目的

观察原始疹发点刺络拔罐法对带状疱疹后遗神经痛（PHN）的临床治疗效果。

方法

收集2016 年1 月至6 月就诊于辽宁中医药大学附属二院门诊的PHN患者22 例，男性13 例，女性9 例；年龄63 ～85 岁，平均（70.90 ±6.42）岁，病程1 个月至3 年。 采用原始疹发点刺络拔罐法治疗，分别在治疗前、治疗10 d 末及治疗20 d 末进行视觉模拟评分（VAS）、睡眠质量评分（QS）及综合评估患者的治疗效果。 采用单因素方差分析比较治疗前、治疗10 d 末及治疗20 d 末VAS 评分和QS 评分的差异，组内两两比较采用LSD-t检验，以P＜0.05 为差异有统计学意义。

结果

22 例患者经治疗后显效12 例，有效10 例，无效0 例，总有效率为100%（22/22）。 患者经治疗10 d 末和20 d 末VAS 评分均较治疗前有明显下降，而QS 评分较治疗前评分则明显升高，且差异有统计学意义（F值分别为66.521，31.008，P均＜0.05）。 患者治疗10 d 末和20 d 末比较，VAS 及QS 评分的差异均有统计学意义（t值分别为14.046、18.361，P均＜0.05）。

结论

原始疹发点刺络拔罐治疗PHN疗效显著，值得推广。

Objective

To observe the clinical therapeutic effect of original rash point stab winding cupping method on neneuralgia after herpes zoster.

Methods

Twenty-two patients with herpes zoster were collected in the outpatient department of second affiliated hospital of Liaoning university of traditional Chinese medicine from January to June 2016.13 cases of male，female 9 cases，aged 63 to 85，the average（70.90 ±6.42）years of age，course of 1 month to 3 years.Patients were treated with the original hair rash prick cupping.Data of visual analogue scale（VAS），sleep quality score（QS）and comprehensive assessment of the treatment effect were recorded and compared before treatment，10 d in the treatment and 20 d after treatment in patients.Single factor analysis of variance was used to compare the differences of VAS score and QS score in three time points.LSD-t test was used to compare the differences between groups.Statistically signi cance was assumed at P＜0.05.

Results

After treatment，there were 12 patients with markedly effective，10 cases effective，0 case invalid.The total effective rate was 100% （22/22）.The VAS scores were significantly decreased at the 10 d and 20 d after treatment than those before treatment.The score of QS was significantly increased after treatment than that before treatment（F=66.521，31.008，all P＜0.05）.There were significant differences in VAS and QS scores at 10 d and 20 d after treatment（t=14.046，18.361，all P＜0.05）.

Conclusion

The original rash point stab winding cupping therapy has obvious therapeutic effect on neuralgia after herpes zoster，which is worth promoting.