泻火止痛针刺法联合脉冲射频治疗肩颈部急性带状疱疹性神经痛OA
Fire-Purging and Pain-Relieving Acupuncture Combined with Pulsed Radiofrequency in the Treatment of Acute Herpetic Neuralgia in the Shoulder and Neck
目的:观察泻火止痛针刺法联合脉冲射频疗法治疗肩颈部急性带状疱疹性神经痛的临床疗效.方法:将125 例肩颈部急性带状疱疹性神经痛患者按照随机数字表法分为联合组63 例和对照组62 例.对照组采用脉冲射频治疗,联合组在对照组治疗的基础上联合泻火止痛针刺法.采用数字疼痛评分(evoked pain numerical rating scale,NRS)、简化麦吉尔疼痛量表(short-form mcgill pain questionnaire,SF-MPQ)对两组患者治疗前后疼痛程度评价,检测两组患者治疗前后P 物质(substance P,SP)、神经肽 Y(neuropeptide Y,NPY)、5-羟色胺(5-hydroxytryptamine,5-HT)、降钙素基因相关肽(calcitonin gene-related pep-tide,CGRP)水平,并比较两组患者不良反应发生情况.结果:两组患者治疗后各个时间点 NRS 及 SF-MPQ 评分低于本组治疗前,且治疗后联合组低于对照组,差异具有统计学意义(P<0.05).两组患者治疗后 SP、NPY、5-HT、CGRP 水平低于本组治疗前,且治疗后联合组低于对照组,差异具有统计学意义(P<0.05).联合组不良反应发生率为15.87%,对照组不良反应发生率为9.68%,两组患者不良反应发生率比较,差异无统计学意义(P>0.05).结论:泻火止痛针刺法联合脉冲射频治疗肩颈部急性带状疱疹神经痛,能有效缓解疼痛程度,下调血清疼痛介质水平.
Objective:To observe the clinical efficacy of the fire-purging and pain-relieving acupuncture combined with pulsed radiofre-quency therapy in the treatment of acute herpetic neuralgia in the shoulder and neck.Methods:A total of 125 patients with acute herpet-ic neuralgia in the shoulder and neck were randomly divided into the combined group with 63 cases and the control group with 62 cases respectively using the random number table method.The control group received pulsed radiofrequency therapy alone,while the combined group received the fire-purging and pain-relieving acupuncture in addition to the pulsed radiofrequency therapy.Pain severity was as-sessed before and after treatment using evoked pain numerical rating scale(NRS)and the short-form mcgill pain questionnaire(SF-MPQ).Serum levels of substance P(SP),neuropeptide Y(NPY),5-hydroxytryptamine(5-HT),and calcitonin gene-related peptide(CGRP)were measured before and after treatment.Adverse reactions were compared between the two groups.Results:At various time points after treatment,NRS and SF-MPQ scores in both groups werelower than those before treatment,and the above scores in the com-bined group were lower than those in the control group,with statistically significant differences(P<0.05).Post-treatment levels of SP,NPY,5-HT,and CGRP in both groups were decreased compared with pre-treatment levels,and the decreases in the combined group were greater than those in the control group,with statistically significant differences(P<0.05).The incidence of adverse reactions was 15.87%in the combined group and 9.68%in the control group,with no statistically significant difference between the two groups(P>0.05).Conclusion:Fire-purging and pain-relieving acupuncture combined with pulsed radiofrequency can effectively alleviate pain intensity and downregulate serum pain mediator levels in patients with acute herpetic neuralgia in the shoulder and neck.
赵晓东;张建华;田振涛;李红艳;苏松雪
安阳地区医院,河南 安阳 455000安阳地区医院,河南 安阳 455000安阳地区医院,河南 安阳 455000安阳地区医院,河南 安阳 455000郑州大学,河南 郑州 450000
医药卫生
急性带状疱疹性神经痛泻火止痛针刺法脉冲射频神经病理性疼痛
acute herpetic neuralgiafire-purging and pain-relieving acupuncturepulsed radiofrequencyneuropathic pain
《河南中医》 2026 (6)
815-820,6
河南省2023年科技发展计划项目(232102310025)
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