CAJ | 학술논문

目的：探讨中西医康复与药物联合治疗带状疱疹的临床效果。方法112例带状疱疹患者随机分为观察组和对照组各56例，观察组给予刺络放血+梅花针重叩+拔火罐+紫外线照射+超声波+泛昔洛韦治疗，对照组仅给予泛昔洛韦治疗，比较两组患者的治疗效果。结果观察组局部皮损有效率为87.5%(49/56)，显著高于对照组的58.9%(33/56)，差异具有显著统计学意义(P<0.01)；两组患者治疗前VAS评分比较差异无统计学意义(P>0.05)，经治疗后VAS评分均显著降低(P<0.01)，且治疗后观察组显著低于对照组(P<0.01)；观察组疼痛有效率为91.1%(51/56)，显著高于对照组的69.6%(39/56)，差异有统计学意义(P<0.01)。结论刺络放血、梅花针重叩、拔火罐、紫外线照射、超声波治疗等中西医康复疗法与泛昔洛韦联合用于带状疱疹的治疗，能够快速有效的促进皮损的恢复，更加快速缓解神经性疼痛的症状，值得推广应用。
목적：탐토중서의강복여약물연합치료대상포진적림상효과。방법112례대상포진환자수궤분위관찰조화대조조각56례，관찰조급여자락방혈+매화침중고+발화관+자외선조사+초성파+범석락위치료，대조조부급여범석락위치료，비교량조환자적치료효과。결과관찰조국부피손유효솔위87.5%(49/56)，현저고우대조조적58.9%(33/56)，차이구유현저통계학의의(P<0.01)；량조환자치료전VAS평분비교차이무통계학의의(P>0.05)，경치료후VAS평분균현저강저(P<0.01)，차치료후관찰조현저저우대조조(P<0.01)；관찰조동통유효솔위91.1%(51/56)，현저고우대조조적69.6%(39/56)，차이유통계학의의(P<0.01)。결론자락방혈、매화침중고、발화관、자외선조사、초성파치료등중서의강복요법여범석락위연합용우대상포진적치료，능구쾌속유효적촉진피손적회복，경가쾌속완해신경성동통적증상，치득추엄응용。
Objective To discuss the clinical effects of Chinese and western medicine rehabilitation com-bined with drugs in the treatment of patients with herpes zoster. Methods One hundred and twelve patients with her-pes zoster were randomly divided into the observation group (n=56) and the control group (n=56). The observation group was treated with pricking collateral blood therapy+Plum needle heavy knock+ultraviolet irradiation+Ul-tra-Sound Therapy+famciclovir, and the control group was treated with famciclovir only. Then the clinical effects were compared between the two groups. Results The effective rate of local skin damage in the observation group was 87.5%(49/56), significantly higher than 58.9%(33/56) in the control group (P<0.01). There was no significantly difference in VAS between the two groups before treatment (P>0.05). However, the VAS was significantly reduced af-ter treatment in the two groups (P<0.01), and the score in the observation group was significantly lower than that in the control group after treatment (P<0.01). The effective rate of pain in the observation group was 91.1%(51/56), sig-nificantly higher than 69.6%(39/56) in the control group (P<0.01). Conclusion Chinese and western medicine reha-bilitation therapy of pricking collateral blood therapy+plum needle heavy knock+ultraviolet irradiation+Ultra-Sound therapy+famciclovir can quickly and efficiently enhance the recovery of skin lesions, relieve the neuropathic pain symptoms in the treatment of patients with herpes zoster, which is worthy of promotion.