Objective To observe the clinical efficacy of treating postherpetic neuralgia （PHN） by combining floating-acupuncture laser with cupping following collateral bloodletting, and to analyze its mechanism. Method One hu...Objective To observe the clinical efficacy of treating postherpetic neuralgia （PHN） by combining floating-acupuncture laser with cupping following collateral bloodletting, and to analyze its mechanism. Method One hundred and thirty cases of PHN were randomly divided into a floating-acupuncture laser with cupping following collateral bloodletting group （group A） and an electroacupuncture group （group B） based on the treatment sequence and according to the random number table, with 65 cases in each group. In the group B, G-6805 electroacupuncture apparatus was adopted after the arrival of qi through even reinforcing and reducing （even method） in such acupoints as Hegu （合俗 LI 4）, Taihong （太冲 LR 3）, Zhigou （支沟 TE 6）, Quchi （ 曲池 LI 11） and Zusanli （足三里 ST 36）; in the group A, the treatment combining floatingacupuncture laser with cupping following collateral bloodletting was adopted, and the score of VAS and clinical efficacy before and after treatment in the two groups were compared. Result The differences of VAS scores of the two groups between the time points of after one course of treatment, after the entire treatment, follow up visit three months after the treatment and before treatment were statistically significant （all P〈0.05）. The rate of significant efficiency and total effective rate in the group A were respectively 37.8% and 98.5% （64/65）, and 11.2% and 78.5% （52/65） in the group B. The difference between the two groups was statistically significant after Ridit analysis （P〈0.05）. Conclusion The efficacy of treating PHN by combining floating-acupuncture laser with cupping following collateral bloodletting was significant.展开更多
【目的】探讨浮针疗法对冻结肩(肩周炎)麻醉下手法松解术(manipulation under anesthesia,MUA)康复效果的影响。【方法】将60例冻结肩MUA术后遗留疼痛、关节活动受限患者随机分为对照组和观察组,每组各30例。对照组给予口服塞来昔布胶...【目的】探讨浮针疗法对冻结肩(肩周炎)麻醉下手法松解术(manipulation under anesthesia,MUA)康复效果的影响。【方法】将60例冻结肩MUA术后遗留疼痛、关节活动受限患者随机分为对照组和观察组,每组各30例。对照组给予口服塞来昔布胶囊治疗,观察组给予浮针疗法治疗,疗程为2周;同时,2组患者均给予为期1个月的康复锻炼。观察2组患者治疗前和治疗1 d、2周、1个月后疼痛程度视觉模拟量表(VAS)评分、肩关节功能Constant-Murley评分(CMS)和肩关节活动度的变化情况,并评价2组患者治疗后各观察时点的临床疗效和安全性。【结果】(1)研究过程中,观察组脱落1例,对照组剔除3例,最终观察组29例、对照组27例患者纳入疗效统计。(2)治疗1 d、2周、1个月后,观察组的总有效率分别为79.31%(23/29)、93.10%(27/29)、96.55%(28/29),对照组分别为77.78%(21/27)、81.48%(22/27)、92.59%(25/27),组间比较,观察组的疗效均有优于对照组趋势,但差异均无统计学意义(P>0.05)。(3)治疗1 d和2周后,2组患者的疼痛程度VAS评分均较治疗前有降低趋势,但差异均无统计学意义(P>0.05);治疗1个月后,2组患者的疼痛程度VAS评分均较治疗前明显降低(P<0.01),且观察组的降低作用明显优于对照组(P<0.05)。(4)治疗1 d后,2组患者的肩关节功能CMS评分均较治疗前有升高趋势,但差异均无统计学意义(P>0.05);治疗2周和1个月后,2组患者的肩关节功能CMS评分均较治疗前明显升高(P<0.01),且观察组的升高作用均明显优于对照组(P<0.01)。(5)治疗1 d后,2组患者的肩关节主动外展上举、前屈上举、后伸、内旋等活动度均较治疗前有改善趋势,但差异均无统计学意义(P>0.05);治疗2周和1个月后,2组患者的各项肩关节活动度均较治疗前明显改善(P<0.01),且除治疗1个月后肩关节内旋活动度外,观察组的改善作用均明显优于对照组(P<0.01)。(6)治疗过程中,观察组无不良�展开更多
文摘Objective To observe the clinical efficacy of treating postherpetic neuralgia （PHN） by combining floating-acupuncture laser with cupping following collateral bloodletting, and to analyze its mechanism. Method One hundred and thirty cases of PHN were randomly divided into a floating-acupuncture laser with cupping following collateral bloodletting group （group A） and an electroacupuncture group （group B） based on the treatment sequence and according to the random number table, with 65 cases in each group. In the group B, G-6805 electroacupuncture apparatus was adopted after the arrival of qi through even reinforcing and reducing （even method） in such acupoints as Hegu （合俗 LI 4）, Taihong （太冲 LR 3）, Zhigou （支沟 TE 6）, Quchi （ 曲池 LI 11） and Zusanli （足三里 ST 36）; in the group A, the treatment combining floatingacupuncture laser with cupping following collateral bloodletting was adopted, and the score of VAS and clinical efficacy before and after treatment in the two groups were compared. Result The differences of VAS scores of the two groups between the time points of after one course of treatment, after the entire treatment, follow up visit three months after the treatment and before treatment were statistically significant （all P〈0.05）. The rate of significant efficiency and total effective rate in the group A were respectively 37.8% and 98.5% （64/65）, and 11.2% and 78.5% （52/65） in the group B. The difference between the two groups was statistically significant after Ridit analysis （P〈0.05）. Conclusion The efficacy of treating PHN by combining floating-acupuncture laser with cupping following collateral bloodletting was significant.
