穴位注射夹脊穴加针刺治疗老年带状疱疹后遗神经痛的的疗效观察.docVIP

穴位注射夹脊穴加针刺治疗老年带状疱疹后遗神经痛的的疗效观察 　　(毕节地区医院,贵州551700)[摘　要]　方法:采用夹脊穴注射药物加毫针围刺病损治疗老年带状疱疹后遗神经痛80例,并与针刺治疗28例及西药治疗30例进行比较。结果:前者治愈率为81.2%,总有效率为100.0%,后两者分别为32.1%、78.6%和33.3%、80.0%。前者与后两者之间分别相比较,差异有非常显著性意义,P0.01,前者疗效明显优于后两者。结论:本法治疗老年带状疱疹后遗神经痛疗效较好。 　　[主题词]　疱疹,带状/并发症;神经痛/穴位疗法;水针;穴,夹脊 　　Observation on Therapeutic Effect of Jiaji?Point Injection Plus Acupuncture on Residual Neuralgia of Senile Herpes Zoster 　　Wei Ling,Yuan Guibi(Bijie District Hospital,Guizhou 551700) 　　[Abstract]　Purpose　To approach to therapeutic methods of residual neuralgia of senile herpes zoster.Methods　Eighty cases of residual neuralgia of senile herpes zoster were treated with injection of medicines into Jiaji points and surounding needling of the pathological lesion with filiform neddles,28 cases were treated with acupuncture and 30 cases were treated with Western medicines,and their therapeutic effects were compared.Results　The cured rate was 81.2%,the total effective rate was 100.0% in the former,and the cured rate and the total effective rate were 32.1%,78.6% and 33.3%,80.0% in the two latters,respectively,with a significant difference as the former compared with the two latters(P0.05),the former in therapeutic effect being superior to those in the two latters.Conclusion　This therapy has a bettter therapeutic effect on residual neuraligia of senile herpes zoster. 　　[Key words]　Herpes Zoster/compl;Neuralgia/acupoint ther;Hydro?Acupuncture;Point EX?B?2(Jiaji) 　　 　　自1989年以来,笔者采用夹脊穴注射药物加毫针围刺病损治疗老年带状疱疹后遗神经痛80例,并与针刺治疗28例、西药治疗30例进行对照比较,疗效显著,现报告如下。 　　 　　1　临床资料 　　 　　本组138例按患者就诊先后随机分为3组。夹脊穴注射加针刺组(治疗组)80例,其中男56例,女24例;年龄51～82岁,平均64.9岁;后遗神经痛1～5天28例,6～10天52例。受损神经:肋间神经痛45例,腰部神经痛24例,骶部神经痛8例,上肢神经痛3例。针刺组(对照组Ⅰ)28例,其中男20例,女8例;年龄50～79岁,平均61.7岁;后遗神经痛1～5天9例,6～10天19例。受损神经:肋间神经痛13例,腰部神经痛9例,骶部神经痛5例,上肢神经痛1例。西药组(对照组Ⅱ)30例,其中男19例,女11例;年龄52～78岁,平均63.1岁;后遗神经痛1～5天9例,6～10天21例。受损神经:肋间神经痛16例,腰部神经痛8例,骶部神经痛5例,上肢神经痛1例。3组患者一般资料具有可比性,并经物理、X线和B超检查均未发现恶性肿瘤。 　　 　　2　治疗方法 　　 　　2.1　治疗组 　　穴位注射:①药物:醋酸强的松龙1.5 ml(37.5 mg)、维生素B?1100 mg