国际麻醉学与复苏杂志
國際痳醉學與複囌雜誌
국제마취학여복소잡지
INTERNATIONAL JOURNAL OF ANESTHESIOLOGY AND RESUSCITATION
2014年
10期
906-908
,共3页
带状疱疹后神经痛%刺血疗法
帶狀皰疹後神經痛%刺血療法
대상포진후신경통%자혈요법
Postherpetic neuralgia%Wet cupping method
目的 评估刺血治疗带状疱疹后神经痛(postherpetic neuralgia,PHN)的疗效. 方法 100例带状疱疹后神经痛患者采用随机数字表法分为对照组(53例)和刺血组(47例).对照组采用常规疗法,包括药物治疗和物理治疗等;刺血组在对照组的治疗基础上给予胸椎旁以及色素沉着区域针头挑刺皮肤刺血治疗,每周2次,共4周.采用视觉模拟评分法(visualanalogue scale,VAS)分别于治疗前和治疗后第4周评估疼痛强度,并计算疼痛缓解率.采用生活质量SF-36表中国版对两组患者治疗前后生活质量进行评估比较.采用匹兹堡睡眠质量指数对两组患者治疗前后睡眠质量进行评估比较. 结果 两组疼痛强度治疗后[(4.1±1.5),(2.2±1.3)]与治疗前[(8.6±1.4),(8.7±1.3)]比较均显著降低(P＜0.05),治疗后组间比较,刺血组(74.1±2.3)疼痛缓解率显著高于对照组(51.1±2.9) (P＜0.05);SF-36量表中躯体健康指数(physical component summary,PCS)两组均较治疗前改善,且刺血组(67.9±5.5)与对照组(55.1±6.0)比较差异有统计学意义(P＜0.05);匹兹堡睡眠质量指数两组均较治疗前改善,且刺血组(5.8±2.8)与对照组(8.5±1.2)比较差异有统计学意义(P＜0.05). 结论 刺血治疗可有效提高带状疱疹后神经痛的疗效.
目的 評估刺血治療帶狀皰疹後神經痛(postherpetic neuralgia,PHN)的療效. 方法 100例帶狀皰疹後神經痛患者採用隨機數字錶法分為對照組(53例)和刺血組(47例).對照組採用常規療法,包括藥物治療和物理治療等;刺血組在對照組的治療基礎上給予胸椎徬以及色素沉著區域針頭挑刺皮膚刺血治療,每週2次,共4週.採用視覺模擬評分法(visualanalogue scale,VAS)分彆于治療前和治療後第4週評估疼痛彊度,併計算疼痛緩解率.採用生活質量SF-36錶中國版對兩組患者治療前後生活質量進行評估比較.採用匹玆堡睡眠質量指數對兩組患者治療前後睡眠質量進行評估比較. 結果 兩組疼痛彊度治療後[(4.1±1.5),(2.2±1.3)]與治療前[(8.6±1.4),(8.7±1.3)]比較均顯著降低(P＜0.05),治療後組間比較,刺血組(74.1±2.3)疼痛緩解率顯著高于對照組(51.1±2.9) (P＜0.05);SF-36量錶中軀體健康指數(physical component summary,PCS)兩組均較治療前改善,且刺血組(67.9±5.5)與對照組(55.1±6.0)比較差異有統計學意義(P＜0.05);匹玆堡睡眠質量指數兩組均較治療前改善,且刺血組(5.8±2.8)與對照組(8.5±1.2)比較差異有統計學意義(P＜0.05). 結論 刺血治療可有效提高帶狀皰疹後神經痛的療效.
목적 평고자혈치료대상포진후신경통(postherpetic neuralgia,PHN)적료효. 방법 100례대상포진후신경통환자채용수궤수자표법분위대조조(53례)화자혈조(47례).대조조채용상규요법,포괄약물치료화물리치료등;자혈조재대조조적치료기출상급여흉추방이급색소침착구역침두도자피부자혈치료,매주2차,공4주.채용시각모의평분법(visualanalogue scale,VAS)분별우치료전화치료후제4주평고동통강도,병계산동통완해솔.채용생활질량SF-36표중국판대량조환자치료전후생활질량진행평고비교.채용필자보수면질량지수대량조환자치료전후수면질량진행평고비교. 결과 량조동통강도치료후[(4.1±1.5),(2.2±1.3)]여치료전[(8.6±1.4),(8.7±1.3)]비교균현저강저(P＜0.05),치료후조간비교,자혈조(74.1±2.3)동통완해솔현저고우대조조(51.1±2.9) (P＜0.05);SF-36량표중구체건강지수(physical component summary,PCS)량조균교치료전개선,차자혈조(67.9±5.5)여대조조(55.1±6.0)비교차이유통계학의의(P＜0.05);필자보수면질량지수량조균교치료전개선,차자혈조(5.8±2.8)여대조조(8.5±1.2)비교차이유통계학의의(P＜0.05). 결론 자혈치료가유효제고대상포진후신경통적료효.
Objective To evaluate the efficacy of wet cupping in the treatment of postherpetic neuralgia (PHN).Methods One hundred PHN patients were randomized into control group (n=53) (conventional therapies such as anticonvulsants,opioids,superlaser and so on) and wet cupping group (n--47) (wet cupping,on top of conventional therapies.Wet cupping is done first with a triangular needle pricking the skin briefly.Later vacuum tank was immediately placed on the skin so that,air extraction helped to suction the blood out.Wet cupping was administered,twice per week,lasting 4 weeks).Pain intensity was evaluated with visual analogue scale (VAS) before and four week after the treatment.Quality of life was evaluated with SF-36 form (China version),and sleep quality measured by Pittsburgh sleep quality index (PSQI) both before the treatment and after the treatment.Results Compared with before treatment [(8.6 ± 1.4),(8.7 ± 1.3)],the pain score in PHN patients decreased after treatment [(4.1 ± 1.5),(2.2±1.3)] in both group (P＜0.05).The rate of pain remission in wet cupping-treated group (74.1±2.3) was higher than that in control group(51.1±2.9) (P＜0.05).The sleep quality was improved for both group,especially for the wet-cupping group(5.8±2.8),compared with control group (8.5±1.2),Quality of life for the physical health have the same trend:wet cupping-treated group (67.9±5.5) compare with control group(55.1±6.0).Conclusions wet cupping can improve the efficacy of pain alleviation on top of conventional therapies in the treatment of PHN.
