摘要
目的观察双重围刺配合刺络拔罐治疗急性期带状疱疹中治疗频次对临床疗效的影响。方法采用随机数字表法将100例急性期带状疱疹患者分为两组,每组50例。两组患者均口服盐酸伐昔洛韦和甲钴胺,联合双重围刺配合刺络拔罐治疗。试验组双重围刺法配合刺络拔罐的治疗频次为每日2次,对照组双重围刺法配合刺络拔罐的治疗频次为每日1次。对比观察两组患者治疗的临床疗效,止疱、结痂、脱痂时间,治疗前后疼痛视觉模拟量表(VAS)评分,疼痛缓解程度,每疗程末疼痛持续时间以及带状疱疹后遗神经痛发生率。结果试验组总有效率为98.0%,对照组总有效率为94.0%;两组治疗后VAS评分均较治疗前降低(P<0.05),且试验组低于对照组(P<0.05);试验组止疱、结痂、脱痂时间短于对照组(P<0.05);试验组疼痛缓解程度大于对照组(P<0.05);试验组前3个疗程末日疼痛持续时间均短于对照组(P<0.05);试验组后遗神经痛发生率为10.0%,对照组为18.0%。结论西药口服联合每日2次的双重围刺配合刺络拔罐对急性期带状疱疹患者可提高临床疗效,减轻患者疼痛持续时间及疼痛程度,缩短病程,疗效肯定。
Objective To investigate the influence of the frequency of treatment with double surround needling plus pricking-cupping bloodletting on its clinical efficacy for acute herpes zoster.Method One hundred patients with acute herpes zoster were assigned,using a random number table,to two groups,50 cases each.Both groups took Valaciclovir Hydrochloride and Mecobalamin and received double surround needling plus pricking-cupping bloodletting.The test group received double surround needling plus pricking-cupping bloodletting twice daily and the control group,once daily.The clinical therapeutic effects,times needed for blister disappearance,scabbing and scab falling-off,pre-treatment and post-treatment Visual Analogue Scale(VAS)scores,the degrees of pain relief,pain durations at the end of each course of treatment and the incidences of postherpetic neuralgia were compared between the two groups of patients.Result The total efficacy rate was 98.0%in the test group and 94.0%in the control group.After treatment,the VAS score decreased in the two groups compared with before(P<0.05)and was lower in the test group than in the control group(P<0.05);times needed for blister disappearance,scabbing and scab falling-off were short in the test group than in the control group(P<0.05);the degree of pain relief was larger in the test group than in the control group(P<0.05);pain duration at the end of the first three courses of treatment was short in the test group than in the control group(P<0.05);the incidence of postherpetic neuralgia was 10%in the test group and 18%in the control group,and was lower in the test group than in the control group but had no statistically significant difference between the two groups(P>0.05).Conclusion Oral administration of Western medicine combined with double surround needling plus pricking-cupping bloodletting twice daily can improve the clinical efficacy for acute herpes zoster,reduce the patient’s pain duration and severity and shorten the duration of disease with a definite therapeutic effect.
作者
杨丽萍
袁军
邵云
李佳钵
解晓亚
安静
YANG Li-ping;YUAN Jun;SHAO Yun;LI Jia-bo;XIE Xiao-ya;AN Jing(Hebei College of Traditional Chinese Medicine,Shijiazhuang 050091,China;Hebei College of Traditional Chinese Medicine Hospital,Shijiazhuang 050011,China)
出处
《上海针灸杂志》
2020年第4期462-466,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
河北省科学技术厅重点研发计划项目(18277784D)。
关键词
疱疹
带状
针刺疗法
刺络拔罐
针药并用
治疗频次
视觉模拟评分
Herpes,zoster
Acupuncture therapy
Pricking-cupping bloodletting
Acupuncture medication combined
Frequency of treatment
Visual Analogue Scale
作者简介
杨丽萍(1991-),女,2017级硕士生,Email:1327337008@qq.com;通信作者:袁军(1962-),女,主任医师,硕士生导师,Email:13313210268@163.com。
