| Objective: This clinical study adopts the method of random grouping,to observe clinical curative effect and function of surrounding needling combine collateral-pricking and blood-letting cupping in the treatment of postherpetic neuralgia,to provide clinical experience for the treatment of postherpetic neuralgia.Methods: A total of 72 patients with PHN diagnosis were included as research subjects and divided into control group 1,control group 2 and treatment group according to random number table method,with 24 patients in each group.The control group 1 was treated with surrounding needling at the painful part of the lesion,and then connected with electric acupuncture after getting the qi of acupuncture,leaving the needle for 30 minutes.The control group 2 was treated with collateral-pricking and blood-letting cupping at the lesion site,and the cupping was left for 10 minutes.The treatment group was treated with surrounding needling combine collateral-pricking and blood-letting cupping,and the treatment cycle was 4 weeks.VAS pain score,QUALITY of Life Scale SF-36 and Pittsburgh Sleep Quality Index(PSQI)were used to evaluate the daily quality of life of patients in the three groups before and after four courses of treatment.The changes of data scores of the three groups were observed and recorded,and the clinical efficacy of the three groups was compared.Results:1.There was no statistically significant difference in VAS score among the three groups before treatment(P > 0.05),indicating comparability.After treatment,the three groups were compared among the three groups.The differences between the treatment group and control group 1 and control group 2 were statistically significant(P < 0.05),indicating that the treatment group was superior to control group 1 and control group 2,and the differences between control group 1 and control group 2 were statistically significant(P< 0.05),indicating that control group 2 was superior to control group 1;2.There was no statistically significant difference in the SF-36 score of the quality of life assessment scale among the three groups before treatment(P > 0.05),indicating comparability.The SF-36 score of the three groups of patients after treatment had a statistically significant difference compared with that before treatment(P < 0.05),and there was a statistically significant difference between the groups after treatment(P < 0.05),among which the treatment group was significantly better than the control group 1 and control group 2.There was statistically significant difference between control group1 and control group 2(P < 0.05),and control group 2 was better than control group 1;3.There was no statistically significant difference in the scores of Pittsburgh Sleep Quality Index(PSQI)among the three groups before treatment(P > 0.05),indicating comparability.Pittsburgh Sleep Quality Index(PSQI)scores of patients in the three groups after treatment showed statistically significant differences compared with those before treatment(P <0.05).After treatment,inter-group comparison was conducted,among which,the treatment group was compared with control group 1 and control group 2.The difference was statistically significant(P < 0.05),the results showed that the treatment group was better than the control group 1 and control group 2 in improving sleep quality,and the control group 1 had a significant statistical significance compared with the control group 2 after treatment(P < 0.05).The results showed that control group 2 was better than control group 1;4.4 courses of treatment,the total effective rate of control group 1 was75%,the total effective rate of control group 2 was 82.61%,and the total effective rate of treatment group was 91.67%.After data analysis by statistical software,the total effective rate of treatment group was better than that of control group 1 and control group 2,and the total effective rate of control group 2 was better than that of control group 1.These results indicated that the three treatments could improve the symptoms of PHN to varying degrees,and the treatment group had the most significant effect on the treatment of PHN.Conclusion:1.The three treatment methods of surrounding needling,collateralpricking and blood-letting cupping,the surrounding needling combine collateral-pricking and blood-letting cupping are effective in relieving PHN pain and can improve the quality of life and sleep quality of patients to varying degrees.However,the clinical efficacy of the surrounding needling combine collateral-pricking and blood-letting cupping is better than surrounding needling,collateral-pricking and blood-letting cupping.2.The collateral-pricking and blood-letting cupping method is superior to simple surrounding needling method in relieving patients’ pain,improving their quality of life and sleep quality. |
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