| 邱玲,杨璇,张吉,张敏,郑旭,何流.电针夹脊穴配合调制中频治疗老年带状疱疹后遗神经痛的临床观察[J].中国康复,2016,31(2):138-140 |
| 电针夹脊穴配合调制中频治疗老年带状疱疹后遗神经痛的临床观察 |
| Clinical observation of electro-acupuncture of Jiaji acupoints combined with modulated medium frequency current therapy in the treatment of post-herpetic neuralgia of old patients |
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| DOI： |
| 中文关键词: 带状疱疹后遗神经痛（PHN) 老年性 夹脊穴 电针 调制中频电疗 |
| 英文关键词: Post-herpetic neuralgia Old human Jiaji acupoints electro-acupuncture Modulated medium frequency current therapy |
| 基金项目:成都市科技局人口与健康专项课题（11PPYB 085 SF-269） |
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| 中文摘要: |
| 目的：观察电针夹脊穴配合调制中频治疗老年带状疱疹后遗神经痛的近、远期临床疗效。方法：随机将64例老年带状疱疹后遗神经痛患者分为观察组与对照组各32例，2组均采用局部病灶区围刺及电针治疗，观察组加用电针夹脊穴与调制中频电疗法，治疗前及治疗第5、10、15、20次后均采用视觉疼痛模拟评分（VAS)与汉密尔顿焦虑量表(HAMA)进行评定，并评价临床疗效，治疗后随访疼痛复发情况。结果：观察组与对照组的总有效率分别为93.75%、90.63%，差异无统计学意义，但观察组愈显率明显优于对照组（87.50%，68.75%，P<0.05）；治疗前与治疗后各时间点比较，2组的VAS和HAMA评分均有显著改善（P<0.05），但观察组的治疗后各时间点VAS评分和治疗5、10次后HAMA改善情况均优于对照组（P<0.05)；治疗结束后1、2个月分别随访，均无疼痛复发情况。结论：电针夹脊穴配合调制中频电疗对改善老年带状疱疹后遗神经痛的症状较单一理疗更显著，且远期疗效稳定，适宜临床推广。 |
| 英文摘要: |
| Objective:To observe the short- and long-term clinical curative efficacy of electro-acupuncture of Jiaji acupoints combined with modulated medium frequency current therapy in the treatment of post-herpetic neuralgia (PHN) of old patients. Methods:According to the random number table method, 64 patients with PHN were divided into treatment group and control group randomly (n=32 each). The two groups received the electro-acupuncture and surround needle therapy, and the treatment group received the electro-acupuncture of the Jiaji acupoints combined with modulated medium frequency current therapy additionally. The clinical efficacy was evaluated by VAS, HAMA and the percentage of pain relief. The recurrence of pain was followed up at 1st and 2nd month after treatment. Results: The obvious effective rate in treatment group and control group was 87.50% and 68.75% respectively (P<0.05). VAS scores and HAMA scores in treatment group were significantly higher than in control group (P<0.05). No pain recurrence occurred in both two groups during the follow-up period. Conclusion：The clinical efficacy of electro-acupuncture of Jiaji acupoints combined with modulated medium frequency current therapy in the treatment of PHN of old patients is more satisfactory than the traditional physical therapy alone. |
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