摘要
目的:观察在常规疗法基础上加用揿针围刺治疗急性期带状疱疹的效果。方法:将128例急性期带状疱疹肝经郁热证患者随机分为对照组和观察组各64例。2组均服用泛昔洛韦片、甲钴胺片、加巴喷丁胶囊、胸腺肽肠溶片、汉防己甲素片治疗,给予常规护理措施。观察组加予揿针围刺治疗。2组疗程均为2周。于治疗前与治疗3 d、5 d、7 d、14 d评定疼痛视觉模拟法(VAS)评分,治疗前与治疗2周后应用阿森斯失眠量表(AIS)评价睡眠质量,应用皮损评分评价皮损变化情况,记录止疱时间、结痂时间及疼痛缓解时间,比较2组的临床疗效,并记录随访3个月后遗神经痛(PHN)的发生情况。结果:治疗后,观察组的临床疗效优于对照组(P<0.05)。2组治疗后VAS评分均逐渐降低(P<0.05)。观察组治疗3 d、5 d、7 d及14 d的VAS评分均低于对照组,差异均有统计学意义(P<0.01)。2组AIS评分和皮损评分与治疗前比较均下降(P<0.01)。观察组AIS评分及皮损评分均低于对照组(P<0.01)。观察组的止疱时间、结痂时间和疼痛缓解时间与对照组相比均加快(P<0.01)。3个月随访期间,观察组PHN发生率39.06%,对照组PHN发生率60.94%,2组比较,差异有统计学意义(P<0.05)。结论:在抗病毒、止痛、营养神经和调节免疫等综合措施的基础上加用揿针围刺,可更好地减轻急性期带状疱疹产生的疼痛,促进皮损愈合,缩短病程,减轻疼痛对睡眠的影响,降低PHN发生率,临床疗效确切。
Objective:To observe the effect of the additional surrounding acupuncture method with thumbtack needle for herpes zoster at acute stage based on routine therapy.Methods:A total of 128 cases of patients with herpes zoster at acute stage with heat depression in the liver meridian syndrome were randomly divided into the control group and the observation group,64 cases in each group.Both groups were given the oral administration of famciclovir tablets,mecobalamin tablets,gabapentin capsules,thymopeptides enteric-coated tablets,and tetrandrine tablets,as well as routine nursing measures.The observation group was additionally given surrounding acupuncture method with thumbtack needle.Both groups were treated for two weeks.Before treatment as well as on the 3 rd,5 th,7 thand 14 thdays of treatment,the scores of Visual Analogue Scale of pain(VAS)were evaluated.Before treatment and after two-week treatment,Athens Insomnia Scale(AIS)was applied to evaluate sleep quality;the change in skin lesions was evaluated through the score of skin lesion;the time of controlling herpes and incrustation as well as the remission time of pain was recorded.The clinical effect was compare between the two groups.The incidence of PHN was recorded during three-month follow-up.Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05).After treatment,the VAS scores in the two groups were gradually decreased(P<0.05).On the 3 rd,5 th,7 thand 14 thdays of treatment,the scores in the observation group were lower than those in the control group,differences being significant(P<0.01).The AIS scores and the scores of skin lesion in the two groups were decreased when compared with those before treatment(P<0.01);the two scores in the observation group were lower than those in the control group(P<0.01).The time of controlling herpes and incrustation as well as the remission time of pain in the observation group were accelerated when compared with those in the control group(P<0.01).During three-month follow-up,the incidence of PHN was 39.06%in the observation group,and60.94%in the control group,the difference being significant(P<0.05).Conclusion:Based on antivirus,pain relieving,nerve-nourishing,regulating immune,and other comprehensive measures,the additional application of surrounding acupuncture method with thumbtack needle can better relieve pain induced by herpes zoster at acute stage and the effect of pain on sleep,promote healing of skin lesion,shorten course of disease,reduce the incidence of PHN with defined clinical effect.
作者
周淑媚
盛建群
洪泉敏
ZHOU Shumei;SHENG Jianqun;HONG Quanmin
出处
《新中医》
CAS
2020年第23期133-136,共4页
New Chinese Medicine
关键词
带状疱疹
急性期
揿针
围刺
睡眠质量
疼痛程度
Herpes zoster
Acute stage
Thumbtack needle
Surround acupuncture
Sleep quality
Pain degree
作者简介
周淑媚(1977-),女,主管护师,研究方向:急诊护理与内科护理。
