带状疱疹的针灸病谱等级分类依据及其思路..docVIP

带状疱疹的针灸病谱等级分类依据及其思路 首席医学网 ???? 2010年03月22日 16:54:39 Monday?? 32 作者：王云娜,徐彦龙,杜元灏,熊俊,李颖????作者单位：(天津中医药大学,天津 300193；天津中医药大学第一附属医院,天津 300193) 国家“十一五”科技支撑计划(2006BAI12B01)  【摘要】? 目的 探讨带状疱疹的针灸病谱等级分类依据,并为其他疾病分级提供常规分析流程。方法 以对照组为分类依据,以循证医学文献五级分类为文献级别评估依据,对符合纳入标准的文献按照级别由高到低的顺序逐个排查,若有高级别的文献支持所需结论,则不采用其他低级别证据的结果。结果 针灸是目前治疗带状疱疹的有效干预措施,且对照国际公认治疗药物如阿昔洛韦、营养神经药等均有治疗优势；但针灸可缓解疼痛,有促进疱疹吸收和及早结痂的效果。结论 带状疱疹属I级针灸病谱。 【关键词】? 带状疱疹；针灸病谱；循证医学 Basis and Consideration of Disease Menu of Acupuncture and Moxibustion Therapy Grade Classification of Herpes Zoster? 　　WANG Yun-na, XU Yan-long, DU Yuan-hao, et al 　　(Tianjin University of TCM, Tianjin 300193, China；The First Affliated Hospital of Tianjin University of TCM, Tianjin 300193, China)??? 　　Abstract：Objective To investigate the disease menu of acupuncture and moxibustion therapy grade classification considerations of herpes zoster, and to provide a routine analysis flowsheet to other diseases’ classification. Methods Being subject to the control group for classification and based on the five point classification of evidence-based medicine for evaluation, the internalized documents were evaluated according to the sequence from high level to low. If the conclusion supported by the higher level documents, other lower level documents’ results were given up. Results Acupuncture is effective and safe to herpes zoster, comparing with the international accepted curative drugs such as aciclovir tablet and so on, it is much more effective to relieve pain and make it quickly absorbed and cured. Conclusions Herpes Zostor drugs is the first grade disease menu of acupuncture and moxibustion therapy.??? 　　Key words：herpes zoster；disease menu of acupuncture and moxibustion therapy；evidence-based medicine?　　带状疱疹(herpes zoster)俗称“缠腰龙”、“缠腰火丹”,多由水痘-带状疱疹病毒引起,初次感染表现为水痘或急性感染,以后侵及周围神经、脊髓后根。临床表现为成簇疱疹沿身体一侧呈带状分布排列,且疼痛剧烈[1]。 　　目前国内外有不少有关针灸治疗带状疱疹的临床研究,但尚缺乏有效提炼和总结。也就是说,临床医师在选择针灸作为一项备选方案时,亟需有能够支持其决策的临床证据；患者亦需要可靠的参考信息,使其接受针灸可以作为一项治疗带状疱疹的有效措施。杜元灏教授在其《现代针灸病谱》一书中将带状疱疹列为Ⅰ