| Objective: This clinical study used postherpeticneuralgia(PHN)to explore the clinical effect and advantages of postherpeticneuralgia in the treatment of postherpetic intercostal neuralgia(PHN)through statistical analysis of relevant observation indicators,in order to provide a new treatment plan for acupuncture in the treatment of postherpetic postherpetic intercostal neuralgia.Methods: Sixty patients with postherpetic intercostal neuralgia from the outpatient clinic of the Department of Dermatology,Acupuncture and Department of Neurology of the First Affiliated Hospital of Hunan University of Chinese Medicine who met the inclusion criteria were divided into observation group and control group according to the random number table method,with 30 cases in each group.The observation group was treated with moxibustion plus oral drug gabapentin capsules,0.3g(3 capsules)on the first day of the drug,one dose,0.6g(6 capsules)on the second day,divided into two doses,0.9g(9 capsules)daily on the third day and thereafter,divided into 3 times,for 16 consecutive days;Moxibustion is treated once a day,after 7 days of continuous treatment,2 days of rest,and then 7 consecutive days of continuous treatment.The control group was treated with the drug gabapentin capsules alone for 16 days.Taking VAS score as the main observation index,PSQI score,HAMA score and TCM syndrome score as secondary observation index,the data before and after treatment were recorded respectively,and the SPSS26.0 software was used for statistical analysis to compare the intra-group and inter-group differences in efficacy between the two groups.Outcome:1.A total of 60 patients with PHN were included in this clinical study,30 cases in the observation group and 30 cases in the control group,and 1 case was eliminated from the observation group during the treatment;After 2 cases were dropped in the control group and re-recorded,60 people were actually completed,30 in each group;2.After treatment,among the 30 test subjects in the observation group,the total effective 26 cases,the total effective rate was 90%;Among the 30 subjects in the control group,23 had a total effective rate of 77%,and the difference in efficacy between the two groups was statistically significant(P<0.05),and the results showed that the total effective rate of the two groups was statistically significant(P<0.05).3.Comparison of VAS pain scores: After intra-group comparison,there were significant differences in VAS pain scores(P<0.05)before and after treatment between the two groups,indicating that the treatment regimens of both groups could effectively improve the pain symptoms of patients,and there were significant differences between the groups(P<0.05),indicating that the analgesic and analgesic effect of the observation group on PHN patients was better than that of the control group.4.Comparison of HAMA scores: After intra-group comparison,there were significant differences in HAMA scores(P<0.05)before and after treatment between the two groups,indicating that the treatment regimens of both groups could effectively improve the anxiety and depression of patients,and the comparison results between groups were significantly different(P<0.05),indicating that the observation group had a better effect on improving the anxiety and depression of PHN patients than the control group.5.PSQI comparison: After intra-group comparison,there were significant differences in PSQI scores(P<0.05)between the two groups before and after treatment,indicating that the treatment regimen of both groups could effectively improve the sleep quality of patients,and there were significant differences between groups(P<0.05),indicating that the observation group had a better effect on improving sleep therapy in PHN patients than the control group.6.Comparison of TCM syndrome points: After intra-group comparison,there were significant differences in TCM syndrome scores(P<0.05)before and after treatment between the two groups,indicating that the treatment regimens of both groups could effectively improve the medical syndrome of patients,and there were significant differences between groups(P<0.05),indicating that the observation group had a better effect on improving the medical syndrome in PHN patients than the control group.Conclusion:1.Both groups of programs had the effect of improving pain,sleep quality,anxiety state,and TCM syndrome for patients with postherpetic intercostal neuralgia.2.The effect of moxibustion plus drug treatment for postherpetic intercostal neuralgia patients is better than that of simple drug treatment in improving pain,sleep quality,anxiety state,and TCM syndrome,and the overall effective rate is higher than that of the control group,which confirms that this program is clinically effective. |
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