘱其日按压4-6次,每次1分钟,令耳廓产生酸、胀、痛、热感,以轻柔手法施压,使皮肤不被压破,疗程均为2周(14天),两组治疗每天1次,共12天。结果：1.在PHN疼痛积分上,治疗组疗前与疗后有统计学意义(P0.01)；对照组治疗前后有统计学意义(P0.01),说明两种方法均有效；经t检验,治疗后两组有显著性差异(P0.05),说明治疗组取得的临床疗效优于对照组。2.在VAS评分上,治疗组疗前与疗后有统计学意义(P0.01)；对照组治疗前后有统计学意义(P0.01),说明两种方法均有效；经t检验,治疗后两组有显著性差异(P0.05),说明治疗取得了疗效。3.治疗组的总有效率为93.33%,对照组的总有效率为80.00%!,P=0.037(P0.05)说明两组间比较有统计学意义,说明治疗组疗效明显优于对照组。4.在疼痛症状积分上,经t检验,结束治疗一个月后与治疗后的两组间疼痛症状积分 ※P=0.39(P0.05),经分析※P值虽不具有统计学意义,但1月后患者疼痛趋势表明治疗组优于对照组。5.在VAS评分上,经t检验,结束治疗一个月后与治疗后※P=0.25(P0.05),经分析※P值虽不具有统计学意义,但1月后患者疼痛趋势表明治疗组优于对照组,说明远期疗效优势。结论：1.针刺结合耳穴按压对于治疗PHN有效。2.针刺结合耳穴按压治疗PHN的临床疗效优于单纯针刺疗法的临床疗效。3.针刺结合耳穴按压治疗PHN的病程时间及远期疗效明显优于单纯针刺疗法。
[Abstract]:Objective: to observe the curative effect of acupuncture combined with auricular acupoint pressing for treating postherpetic herpes zoster pain (PHN), to explore the law of combined application, and to provide an objective and valuable clinical research basis for clinical popularization of acupuncture combined with auricular acupoint pressing therapy. Methods: sixty patients who met the criteria were randomly divided into acupuncture plus auricular pressing group (30 cases) and acupuncture group (30 cases). The basic acupuncture points, manipulations and stimuli of the patients in each group were the same. Apply pressure of auricular points to the selected acupoints for 2 days and replace them once every 2 days (if any shedding occurs, replace the acupoints in time, alternate points between the two ears, and ask them to press 4-6 times a day for one minute each time) to produce acid, distension, pain and heat on the auricle, and gently apply pressure on the auricle. The course of treatment was 2 weeks and 14 days. The two groups were treated once a day for 12 days. The result is 1: 1. In PHN pain score, before and after treatment, the treatment group had statistical significance (P 0.01), while the control group had statistical significance (P 0.01) before and after treatment, indicating that both methods were effective. There was significant difference between the two groups after treatment, indicating that the clinical effect of the treatment group was better than that of the control group. 2. In the VAS score, the treatment group before and after treatment has a statistical significance (P 0.01); the control group before and after treatment has statistical significance (P 0.01), indicating that the two methods are effective; through t test, there is significant difference between the two groups after treatment P0.05, indicating that the treatment has achieved curative effect. 3. The total effective rate of the treatment group was 93.33 and the total effective rate of the control group was 80.007.The comparison between the two groups was statistically significant, indicating that the curative effect of the treatment group was significantly better than that of the control group .4. As to the score of pain symptom, t test showed that the score of pain symptom between the two groups after one month of treatment and after treatment was 0.39% P0.05, although the value of P was not statistically significant, the trend of pain in the treatment group was better than that in the control group after 1 month. On the VAS score, t test showed that after one month of treatment and after treatment, the P value was not statistically significant, but the pain trend of the treatment group was superior to that of the control group after one month, indicating the advantage of long-term curative effect. Conclusion 1. Acupuncture combined with auricular pressing is effective in treating PHN. The clinical effect of acupuncture combined with auricular point pressing on PHN is better than that of pure acupuncture. The duration and long-term effect of acupuncture combined with auricular acupoint pressing in treating PHN were significantly better than that of simple acupuncture.
【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】：R246.7

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