广州医药2025，Vol.56Issue(5)：650-655,6.DOI:10.20223/j.cnki.1000-8535.2025.05.011
腕踝针联合揿针治疗带状疱疹后遗痛的临床疗效观察
Clinical efficacy of wrist and ankle acupuncture combined with thumbtack needle in the treatment of postherpetic herpes zoster pain
摘要
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.关键词
腕踝针/揿针/带状疱疹后遗痛/临床疗效Key words
wrist and ankle acupuncture/thumbtack needle/post therapeutic pain/clinical efficacy引用本文复制引用
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):650-655,6.基金项目
上海市黄浦区青年医师培养资助计划(2021QN08) （2021QN08）
