刃针合谷刺法治疗带状疱疹后神经痛30例

吴一斌; 张莹莹; 冯维琪

doi:10.13703/j.0255-2930.20241020-0001

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刃针合谷刺法治疗带状疱疹后神经痛30例

临床研究 | 更新时间：2025-08-14

- 刃针合谷刺法治疗带状疱疹后神经痛30例
- Chicken-claw needling with blade needle for 30 cases of postherpetic neuralgia
- 中国针灸 2025年45卷第8期页码：1068-1070
- 作者机构：
  
  无锡市中医医院皮肤科，江苏无锡　214100
  无锡市中医医院针灸科，江苏无锡　214100
- 作者简介：
  
  ✉张莹莹，主管护师。E-mail：741010168@qq.com
- 基金信息：
  
  江苏省中医药管理局科技项目(JD2019SZ17);无锡市中医医院项目(ZYYYB21018)
- DOI：10.13703/j.0255-2930.20241020-0001
  中图分类号：
- 收稿：2024-10-20，
  
  网络首发：2025-02-17，
  
  纸质出版：2025-08-12
- 稿件说明：
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吴一斌, 张莹莹, 冯维琪. 刃针合谷刺法治疗带状疱疹后神经痛30例[J]. 中国针灸, 2025,45(8):1068-1070.

WU Yibin, ZHANG Yingying, FENG Weiqi. Chicken-claw needling with blade needle for 30 cases of postherpetic neuralgia[J]. Chinese Acupuncture & Moxibustion, 2025, 45(8): 1068-1070.
吴一斌, 张莹莹, 冯维琪. 刃针合谷刺法治疗带状疱疹后神经痛30例[J]. 中国针灸, 2025,45(8):1068-1070. DOI： 10.13703/j.0255-2930.20241020-0001.

WU Yibin, ZHANG Yingying, FENG Weiqi. Chicken-claw needling with blade needle for 30 cases of postherpetic neuralgia[J]. Chinese Acupuncture & Moxibustion, 2025, 45(8): 1068-1070. DOI： 10.13703/j.0255-2930.20241020-0001.

摘要

目的：

观察刃针合谷刺法治疗带状疱疹后神经痛的临床疗效。

方法：

纳入30例带状疱疹后神经痛患者采用刃针合谷刺法治疗，选取疼痛最敏感部位、累及的肋间神经同侧的肋角部、前两点沿肋间神经循行轨迹的中点作为治疗点，不留针，每周1次，共治疗2次。于治疗前后观察患者疼痛视觉模拟量表（VAS）评分、皮肤病生活质量指数（DLQI）评分，于治疗后评定临床疗效，并于治疗后第60天统计神经痛复发率。

结果：

治疗后，患者VAS、DLQI评分均较治疗前降低（

0.05）。30例患者中，痊愈4例，显效20例，好转4例，无效2例，总有效率为93.3%（28/30）。神经痛复发率为6.7%（2/30）。

结论：

刃针合谷刺法治疗带状疱疹后神经痛可有效缓解疼痛程度，提高生活质量，降低神经痛复发率。

Abstract

Objective

To observe the clinical efficacy of chicken-claw needling with blade needle for postherpetic neuralgia (PHN).

Methods

A total of 30 patients with PHN were treated with chicken-claw needling with blade needle

the most painful area

costal angle on the same side with the affected intercostal nerve and the midpoint of the line connecting the first two points along the intercostal nerve were selected as treatment points

without needle retained

once a week

a total of 2 times were required. Before and after treatment

the scores of pain visual analogue scale (VAS) and dermatology life quality index (DLQI) were observed

and the clinical efficacy was evaluated after treatment. The recurrence rate of neuralgia was evaluated on the 60th day after treatment.

Results

After treatment

the scores of VAS and DLQI were decreased compared with those before treatment (

0.05). Of 30 patients

4 cases were cured

20 cases showed markedly efficacy

4 cases were improved

2 cases were ineffective

the total effective rate was 93.3% (28/30). The recurrence rate of neuralgia was 6.7% (2/30).

Conclusion

Chicken-claw needling with blade needle could effectively relieve the pain in patients with PHN

improve the quality of life and reduce the recurrence rate of neuralgia.

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