摘要
目的观察中医序贯疗法"青黄散中药外敷、电针围刺、刺络拔罐"(药-针-罐)治疗带状疱疹及预防后遗神经痛的临床疗效并探讨其机制。方法将120例带状疱疹患者按随机数字表法分为治疗组和对照组各60例,对照组给予伐昔洛韦、甲钴胺、维生素B1、加巴喷丁胶囊口服及氦氖激光局部皮损照射治疗;治疗组给予伐昔洛韦口服及"药-针-罐"序贯疗法治疗。结果治疗组的红斑减轻时间、止疱时间、结痂时间与脱痂时间均显著短于对照组(P<0.05);治疗第7、14日及皮疹消退后随访28 d、3个月,治疗组视觉模拟量表(VAS)评分较对照组降低幅度更明显,缓解疼痛效果更佳(P<0.05);治疗组总有效率为96.67%,明显高于对照组之81.67%(P<0.05);随访28 d、3个月治疗组后遗神经痛发生率明显低于对照组(P<0.05)。结论 "药-针-罐"序贯疗法治疗急性期带状疱疹有较好的临床效果,且可减少后遗神经痛的发生率。
Objective： To investigate the clinical effect of the triple drug treatment of acupuncture and cupping sequential therapy （Qinghuang Powder, Surrounding Elcctroacupuncture, Blood-letting puncturing and cupping） on herpes zoster and the prevention of postherapeutic neuralgia. Methods： 120 cases of herpes zoster were randomly divided into two groups （60 cases in each）：The control group was treated with valaciclovir,mecobalamin tablets, vitamin B l,gabapentin capsules and He-Ne lasers,the treatment group was given valaciclovir and triple sequential therapy. Results： The erythema reduction time ,herpes stopping time, crusting time and decrustation time of treatment group were obviously shotter than those of control group,there were statistical significance （P〈 0.05）. The decrease of VAS score in treatment group was significantly higher than in control group ,pain relief was more obvious at 7 days, 14 days after treatment,there was statistical significance（P〈 0.05）. Total effective rate of treatment group was significantly higher than that of control group（96.67% vs 81.67%）. The incidence of postherpetic neuralgia of follow-up in treatment group was lower than in control group at 28days,3 months after treatment（P〈 0.05 ）. Conclusion： Acupuncture and cupping treatment of triple drug sequential therapy have the obvious clinical effect on acute herpes zoster, and can obviously reduce the incidence of sequelae of neuralgia.
出处
《中国中医急症》
2018年第1期74-76,共3页
Journal of Emergency in Traditional Chinese Medicine
基金
上海市科委中医引导类科技支撑项目(16401933300)
上海申康医院发展中心临床科技创新项目(SHDC12016241)
关键词
带状疱疹
后遗神经痛
中药外敷
电针
刺络拔罐
疗贯疗法
Herpes zoster
Sequelae of neuralgia
Externa! application of Chinese medicine
Electroacupunc- ture
Blood-letting puncturing and cupping
Sequential treatment
