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目的:观察中西医结合治疗带状疱疹后遗神经痛的临床疗效。方法:将59例患者随机分为2组。治疗组30例,采用盐酸阿米替林片、甲钴胺片,同时加服中药方(组成:当归、赤芍、生地黄、川芎、柴胡、枳壳、牛膝、红花、桃仁、甘草)。对照组29例,单纯采用西药治疗。结果:总有效率治疗组96.67%,对照组75.86%,2组比较,差异有非常显著性意义(P<0.01)。治疗组疗效明显优于对照组。2组均可有效的改善疼痛视觉模拟评分(VAS)、瘙痒感评分(P<0.01,P<0.05)。治疗后2组VAS评分、瘙痒感评分比较,差异有显著性或非常显著性意义(P<0.05,P<0.01)。2组治疗前后烧灼感评分比较,差异有显著性意义(P<0.05),治疗后2组烧灼感评分比较,差异无显著性意义(P>0.05)。结论:中西医结合治疗治疗带状疱疹后遗神经痛的临床疗效肯定。
Objective: To observe the clinical efficacy of traditional Chinese and western medicine in the treatment of postherpetic neuralgia. Methods: 59 patients were randomly divided into two groups. The treatment group, 30 cases, amitriptyline hydrochloride tablets, mecobalamin tablets, plus traditional Chinese medicine prescription (composition: Angelica, red peony root, Rehmanniae, Chuanxiong, Bupleurum, Citrus aurantium, Achyranthes, safflower, Licorice). The control group of 29 patients were treated with Western medicine alone. Results: The total effective rate was 96.67% in the treatment group and 75.86% in the control group. There was significant difference between the two groups (P <0.01). The treatment group was significantly better than the control group. Both groups were effective in improving pain visual analogue scale (VAS) and pruritus score (P <0.01, P <0.05). VAS scores and pruritus scores of two groups after treatment were significantly different or significant (P <0.05, P <0.01). There were significant differences in the burning sensation scores before and after treatment between the two groups (P <0.05). There was no significant difference in the burning sensation scores between the two groups after treatment (P> 0.05). Conclusion: The clinical curative effect of combining traditional Chinese and western medicine on the treatment of postherpetic neuralgia.