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目的观察经皮电刺激(TENS)配合穴位注射治疗带状疱疹后遗神经痛的临床疗效。方法将90例带状疱疹后遗神经痛患者随机分为TENS组、穴位注射组与联合治疗组,每组各30例,分别采用单纯TENS、穴位注射及二者联合治疗。分别于治疗前后进行VAS疼痛评分及汉密顿焦虑量表(HAMA)评分,并进行统计学分析。结果三组患者治疗后VAS评分及HAMA评分较治疗前均显著降低,差异具有统计学意义(P<0.05)。其中联合治疗组较穴位注射组及TENS组治疗后VAS评分及HAMA评分改善程度更优,差异有统计学意义(P<0.05),穴位注射组与TENS组治疗后VAS评分及HAMA评分比较均无显著性差异。结论经皮电刺激配合穴位注射能显著改善PHN患者的疼痛及焦虑症状。
Objective To observe the clinical efficacy of transcutaneous electrical stimulation (TENS) combined with acupoint injection in the treatment of postherpetic neuralgia. Methods Ninety patients with postherpetic neuralgia were randomly divided into TENS group, acupoint injection group and combination therapy group, 30 cases in each group. The patients were treated with simple TENS, acupoint injection and the combination of the two. VAS pain scores and HAMA scores were measured before and after treatment, and statistical analysis was performed. Results The VAS scores and HAMA scores of the three groups after treatment were significantly lower than those before treatment, the difference was statistically significant (P <0.05). Among them, the VAS score and HAMA score of the combined treatment group were better than that of the acupoint injection group and TENS group (P <0.05), and no difference of VAS score and HAMA score between acupoint injection group and TENS group Significant difference. Conclusion Transcutaneous electrical stimulation combined with acupoint injection can significantly improve the pain and anxiety symptoms in patients with PHN.