Clinical Observation On Pricking Blood Therapy For Herpes Zoster-associated Pain

Objective:Through a retrospective study on the treatment of herpes zoster-associated pain（ZAP）by pricking and letting blood therapy,this paper analyzed in detail the efficacy of pricking and letting blood therapy on the acute,subacute and chronic pain of patients with herpes zoster and the comparison of efficacy between different periods.In addition,the relationship between herpes zoster associated pain and previous history,gender and age of patients with herpes zoster-associated pain was also discussed.Detailed summary application stab winding bloodletting therapy in the treatment of herpes zoster concrete methods and matters needing attention,through the analysis of the mechanism of action of stab winding bloodletting therapy on pain and further analysis summary thorn bloodletting therapy to alleviate herpes zoster-associated pain winding mechanism of traditional Chinese medicine and western medicine,in order to better guide clinical application of stab winding bloodletting method treatment herpes zoster-associated pain,broaden the train of thought for the application of the stab winding bloodletting therapy,To provide basis for the treatment of herpes zoster-associated pain by puncture and blood letting in different periods.Methods:1.Using the method of retrospective study on medical record system to collect Chinese medicine hospital in hubei province in July 2020 to December 2021 patients of zoster-associated pain the basic information（sex,age,course of the disease,parts,past medical history and treatment,etc.）,according to the length of the onset of acute period（1 month）,subacute stage（1-3 month）and chronic phase（3 months above）,Then,the patients were divided into the pricking blood therapy group and the control group according to the treatment method.The effective rate was calculated by nimodipine formula with visual assessment of pain scale score before and after treatment as the parameter,and the curative effect was analyzed.2.The patient’s disease course,age,gender,past history,visual assessment of pain scale（VAS）and other data were sorted out by EXCEL,and statistical analysis was conducted by SPSS 26.0.The measurement data were described by Mean±SD or Median（P25,P75）.Independent sample T test or Wilcoxon rank sum test was used to compare the difference between the treatment group and the control group,and paired T test was used to compare the difference in Visual assessment of pain scale before and after treatment.Statistical data were described by number of cases（n）and percentage（%）,the characteristics of patients in the treatment group and the control group were compared byχ~2test or Fisher’s exact test,and the efficacy grade was compared by Wilcoxon rank sum test.With the efficacy of post treatment as the dependent variable and the treatment method as the main independent variable,binomial logistic regression analysis was conducted to further explore the efficacy of pricking and letting blood.All statistical analyses were performed using a two sided test with a statistical test levelαof 0.05.3.Explore the relationship between basic information factors such as gender,age,hypertension,diabetes and herpes zoster associate pain in the study of zoster-associated pain patients in this paper,conduct literature search keyword on CNKI,Pub Med,Wan Fang and other relevant websites,comb out their correlation,and summarize the viewpoints in this paper.This paper summarized and analyzed the application tools,specific methods,application fields and the specific application in dermatology field in detail.Through the study of these two to be more profound.4.Various application tools,detailed application methods,different application fields and specific application in dermatology were summarized and analyzed in detail.In this paper,through the detailed study of pricking and letting blood therapy and herpes zoster associate pain,we can have a deeper understanding of the relationship between oster associate pain and pricking and letting blood therapy,and provide a reliable basis for clinical application of pricking and letting blood therapy to treat herpes zoster-associated pain.Results:1.In the acute stage,subacute stage or chronic stage of zoster-associated pain,puncture and blood letting therapy could relieve herpes zoster neuralgia to varying degrees,and the efficacy was better than that of the control group（P<0.05）.2.In this study,the pain index of the pricking blood therapy group and the control group decreased,and the pain index of the pricking group decreased more obviously than the control group.3.Visual assessment of pain scale index of acute herpes zoster was slightly higher in female patients than in male patients,and the difference was statistically significant;4.There was no statistically significant association between herpes zoster-associated pain and age,prior hypertension,or diabetes.Conclusion:The proper application of puncture and bloodletting therapy in clinical practice can improve the therapeutic effect of herpes zoster pain in acute,subacute and chronic stages,and to a certain extent can significantly relieve the pain and discomfort of patients.The effect of pricking blood therapy on herpes zoster in acute stage is reliable.In clinic,no matter the application of pricking and letting blood therapy or conventional treatment of herpes zoster-associated pain,all can relieve the pain sensation of patients to a certain extent,and the effect of pricking and letting blood therapy is more obvious.