1Department of Rehabilitation Medicine, Department of Neurosurgery, (, The Third People's Hospital of Hangzhou, Hangzhou 310009, China).
1Department of Rehabilitation Medicine, Department of Neurology, The Third People's Hospital of Hangzhou, Hangzhou 310009, China), (, The Third People's Hospital of Hangzhou, Hangzhou 310009, China.
Zhen Ci Yan Jiu. 2024 May 25;49(5):499-505. doi: 10.13702/j.1000-0607.20230195.
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 points (Extra) in treatment of PHN.
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 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.
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 (0.05), and the average sleep time was increased (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 (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%, 0.05) and the recurrence rate was lower (［2/34, 5.88%］［8/27, 29.63%］, <0.05).
The combination of mind-regulating acupuncture with surrounding needling and heavy moxibustion at 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.
观察调神针法治疗带状疱疹后神经痛（PHN）患者疼痛强度、睡眠质量、负性情绪的效果，并评价调神针法联合围刺与阿是穴重灸治疗 PHN 的临床疗效。
将 PHN 患者随机分为对照组（35 例，脱落 2 例）和综合治疗组（35 例）。对照组采用围刺与阿是穴重灸治疗，综合治疗组在对照组治疗的基础上给予调神针法治疗。每日治疗 1 次，1 个疗程 6 天，2 组均治疗 2 个疗程。治疗前后分别采用疼痛目测类比评分法（VAS）、疼痛分级指数（PRI）、现时疼痛强度（PPI）评估疼痛情况，汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评估负性情绪，匹兹堡睡眠质量指数（PSQI）评估睡眠质量，记录治疗前后 1 周内的平均睡眠时间。评价 2 组的疗效，于治疗结束后 2 个月随访 2 组有效病例的复发情况。
治疗前 2 组上述各项指标比较，差异均无统计学意义（P>0.05）。治疗 2 个疗程后，2 组 PRI、VAS、PPI 评分及 HAMA、HAMD 评分均较本组治疗前降低（P<0.05），平均睡眠时间均较本组治疗前增加（P<0.05）；综合治疗组 PRI、VAS、PPI 评分及 HAMA、HAMD 评分，以及平均睡眠时间均优于对照组（P<0.05）。综合治疗组总有效率（34/35，97.14%）高于对照组（27/33，81.82%，P<0.05），复发率[（2/34，5.88%）]低于对照组[（8/27，29.63%）]（P<0.05）。
调神针法联合围刺与阿是穴重灸能有效缓解 PHN，与传统的疼痛区围刺结合阿是穴灸法相比，该综合疗法在改善疼痛强度、提高睡眠质量、减轻负性情绪方面更具优势，同时还能降低复发率。
