CAJ | 학술논문

目的：观察毫针围刺配合高能红光治疗带状疱疹的临床疗效。方法将60例带状疱疹患者随机分为药物组、对照组及联合组，药物组采用口服药物治疗，对照组在药物治疗的基础上，采用毫针围刺配合电针进行治疗，联合组在药物治疗的基础上，采用毫针围刺配合电针，加用高能红光照射治疗，分别于治疗5 d、治疗10 d对其疼痛疗效及综合疗效进行比较。结果在疼痛疗效积分方面，对照组和联合组在治疗5 d后疗效优于药物组(P＜0.05)，而对照组与联合组之间无明显差异(P＞0.05)；对照组和联合组在治疗10 d后疗效明显优于药物组(P＜0.01)，联合组优于对照组(P＜0.05)。在综合疗效方面，联合组在治疗5 d后疗效优于药物组(P＜0.01)；对照组与药物组无明显差异(P＞0.05)；对照组和联合组在治疗10 d后疗效明显优于药物组(P＜0.01)，且联合组优于对照组(P＜0.05)。结论毫针围刺配合高能红光能有效减轻带状疱疹神经痛，缩短疼痛时间，显著改善临床症状，两者联合应用是一种安全有效的治疗方法。
목적：관찰호침위자배합고능홍광치료대상포진적림상료효。방법장60례대상포진환자수궤분위약물조、대조조급연합조，약물조채용구복약물치료，대조조재약물치료적기출상，채용호침위자배합전침진행치료，연합조재약물치료적기출상，채용호침위자배합전침，가용고능홍광조사치료，분별우치료5 d、치료10 d대기동통료효급종합료효진행비교。결과재동통료효적분방면，대조조화연합조재치료5 d후료효우우약물조(P＜0.05)，이대조조여연합조지간무명현차이(P＞0.05)；대조조화연합조재치료10 d후료효명현우우약물조(P＜0.01)，연합조우우대조조(P＜0.05)。재종합료효방면，연합조재치료5 d후료효우우약물조(P＜0.01)；대조조여약물조무명현차이(P＞0.05)；대조조화연합조재치료10 d후료효명현우우약물조(P＜0.01)，차연합조우우대조조(P＜0.05)。결론호침위자배합고능홍광능유효감경대상포진신경통，축단동통시간，현저개선림상증상，량자연합응용시일충안전유효적치료방법。
ObjectiveTo observethe clinical efficacy of surround needling plus high-energy red light in treating herpes zoster. MethodSixty patients with herpes zoster were randomized into a medication group, a control group and a united group. The medication group was intervened by oral administration of medication, the control group was by surround needling plus electroacupuncture in addition to the medication, and the united group was by the medication, surround needling plus electroacupuncture, and the high-energy red light radiation. The effect on pain and the comprehensive therapeutic efficacy were evaluated on treatment day 5 and day 10.ResultThe efficacies in releasing pain in the control group and united group were significantly superior to that in the medication group on treatment day 5 (P<0.05), while the difference between the control group and united group was statistically insignificant (P>0.05); on treatment day 10, the effects on releasing pain in the control group and united group were more significant than that in the medication group (P<0.01), and the effect in the united group was more significant than that in the control group (P<0.05). The comprehensive therapeutic efficacy in the united group was superior to that in the medication group on treatment day 5 (P<0.01); the difference between the control group and medication group was statistically insignificant (P>0.05); on treatment day 10, the efficacies in the control group and united group were significantly better than that in the medication group (P<0.01), and the efficacy in the united group was superior to that in the control group (P<0.05). ConclusionSurround needling plus high-energy red light can effectively reduce the neuralgia caused by herpes zoster, shorten the pain duration, improve the symptoms, andthus this combination is an effective and safe method.