六香散穴位贴敷治疗带状疱疹后遗神经痛（气滞血瘀证）的临床疗效观察

发布时间：2018-06-16 03:41

本文选题：带状疱疹后遗神经痛 + 六香散　；参考：《成都中医药大学》2016年硕士论文

【摘要】：目的：通过观察六香散穴位贴敷与耳针对比治疗气滞血瘀型带状疱疹后遗神经痛的临床疗效,探讨六香散穴位贴敷治疗气滞血瘀型带状疱疹后遗神经痛的可行性与作用机理,为中医治疗带状疱疹后遗神经痛提出新的思路与方法。方法：将符合西医诊断标准以及中医证候诊断标准的带状疱疹后遗神经痛患者随机分为治疗组(30例)和对照组(30例)。治疗组给予六香散外敷神阙穴进行穴位贴敷治疗,隔日一次,一周4次；对照组给予耳针治疗,双侧耳穴贴压,每日揉按3次,每次3分钟。两组观察周期均为4周,在第4周治疗结束进行疗效评价,比较治疗前后疼痛积分改善情况。结果：本研究共完成55例患者的临床疗效观察,治疗组28例,对照组27例。治疗组总有效率为92.8%,对照组总有效率为81.5%,经统计学分析P0.05,两组差异有统计学意义,治疗组疗效优于对照组。两组治疗前后疼痛程度积分差值比较P0.05,两组治疗前后疼痛持续时间积分、疼痛间隔时间积分差值比较P0.05,差异无统计学意义,说明在缓解疼痛程度方面,治疗组优于对照组；但是在缓解疼痛持续时间及疼痛间隔时间方面,治疗组和对照组无明显差异。结论：六香散穴位贴敷对气滞血瘀型带状疱疹后遗神经痛有治疗效果,能够缓解患者的疼痛感,是一种安全有效的中药外治法。
[Abstract]:Objective: to investigate the feasibility and mechanism of Liuxiang Powder acupoint application and ear acupuncture in the treatment of postherpetic neuralgia after herpes zoster with Qi stagnation and blood stasis type, and to explore the feasibility and mechanism of treating postherpetic neuralgia caused by qi stagnation and blood stasis type. To provide a new idea and method for the treatment of postherpetic neuralgia of herpes zoster. Methods: the patients with herpes zoster neuralgia were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with external application of Liuxiang Powder at Shenque point, once every other day, 4 times a week, while the control group was treated with auricular acupuncture, bilateral auricular points were pressed and rubbed 3 times a day for 3 minutes each time. The observation period was 4 weeks, the curative effect was evaluated at the end of the 4th week, and the improvement of pain score before and after treatment was compared. Results: the clinical effect of 55 patients was observed, 28 cases in the treatment group and 27 cases in the control group. The total effective rate of the treatment group was 92.8 and the total effective rate of the control group was 81.5. The difference between the two groups was statistically significant (P 0.05). The curative effect of the treatment group was better than that of the control group. There was no significant difference between the two groups before and after treatment, which indicated that the treatment group was superior to the control group in relieving the pain degree. The difference between the two groups before and after treatment was P0.05, and the difference between the two groups before and after treatment was P0.05. the difference between the two groups was not statistically significant. But there was no significant difference in pain relief duration and pain interval between treatment group and control group. Conclusion: the acupoint application of Liuxiang Powder has therapeutic effect on postherpetic neuralgia caused by qi stagnation and blood stasis type herpes zoster. It can relieve the pain of the patients and is a safe and effective method of external treatment of traditional Chinese medicine.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.7

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