CAJ | 학술논문

目的观察电针、围针刺配合铺棉灸治疗带状疱疹的临床疗效.方法将40例带状疱疹患者随机分为观察组和对照组,每组20例.观察组采用电针、围针刺配合铺棉灸治疗;对照组采用盐酸伐昔洛韦、维生素B1治疗.观察并记录2组患者治疗期间疼痛程度、疼痛开始缓解时间、疼痛持续时间、止疱时间、结痂时间和脱痂时间等数据,参照<中医病症诊断疗效标准>进行疗效评定.结果观察组痊愈率75%,对照组痊愈率35%,观察组痊愈率明显优于对照组(P<0.05),但2组的总有效率差异无统计学意义(P>0.05);治疗后目测类比评分法(VAS)评分,观察组明显低于对照组(P<0.05);疼痛开始缓解时间及疼痛持续时间观察组均明显少于对照组(P<0.05);止疱时间观察组明显快于对照组(P<0.01);结痂时间、脱痂时间观察组也明显短于对照组(P<0.05).结论电针、围针刺配合铺棉灸治疗带状疱疹具有快速缓解疼痛,缩短疼痛持续时间、止疱时间、结痂时间和脱痂时间等的优点,安全有效,经济实惠.
목적 관찰전침、위침자배합포면구치료대상포진적림상료효.방법 장40례대상포진환자수궤분위관찰조화대조조,매조20례.관찰조채용전침、위침자배합포면구치료;대조조채용염산벌석락위、유생소B1치료.관찰병기록2조환자치료기간동통정도、동통개시완해시간、동통지속시간、지포시간、결가시간화탈가시간등수거,삼조<중의병증진단료효표준>진행료효평정.결과 관찰조전유솔75%,대조조전유솔35%,관찰조전유솔명현우우대조조(P<0.05),단2조적총유효솔차이무통계학의의(P>0.05);치료후목측류비평분법(VAS)평분,관찰조명현저우대조조(P<0.05);동통개시완해시간급동통지속시간관찰조균명현소우대조조(P<0.05);지포시간관찰조명현쾌우대조조(P<0.01);결가시간、탈가시간관찰조야명현단우대조조(P<0.05).결론 전침、위침자배합포면구치료대상포진구유쾌속완해동통,축단동통지속시간、지포시간、결가시간화탈가시간등적우점,안전유효,경제실혜.
Objective To observe the clinical effect of electric acupuncture,surrounding acupuncture and cotton moxibustion in the treatment of herpes zoster.Methods Forty cases with herpes zoster were randomly divided into a treatment group and a control group,with 20 patients in each group.The treatment group was treated with electric acupuncture,surrounding acupuncture and cotton moxibustion,while the control group was treated with valaciclovir and vitamin B1.In the two groups severity of pain and the time of pain beginning to ease,pain lasting blisters disappearing,incrustation and decrustation during treatment were observed and recorded,referring to the People's Republic of China Traditional Chinese Medicine Industry Standard(Chinese disease diagnosis and efficacy standard)for efficacy evaluation.Results There was significant difference between the treatment group and the control group with regard to the cure rate(75% versus 35%,P＜0.05);however,the total effective rates of two groups had no significant difference(P＞0.05).After treatment VAS score in treatment group was significantly lower than that in control group(P＜0.05);in treatment group the time of pain beginning to ease and pain lasting were significantly less than those in control group(P＜0.05);the time of blister disappearing in treatment group was significantly faster than that in control group(P＜0.01);the time of incrustation and decrustation in treatment group were significantly less than those in control group(P＜0.05).Conclusion The advantages of electric acupuncture,surrounding acupuncture and cotton moxibustion in the treatment of herpes zoster were shown as faster pain easing,shorter pain lasting,shorter duration of blister and incrustation.This treatment for herpes zoster is safe,effective and affordable.