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Sacral Canal Therapy For Herpes Zoster And After Herpes Zoster Neuralgia The Clinical Efficacy Of Research

Posted on:2013-11-16Degree:MasterType:Thesis
Country:ChinaCandidate:K Y ZhaoFull Text:PDF
GTID:2244330374963455Subject:Traditional Chinese Internal Medicine
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Herpes zoster is caused by herpes zoster virus, focal neurological involvement and innervation of the skin, mucosa occurred herpes or papules, accompany apparent nerve pain as a primary manifestation of acute herpetic dermatosis. The skin lesions subsided, neuropathic pain persists, called post-herpetic neuralgia. From30%to50%in the elderly in the lesions disappeared completely, intractable post-herpetic neuralgia lasting months or more pain severity, and frequency properties differ from man to man, but like stabbing, cutting or burning, slight exposure to a stimulus can induce pain hypersensitivity, serious impact on the lives of patients and sleep. Current clinical for herpes zoster and post-herpetic neuralgia treatments many:in TCM clearing liver-fire is a commonly used method, based on heat clearing and detoxicating, with Longdan Xiegan Decoction, combined with acupuncture therapy and other means of treatment; western medicine to antiviral, trophic nerve, analgesics and other drugs, but the effect is not so ideal. This topic through continuous epidural administration of combination of traditional Chinese and Western medicine, drugs used in the treatment of herpes zoster and post-herpetic neuralgia, and patients were observed before and after treatment in VAS score changes, aimed to investigate the sacral canal therapy on herpes zoster and PHN treatment efficiency, herpes zoster and PHN treatment provided new clinical path; and on different TCM symptom types of therapeutic effects were assessed, in sacral canal therapy on herpes zoster and PHN treatment specificity.Methods:in reference to the2007China Academy of traditional Chinese medicine preparation of Beijing area Chinese medicine diagnosis and treatment of common diseases of conventional and "Integrated traditional Chinese and Western medicine in dermatology:will be diagnosed in40patients, divided into treatment group and control group, treatment group with the use of continuous epidural administration mode of treatment, the control group were given intramuscular injection of drug treatment. After treatment, VAS score, to assess their sleep and mood improvement. All data are in a computer using SPSS for data entry, management and statistics. All data using the mean±SD mark, score for VAS data, groups were compared using two independent sample t test; group within different time VAS score compared with single factor analysis of variance. Result:1in the treatment group after treatment without the need to continue taking oral medication numbers were significantly lower than the control group, there was statistically significant (P<0.001).2in the treatment group after treatment still have a sleep disorder numbers were significantly lower than the control group, there was statistically significant (P<0.001).3after the first treatment, the VAS score of the treatment group was significantly lower than that of control, P<0.05, with statistical significance, VAS score to reduce the extent of treatment group were higher than those in control group, P<0.001, with statistical significance.4the end of the treatment for3months, the treatment group in the VAS score was significantly lower than the control group in the VAS score, P<0.001, with statistical significance, the treatment group VAS score loss degree is obviously higher than the control group in the VAS score, P<0.001, with statistical significance.5herpes zoster and PHN in different syndromes of patients during and after treatment VAS scores are lower, in accordance with its lower degree from high to low is not:Type of damp heat in liver and gall> spleen deficiency wefness type> type of qi stagnation and blood’stasis. Various types of VAS relief after treatment compared with the control group had statistical significance (P<0.05), the treatment group the syndrome type VAS score loss degree within group comparisons showed no statistical significance (P>0.05).Conclusion:1sacral therapy in the treatment of herpes zoster and PHN, can effectively relieve patients of oral analgesic drug dependence.2sacral therapy can effectively improve the herpes zoster and PHN in patients with sleep disorder.3sacral canal therapy after first treatment, on pain improved significantly.4sacral therapy in the treatment of herpes zoster and PHN curative effect is exact。5for different TCM Syndrome Types in patients with herpes zoster and PHN, sacral canal therapy are effective, but no significant difference on its efficacy.
Keywords/Search Tags:Sacral canal therapy, Herpes zoster, Post-herpetic neuralgia
PDF Full Text Request
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