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焦作煤业集团有限责任公司五官医院,焦作,454000
纸质出版日期:2006
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职良喜. 复方亚甲蓝液有氧穴位注射治疗疱疹后神经痛的临床研究[J]. 针刺研究, 2006,(2):119-122.
ZHI Liang-xi. Clinical Observation on the Therapeutic Effect of Acupoint Injection of Compound Methylthioninum Chloride for Post-herpetic Neuralgia[J]. Acupuncture research, 2006, (2): 119-122.
目的:观察复方亚甲蓝液有氧穴位注射治疗疱疹后神经痛(PHN)的临床疗效。方法:80例PHN患者随机分为治疗组和对照组各40例
治疗组用复方亚甲蓝液有氧穴位注射
对照组采用针刺治疗。结果:治疗组痊愈32例
显效6例
有效1例
无效1例
总有效率97.5%(95%CI=97.4%
9
7.6%);对照组痊愈3例
显效7例
有效19例
无效11例
总有效率72.5%(95%CI=72.3%97.6%);对照组痊愈3例
显效7例
有效19例
无效11例
总有效率72.5%(95%CI=72.3%
7
2.7%)。治疗组综合疗效显著高于对照组(U=6.33642
P
<
0.001);治疗组发生无效患者的危险性降低(RR=1.345
95%CI=1.10372.7%)。治疗组综合疗效显著高于对照组(U=6.33642
P
<
0.001);治疗组发生无效患者的危险性降低(RR=1.345
95%CI=1.103
1
.639;RRR=-34.5%
95%CI=-10.3%1.639;RRR=-34.5%
95%CI=-10.3%
-
63.9%);治疗组每治疗4人
可较对照组减少1例无效患者(NNT=4
95%CI=2.5-63.9%);治疗组每治疗4人
可较对照组减少1例无效患者(NNT=4
95%CI=2.5
9
.7)。治疗组痊愈患者明显优于对照组(RBI=9.67
95%CI=7.6369.7)。治疗组痊愈患者明显优于对照组(RBI=9.67
95%CI=7.636
1
1.894;ABI=72.5%
95%CI=72.33%11.894;ABI=72.5%
95%CI=72.33%
7
2.67%);治疗组每治疗1.379人
可较对照组减少1例无痊愈患者(NNT=1.379
95%CI=1.11172.67%);治疗组每治疗1.379人
可较对照组减少1例无痊愈患者(NNT=1.379
95%CI=1.111
1
.657)。结论:复方亚甲蓝液有氧穴位注射治疗PHN临床疗效优于常规针刺治疗。
Objective: To observe clinical therapeutic effect of acupoint injection of compound Methylthioninum Chloride(CMC) for treating post-herpetic neuralgia(PHN).Methods: Eighty PHN patients were divided into treatment group(n=40)and control(acupuncture) group(n=40)with random number table method.For patients in treatment group
CMC injection((10 mL)) composed of 0.5% Bupivacaine Hydrochloride((3 mL))
Triamcinolone injection((15 mg))
VitB_(12)(1 mg)
VitB_6 injection((100 mg))
CMC((0.02 mg)) and normal saline((3 mL)) was injected into back-shu-points on the first lateral line of the Bladder Meridian and its upper and lower back-shu-points according to the location of herpes zoster
2-(3 mL/point)
followed by injecting oxygen((10 mL)) into the same point slowly
once every week
3 times altogether.For patients of control group
the same back-shu points were used and punctured with filiform needles
combined with acupuncture of Zhigou(TE 6)
Yanglingquan(GB 34)
etc.
once daily
continuously for 3 weeks.Results: Self-comparison showed that after the treatment 6-point-behavoral rating scale(BRS-6) scores of two groups both decreased significantly(P<0.001)
and the BRS-6 score of treatment group was significantly lower than that of control group(P<0.01).Of the 40 cases in treatment and control groups
32(80%) and 3(7.5%) cases were cured
6(15.0%) and 7(17.5%) markedly effective
1(2.5%) and 19(47.5%) effective
1(2.5%) and 11(27.5%) failed
with the total effective rates being 97.5% and 72.5% respectively.The therapeutic effect of treatment group was significantly superior to that of control group(P<0.001).Conclusion: The therapeutic effect of point-injection of compound Methylthioninum Chloride is significantly better than that of acupuncture therapy in the treatment of PHN patients.
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