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Objective: To evaluate scalp acupuncture and electro-acupuncture Jiaji clinical efficacy for the treatment of postherpetic neuralgia. Explore the treatment of scalp acupuncture and EA Jiaji treatment of postherpetic neuralgia clinical efficacy, operating specifications and security, the promotion of a new treatment therapy. Methods: 128 cases of postherpetic neuralgia patients were randomly divided nerve block group (A) 40 cases of EA Jiaji and stabbed cupping group (B) 44 cases, scalp and EA Jiaji (C) group of 44 patients during treatment prohibited the use of the study drug efficacy profile similar to the Chinese and Western medicines or other treatment methods. Nerve block group: (1) drug formulations: 0.5% bupivacaine 5 ml, dexamethasone 5 mg, the vitamin B 1 2ml (0.1g) vitamin B 12 1 ml (0.5mg), 0.9% saline to 10 ml. ② operation methods: the first based on the skin, herpes and pain area, combined with skin dominant landmarks of the area segment of the spinal nerve, judgment lesions nerve plane, make sure to select the method of implementation of the nerve block. Specific selection and damaged skin area corresponding nerve block point, cervical plexus, brachial plexus, paravertebral nerve block, epidural space. Treatment once every five days, five times as a course of treatment. EA Jiaji and stabbed cupping group: acupuncture lesions corresponding nerve segments Jiaji Twirling gas needle retention: after the nerves involved in pain area, gently needle into the skin along the nerve towards penetration acupuncture, acupuncture Jiaji EA. stay pin 30min. Acupuncture with plum needle in the lesion corresponding nerve segments at the beginning and lesions Ministry A Tapping caves. Gradually expanded percussion Flash Tapping Tapping immediately after cupping. Depending on patient body chosen cupping 1 day, 6 times for a course of treatment, rest for two days after each treatment, continuous treatment for 3 courses. Scalp acupuncture and electro-acupuncture the Jiaji group: The first step acupoints and treatment with electro-acupuncture Jiaji and stabbed cupping group (B) on the EA Jiaji part choose the length of the needle, the second step to take after the needle 1 to 3 inches, the patient take casual posture acupoints: lesions contralateral sensorimotor area and exercise area, routine disinfection of the skin, was about 30 ° angle between the tip and the skin rapidly penetrate when the needle tip arrived subgaleal lower that under the felt resistance decreases, and then make the the piercing needle parallel to the scalp 0.5-1.5 inch, to impose rapid succession twisting about 200 times per minute, each continuous twisting 2-3min, needle retention for 3-4 hours, needle retention every 5min during twisting, a total of 10 times, once a day, 6 times for a course of treatment and rest for two days after each treatment, continuous treatment of three courses. Recorded their pain VAS score, the sleep VAS score and the follow-up to the degree of pain improvement, patient satisfaction. Results: 128 cases of postherpetic neuralgia patients met the inclusion criteria significance in pain, sleep, and overall efficacy among the three groups the differences were significant (P <0.05), C group is better than B, A, B group better than the A group. No case Needle, needle, infection, fainting and other adverse events recorded. Conclusion: The present limited included in the study show Scalp Acupuncture and Electro - acupuncture analgesia treatment of postherpetic neuralgia security, improve symptoms and pain than other groups effective, but it still needs more high-quality research to the strength of evidence higher. Postherpetic neuralgia treatment the validity of the evaluation is still more research is needed to confirm. Postherpetic neuralgia patients treated by this method can significantly improve the level of pain, sleep management state syndrome; safety and operability; Patient satisfaction is high, a widely recommended treatment.
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