Clinical Research Of Heavy-moxibustion And Blood-letting Puncture Cupping Combined With Surround Needling On Postherpetic Neuralgia

Objective:To observe the clinical effect of heavy-moxibustion and blood-letting puncture cupping combined with surround needling on blood stasis in collaterals type postherpetic neuralgia(PHN),and try to explore a effective clinical method of PHN.Methods:Adopting the method of evidence-based medicine randomized controlled grouping study,66 PHN patients were selected according to the inclusion criteria in our research and randomly divided into treatment group and control group with 33 cases in each group.The treatment group were treated by acupuncture and heavy moxibustion therapy,one time a day,meridian-pricking and cupping therapy every other day at a time.Ten days were a treatment course,and 2 treatment procedures in total.The control group treated by conventional drug treatment,and treatment procedures were as same as the treatment group.Before and after the treatment both groups were scored by short from of Mc Gill pain questionnaire(SF-MPQ),Hamilton depression scale(HAMD)and Pittsburgh sleep quality index(PSQI).One month after the treatment we did follow-up visit with patients,and judged the patients’ satisfaction and VAS scores.Finally database was established and analyzed by SPASS22.0 software package.Results:1.A total of 66 patients participated in the research,all met inclusion and non-exclusion criteria,but 3 patients dropped out from each group during treatment,60 patients finally completed the research process.2.Treatment group total effective rate was 83.33%,control group total effective rate was 66.67%,two groups have big significant difference(P<0.01).3.The SF-MPQ: After the treatment the VAS、PRI、PPI scores of both groups decreased compared with those before treatment and had strong statistically significant difference(P<0.01),and the decrement in every score of treatment group was bigger than the control group,the difference was strong statistically significant(P<0.01).4.The PSQI: After the treatment the PSQI scores of both groups greatly decreased compared with those before treatment and had strong statistically significant difference(P<0.01),but the decrement in PSQI score of treatment group was bigger than the control group,the difference had strong statistically significant(P<0.01).5.The HAMD: After the treatment the SF-MPQ scores of both groups decreased compared with those before treatment and had strong statistically significant difference(P<0.01),but he difference in two groups had no statistically significant(P>0.05).6.At the time of a month follow-up after treatment,the VAS score of each group compared with that after treatment has no statistically significant(P>0.05),but has statistically significant compared with that before treatment(P<0.01).In the follow-up time the VAS score in treatment group was lower than control group(P<0.01).Two groups of patients satisfaction survey analysis shows: the satisfaction degree of the treatment group was obviously better than that of control group(P< 0.05).Conclusion:This heavy-moxibustion and blood-letting puncture cupping combined with surround needling therapy and conventional drug treatment both have curative effect to the PHN.The acupuncture and moxibustion therapy in the improvement of the sleep quality and the remission of pain is better than the conventional drug group.In improving depression,two therapies’ curative effects have no difference.In this research the acupuncture and moxibustion therapy’s effect is more apparent,and patient satisfaction is high,and is not easy to relapse.