中西医联合治疗蛇串疮的效果.docVIP

中西医联合治疗蛇串疮的效果 　　[摘要]目的 探讨中西医联合治疗蛇串疮的临床效果。方法 对我院皮肤科2013年1月～2016年12月就诊的82例蛇串疮患者进行回顾性分析，根据治疗方法的不同分为对照组（42例）和观察组（40例）。对照组依据个体病情接受抗病毒治疗、神经营养治疗、止痛治疗或糖皮质激素治疗，观察组则在上述西医治疗的同时添加中医辨证疗法、中成药治疗或外用药治疗等，比较两组的临床治疗效果。结果 观察组的总有效率为97.50%，高于对照组的80.95%，差异有统计学意义（P0.05）。结论 中西医联合疗法治疗蛇串疮的效果显著优于西医疗法，值得临床推广应用。 　　[关键词]中西医联合；蛇串疮；疗效 　　[中图分类号] R752.1+2 [文献标识码] A [文章编号] 1674-4721（2017）06（b）-0142-03 　　[Abstract]Objective To explore the clinical effect of combination traditional Chinese and Western medicine in the treatment of herpes zoster.Methods A retrospective analysis of 82 cases of herpes zoster who received treatment from January 2013 to December 2016 in department of dermatology of our hospital，according to the different treatment methods，all patients were divided into the control group （42 cases） and the observation group （40 cases）.The control group was given antiretroviral therapy，neurotrophic therapy，analgesic therapy or glucocorticoid therapy according to individual condition.The observation group was given traditional Chinese medicine syndrome differentiation，proprietary Chinese medicine treatment or external drug treatment on the basis of Western medicine treatment.The clinical effects of the two groups was compared.Results The total effective rate of the observation group was 97.50%，which was higher than 80.95% of the control group，with significant difference （P0.05）.Conclusion The effect of combination traditional Chinese and Western medicine in the treatment of herpes zoster is better than that of Western medicine，and it is worthy of clinical promotion and application. 　　[Key words]Combination traditional Chinese and Western medicine；Herpes zoster；Efficacy 　　随着生活节奏和社会老龄化的加快，蛇串疮等皮肤病的发病率亦逐年增加。蛇串疮是一种出现于皮肤上的成簇性水疱，沿身体一侧呈带状分布，是令患者痛如火燎的一种急性病毒性疱疹性皮肤病[1]。西医认为蛇串疮常见于免疫力低下群体，病毒经过呼吸道黏膜进入血液系统，进而引发水痘或长期潜伏于神经节细胞内，当被激活后便会使沿周围神经支配的皮肤发生疱疹，出现神经性痛及复发感染[2]。中医认为蛇串疮常见于肝经郁热、气滞湿阻，脾失健运、蕴湿化热，年老体弱、血虚肝旺，及兼感毒邪的群体[3]。蛇串疮诊治不当易导致面瘫、眼部急性炎症和内耳功能障碍等不良事件，严重影响患者的生活质量，尤其是老年患者。本研究采用中西医联合疗法治疗蛇串疮患者，取得了显著疗效，现报道如下。