王兰生 何岳义 宋江年 黄华 陈龙 李沛

【摘要】 目的：研究火疗治疗带状疱疹后遗神经痛的效果。方法：抽取笔者所在医院2015年10月-2018年10月进行治疗的带状疱疹后遗神经痛患者82例进行研究，根据治疗方法不同分为两组，各41例。对照组实施常规治疗，研究组在对照组基础上实施火疗治疗，观察两组疼痛、治疗效果与生活质量。结果：治疗前两组VAS、GQOL-74评分比较，差异均无统计学意义（P>0.05）。治疗5 d及治疗结束后，研究组VAS评分均低于对照组，差异均有统计学意义（P<0.05）。治疗后研究组GQOL-74评分高于对照组，治疗总有效率（92.68%）高于对照组（75.61%），差异均有统计学意义（P<0.05）。结论：对于带状疱疹后遗神经痛患者采取火疗治疗，能够明显改善疼痛情况，提升生活质量，值得应用。

【关键词】 火疗; 带状疱疹; 神经痛

doi：10.14033/j.cnki.cfmr.2019.27.059 文獻标识码 B 文章编号 1674-6805（2019）27-0-02

Efficacy of Fire Treatment in Post-herpetic Neuralgia/WANG Lansheng，HE Yueyi，SONG Jiangnian，et al.//Chinese and Foreign Medical Research，2019，17（27）：-139

【Abstract】 Objective：To study the effect of fire treatment in post-herpetic neuralgia.Method：A total of 82 patients with post-herpetic neuralgia treated in our hospital from October 2015 to October 2018 were selected and assigned to two groups according to different therapies，41 cases in each group.The control group took the routine therapy，and the study group took the fire treatment on the basis of the control group.The pain，curative effect and life quality were investigated between the two groups.Result：Before treatment，VAS and GQOL-74 scores were compared between the two groups，and the differences were not statistically significant（P>0.05）.5 days after treatment and after treatment，VAS scores in the study group were lower than those of the control group，and the differences were statistically significant（P<0.05）.After treatment，GQOL-74 scores in the study group were higher than those of the control group，and the total effective rate in the study group（92.68%） was higher than that of the control group（75.61%），and the differences were statistically significant（P<0.05）.Conclusion：Patients with post-herpetic neuralgia were treated with fire treatment can remarkably relieve the pain and improve the life quality.It is worthy of application.

【Key words】 Fire treatment; Herpes zoster; Neuralgia

First-authors address：Meishan Hospital of Traditional Chinese Medicine，Meishan 620010，China

带状疱疹（HZ）是由带状疱疹病毒侵袭机体感觉神经造成的皮肤感染，特点为皮肤上出现簇集疱疹群，疱疹沿感觉神经分布，患者会有不同程度的疼痛[1]。部分患者经过治疗后可痊愈，不会出现后遗症，复发率较低，但也有部分患者因治疗不及时，用药不规范，皮损消退后出现局部疼痛的情况，临床称为带状疱疹后遗神经痛（PHN），属于PZ的常见并发症[2]。PHN的发病率有随患者年龄增长而逐渐升高的趋势，患者疼痛程度不一，会出现阵发性刺痛、持续性烧灼痛。由于疼痛剧烈，病程延长，对身心造成一定影响，严重干扰患者正常生活与工作[3]。本文将中医治疗纳入研究，内容如下。

1 资料与方法

1.1 一般资料

选择2015年10月-2018年10月于笔者所在医院进行治疗的82例PHN患者。纳入标准：（1）均经过临床相关诊断获得确诊;（2）局部出现色素沉着;（3）出现持续性烧灼痛，自发性刀割痛。排除标准：（1）HZ为急性期，疱疹未消除;（2）会阴部、头部出现PHZ;（3）存在出血倾向;（4）临床资料不完善。根据……