针刺研究2024，Vol.49Issue(5)：499-505,7.DOI:10.13702/j.1000-0607.20230195
调神针法对带状疱疹后遗神经痛患者疼痛程度、负性情绪和睡眠质量的影响
Effects of mind-regulating acupuncture on pain,negative emotion and sleep quality in patients with postherpetic neuralgia:a randomized controlled pilot trial
摘要
Abstract
Objective To observe the effect of mind-regulating acupuncture on pain intensity,sleep quality,negative emotion in patients with postherpetic neuralgia(PHN),and evaluate the clinical effect of mind-regulating acupuncture combined with surrounding needling and heavy moxibustion at Ashi points(Extra)in treatment of PHN.Methods The patients with PHN were randomly divided into a control group(35 cases,2 cases dropped out)and a comprehensive therapy group(35 cases).The patients in the control group were treated with surrounding needling and heavy moxibustion at Ashi points.In the comprehensive therapy group,the mind-regulating acupuncture therapy was delivered besides the treatment as the control group.The treatment was given once daily,one course of treatment was composed of 6 days and 2 courses were required in the 2 groups.Before and after treatment,the pain conditions were assessed using pain rating index(PRI),visual analogue scale(VAS)and present pain intensity(PPI),the negative emotions were assessed using Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD),and the sleep quality with Pittsburgh sleep quality index(PSQI).One week before and one week after treatment,the average sleep time was recorded.The therapeutic effect of 2 groups was evaluated.The effective cases of 2 groups were followed up in 2 months after treatment completion and the recurrence of neuralgia was recorded.Results There were no statistical differences in the above indicators between the 2 groups before treatment.After 2 courses of treatment,the scores of PRI,VAS,PPI,HAMA,HAMD and PSQI were reduced when compared with those before treatment in the patients of the 2 groups(P<0.05),and the average sleep time was increased(P<0.05).The scores of PRI,VAS,PPI,HAMA,HAMD and PSQI in the comprehensive therapy group,as well as the average sleep time were all improved when compared with those of the control group(P<0.05).The total effective rate in the comprehensive therapy group(34/35,97.14%)was higher than that of the control group(27/33,81.82%,P<0.05)and the recurrence rate was lower([2/34,5.88%]vs[8/27,29.63%],P<0.05).Conclusion The combination of mind-regulating acupuncture with surrounding needling and heavy moxibustion at Ashi acupoint can effectively relieve PHN.Compared with the traditional surrounding acupuncture in pain area combined with moxibustion at Ashi points,this comprehensive therapy is more effective for ameliorating pain intensity,improving sleep quality and reducing negative emotions.It is also effective for declining the recurrence.关键词
针刺/调神/围刺/重灸/带状疱疹后遗神经痛Key words
Acupuncture/Mind regulation/Surrounding acupuncture/Heavy moxibustion/Postherpetic neuralgia引用本文复制引用
徐纬,张祖勇,孙丹,严永兴,张艳,李世民,陈周阳..调神针法对带状疱疹后遗神经痛患者疼痛程度、负性情绪和睡眠质量的影响[J].针刺研究,2024,49(5):499-505,7.基金项目
浙江省中医药科技计划中医药重点研究项目(No.2022ZZ029) （No.2022ZZ029）
