探讨电针配合火针治急性期带状疱疹的临床观察.docVIP

探讨电针配合火针治急性期带状疱疹的临床观察 通河县人民医院150900 目的研究分析电针配合火针治疗急性期带状疱疹的临床效果。方法 此 次研究的对象是60例带状疱疹患者。将其临床资料进行回顾性分析，并随机分 成治疗组与对照组，其中治疗组30例，予夹脊穴、阿是穴、后溪穴、支沟穴电 针治疗，夹脊穴、阿是穴火针治疗；对照组30例，予盐酸伐昔洛韦、维生素B1、 卡马西平口服治疗，两组均治疗10天。以两组的止疱时间、结痂时间、脱痂时 间、VAS评分及随访1月后遗神经痛发生情况的评价指标。结果两组止疱时间 相当(Pgt；0.05),治疗组在结痂时间、脱痂时间、VAS评分、后遗神经痛发牛 率明显优于对照组(Plt;0.05)o结论 表明电针配合火针治疗带状疱疹在改善皮 肤症状、减轻神经痛及减少后遗神经痛发牛上，优于西药治疗带状疱疹。 关键词电针；火针；带状疱疹；疱疹 [analysis of clinical effect of electroacupuncture combined with acupuncture for treating acute herpes zoster Abstract] Objective To study the. Methods the study subjects were 60 patients with herpes zoster. The clinical data were retrospectively analyzed and randomly divided into treatment group and control group, 30 cases in treatment group, giving clip Jiaji and Ashi points, after Creek acupuncture point, Zhigou acupoints electroacupuncture, clip Jiaji points, Ashi point acupuncture treatment； control group(30 cases), treated with valaciclovir hydrochloride, vitamin Bl, or oral Administration of carbamazepine treatment, two groups were treated for 10 days? With two groups of check blister time, time to crusting, de scab time, VAS scores and follow-up January postherpetic neuralgia evaluation index. Results two groups stop blister for quite a long time(P gt; 0.05). The treatment group in scab, scab time, VAS score of postherpetic neuralgia, the incidenee was sigrdficantly better than the control group (P lt; 0.05) . Conclusion electroacupuncture combined with acupuncture in the treatment of herpes zoster in improving skin symptoms, alleviating neuropathic pain and reduce the occurrenee of postherpetic neuralgia, better than western medicine in the treatment of herpes zoster. [Key words] electric acupuncture； acupuncture； herpes zoster； 带状疱疹(Herpes zoster, HZ)是临床上比较常见的种沿神经分 布的簇状水疱和剧烈疼痛为主的皮肤病，该病的病理是有水痘■带状疱疹病毒 (Varicella zoster virus, VZV)感染后潜伏在脊神经后根，在人体免疫力低下的吋 候(如疲劳等)，病毒被激活而引发带状疱疹。带状疱疹以相应神经节段的皮肤 簇状疱疹和剧烈的神经疼痛为主要特点。近两年来，笔者采用电针配合火针治疗 30例急性期带状疱疹患者，均取得良好疗效，现报道如下 1.临床资料 1.1 一般资料 病例来源于2013年7月至2015