腕踝针联合揿针治疗带状疱疹后遗痛的临床疗效观察

doi:10.20223/j.cnki.1000-8535.2025.05.011

摘要/Abstract

摘要： 目的探究腕踝针联合揿针治疗带状疱疹后遗痛的临床疗效观察。方法选取上海市黄浦区中西医结合医院2021年10月—2024年4月收治的80例带状疱疹后遗神经痛患者为研究对象,按随机数表法分为研究组、对照组,各40例。对照组采用口服甲钴胺治疗;研究组采用腕踝针联合揿针治疗。比较两组治疗疗效;治疗前后采用视觉模拟评分（VAS）与阿森斯失眠量表评分（AIS）、皮肤病生活质量指数（DLQI）、汉密尔顿抑郁量表评分（HAMD）、汉密尔顿焦虑量表评分（HAMA）。结果研究组治疗总有效率为92.5%,对照组治疗总有效率为75%。比较差异有统计学意义（P<0.05）。两组患者治疗后VAS、AIS均比治疗前改善,研究组VAS评分为（1.00±0.45）、AIS评分为（7.15±0.89）,优于对照组VAS（2.15±0.36）和AIS（5.65±0.70）,比较差异有统计学意义（P<0.05）。相较于治疗前,两组患者DLQI评分均有改善,研究组[休闲活动评分（1.73±0.45）、人际交往评分（1.13±0.34）、工作学习评分（0.94±0.25）、自觉症状评分（1.83±0.38）、日常活动评分（0.98±0.28）]优于对照组[休闲活动评分（2.06±0.40）、人际交往评分（1.81±0.39）、工作学习评分（1.08±0.38）、自觉症状评分（2.01±0.34）、日常活动评分（1.10±0.30）],差异有统计学意义（P<0.05）。两组患者HAMD评分、HAMA评分,相较于治疗前均有改善,研究组HAMD评分为（34.63±2.61）、HAMA评分为（35.75±2.48）,优于对照组HAMD评分（47.68±3.21）和HAMA评分（46.90±3.31）,差异有统计学意义（P<0.05）。结论腕踝针联合揿针治疗带状疱疹后遗神经痛的临床疗效显著,可有效改善患者生活质量、疼痛程度、焦虑及抑郁程度,提升患者睡眠质量。

关键词: 腕踝针, 揿针, 带状疱疹后遗痛, 临床疗效

Abstract: Objective To investigate the clinical efficacy of wrist and ankle acupuncture combined with thumbtack needle in the treatment of postherpetic herpes zoster pain．Methods Eighty patients with postherpetic neuralgia admitted to Shanghai Huangpu District Hospital of Integrative Medicine from October 2021 to April 2024 were selected for the study,and were divided into a study group and a control group of 40 cases each according to the random number table method．The control group was treated with oral mecoblamin tables;the study group was treated with wrist and ankle acupuncture combined with thumbtack needle． The efficacy of treatment between the two groups was compared;before and after treatment,the visual analogue score（VAS）and Asens Insomnia Scale（AIS）,Dermatological Quality of Life Index（DLQI）,Hamilton Depression Scale（HAMD）,Hamilton Anxiety Scale（HAMA）were compared．Results The treatment efficiency was 92.5% in the study group and 75% in the control group．The difference was statistically significant（P<0.05）．VAS scores and AIS scores of patients in both groups improved after treatment,and VAS score（1.00±0.45）,AIS score（7.15±0.89）of the study group were better than VAS score（2.15±0.36）,AIS score（5.65±0.70）of the control group．The differences were statistically significant（P<0.05）．The DLQI scores of both groups improved after treatment,and the score of study group（leisure activity score[1.73±0.45],interpersonal interaction score[1.13±0.34],work-study score[0.94±0.25],self-perceived symptom score[1.83±0.38],daily activities score[0.98±0.28]）were higher than those of the control group（leisure activity score[2.06±0.40],interpersonal score[1.81±0.39],work-study score[1.08±0.38],conscious symptom score[2.01±0.34],daily activity score[1.10±0.30]）．The differences were statistically significant（P<0.05）．HAMD scores and HAMA scores of patients in both groups,showed significant improvement after treatment,and HAMD scores（34.63±2.61）and HAMA scores（35.75±2.48）of the study group were better than HAMD scores（47.68±3.21）and HAMA scores（46.90±3.31）of the control group．The difference was statistically significant（P<0.05）．Conclusions The clinical efficacy of wrist and ankle acupuncture combined with thumbtack needle in the treatment of postherpetic pain is remarkable,effectively improving the quality of life,pain,anxiety and depression,and enhancing the quality of sleep of patients．

Key words: wrist and ankle acupuncture, thumbtack needle, post therapeutic pain, clinical efficacy

王方静, 郭飞云, 梁未末, 朱越. 腕踝针联合揿针治疗带状疱疹后遗痛的临床疗效观察[J]. 广州医药, 2025, 56(5): 650-655.

WANG Fangjing, GUO Feiyun, LIANG Weimo, ZHU Yue. Clinical efficacy of wrist and ankle acupuncture combined with thumbtack needle in the treatment of postherpetic herpes zoster pain[J]. Guangzhou Medical Journal, 2025, 56(5): 650-655.

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