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疏肝调神针刺法治疗带状疱疹后遗神经痛:一项随机对照临床试验

杨一玲 赵伟璇 李嘉乐 陈伟强

世界针灸杂志(英文版)2025,Vol.35Issue(2):119-124,6.
世界针灸杂志(英文版)2025,Vol.35Issue(2):119-124,6.DOI:10.1016/j.wjam.2025.01.004

疏肝调神针刺法治疗带状疱疹后遗神经痛:一项随机对照临床试验

Shugan Tiaoshen needling method for postherpetic neuralgia:A randomized controlled trial ☆

杨一玲 1赵伟璇 2李嘉乐 3陈伟强3

作者信息

  • 1. 广东药科大学附属第一医院中医科,广州 510080,中国||广东药科大学护理学院,广州 510315,中国
  • 2. 广东药科大学附属第一医院中医科,广州 510080,中国
  • 3. 广东药科大学护理学院,广州 510315,中国
  • 折叠

摘要

Abstract

Objective:To observe the efficacy of Shugan Tiaoshen(liver-soothing and mind-regulating)needling method in the treatment of patients with postherpetic neuralgia(PHN). Methods:A total of 66 patients with PHN were randomly divided into acupuncture group and control group,33 cases in each one,by the random number table method.The acupuncture group received Shugan Tiaoshen needling method plus gabapentin,whereas the control group received the oral adminis-tration of gabapentin and sham acupuncture.Numerical Rating Scale(NRS),State-Trait Anxiety Inventory(STAI)and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the pain condition,anxiety symp-tom and sleep quality.The effective rate and adverse events were also evaluated and recorded during the treatment. Results:After eight weeks of treatment,the NRS scores of the two groups were significantly lower than those before treatment(P<0.05)at all time points,with statistically significant difference between the groups(P<0.05).The scores of STAI and PSQI of the acupuncture group were significantly lower than the scores before treatment(P<0.05).The scores of STAI for anxiety symptom and PSQI of the acupuncture group were significantly lower than the control group(P<0.05),and the effective rate of the acupunc-ture group was significantly higher than that of the control group(P<0.05).The incidence of adverse reactions in the acupuncture group was significantly lower than that in the control group(P<0.05). Conclusion:Shugan Tiaoshen needling method showed satisfactory efficacy in treating PHN,and could alleviate the pain,relieve the anxiety symptoms,promote sleep,and reduce the adverse reactions of gabapentin in patients with PHN.

关键词

Acupuncture/Postherpetic neuralgia/Shugan Tiaoshen/Liver-soothing and mind-regulating/Pain/Efficacy

Key words

Acupuncture/Postherpetic neuralgia/Shugan Tiaoshen/Liver-soothing and mind-regulating/Pain/Efficacy

引用本文复制引用

杨一玲,赵伟璇,李嘉乐,陈伟强..疏肝调神针刺法治疗带状疱疹后遗神经痛:一项随机对照临床试验[J].世界针灸杂志(英文版),2025,35(2):119-124,6.

基金项目

Supported by the project on the management of TCM in Guangdong Province:No.20231213 ()

Key Construction Project of TCM Discipline of Guangdong Pharma-ceutical University:No.2022-8. ()

世界针灸杂志(英文版)

1003-5257

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