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| 彩超引导下椎旁PRP注射联合揿针治疗带状疱疹性神经痛 的临床研究 |
| Ultrasound guided paravertebral PRP injection combined with pressing needle for the treatment of herpes zoster neuralgia clinical research |
| 投稿时间：2024-08-05 修订日期：2024-10-12 |
| DOI： |
| 中文关键词: 带状疱疹性神经痛 彩超引导 椎旁：PRP注射 揿针治疗 |
| 英文关键词: Herpes zoster neuralgia Ultrasound guidance Paravertebral: PRP injection Acupuncture therapy |
| 基金项目:江西省卫生健康委科技计划项目（编号：202410316） |
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| 中文摘要: |
| 摘要：目的:探讨彩超引导下椎旁PRP注射联合揿针治疗带状疱疹性神经痛（ZRN）的临床效果。方法：选取2023年6月-2024年5月在江西中医药大学附属医院住院的ZRN患者75例，将其作为研究对象，再通过随机数字表法分为3组，其中A组实施富血小板血浆（PRP）注射（25例），B组实施揿针治疗（25例），C组实施PRP注射联合揿针治疗（25例）。比较三组临床疗效、疼痛程度、睡眠质量、不良事件。结果：C组临床总有效率为96.00%，明显高于A组（68.00%）、B组（64.00%），差异有统计学意义，（P＜0.05）；治疗后，C组的匹兹堡睡眠质量指数量表（PSQI）评分、视觉模拟量表（VAS）评分，均低于A组、B组，差异有统计学意义，（P＜0.05）。结论:在ZRN患者中应用椎旁PRP注射联合揿针治疗效果更佳，可降低患者疼痛程度，促进睡眠质量改善，为ZRN临床治疗提供新思路及新方法。 |
| 英文摘要: |
| Abstract: Objective: To explore the clinical effect of color ultrasound guided paravertebral PRP injection combined with pressing
needle in the treatment of herpes zoster neuralgia (ZRN). Method:Seventy-five ZRN patients hospitalized in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from June 2023 to May 2024 were selected as the study objects and then divided into 3 groups by random number table method. Among them, group A received platelet-rich plasma (PRP) injection (25 cases) and group B received press-needle treatment (25 cases). Group C received PRP injection combined with acupuncture (25 cases). Compare the clinical efficacy, degree of pain, sleep quality, and adverse events among three groups. Result: The total clinical effective rate of group C was 96.00%, which was significantly higher than that of group A (68.00%) and group B (64.00%), the difference was statistically significant, (P < 0.05).; After treatment, the Visual Analog Scale (VAS) score and Pittsburgh Sleep Quality Index (PSQI) score of Group C were lower than those of Group A and Group B, with statistical significance (P<0.05). Conclusion: The application of paraspinal PRP injection combined with pressing needle treatment is more effective in ZRN patients, can reduce patient pain, promote sleep quality improvement, and provide new ideas and methods for clinical treatment of ZRN. |
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