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火针联合穴位放血治疗急性期带状疱疹

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目的 观察火针联合穴位放血治疗急性期带状疱疹的临床疗效.方法 选择急性期带状疱疹患者120例,按随机数表法分为对照组与观察组,各60例.对照组采取常规西药治疗,观察组采取火针联合穴位放血治疗,比较2组疼痛消失时间、停疱时间、结痂时间、脱痂时间;比较2组治疗前后疼痛感(VAS)评分,血清P物质、CD3+、CD4+、CD8+水平变化;比较2组后遗神经痛发生率与临床疗效总有效率.结果 治疗后,观察组疼痛消失时间、停疱时间、结痂时间、脱痂时间、CD8+水平、VAS评分、血清P物质均低于对照组(P<0.05),CD3+、CD4+水平均高于对照组(P<0.05);观察组后遗神经痛发生率(6.67%,4/60)低于对照组(25.00%,15/60)(P<0.05),临床疗效总显效率(88.33%,53/60)高于对照组(65.00%,39/60)(P<0.05).结论 火针联合穴位放血治疗急性期带状疱疹患者,可缩短各项不适症状消失时间,减轻疼痛感,改善免疫水平、血清P物质,降低后遗神经痛发生风险,提高治疗有效率,值得临床推广.
Clinical efficacy of fire needle combined with acupoint bloodletting therapy in the treatment of acute herpes zoster
Objective To observe the clinical efficacy of fire needle combined with acupoint bloodletting therapy in the treatment of acute herpes zoster.Methods A total of 120 patients with acute herpes zoster were selected and divided into the control group and the observation group according to random number table method,with 60 cases in each group.The control group received conventional Western medicine treatment,while the observation group received fire needle combined with acupoint bloodletting therapy.The pain disappearance time,blister stopping time,time to form the scab,and time for scar detachment were compared between two groups.The changes in Visual Analogue Scale(VAS)scores,serum substance P level,mature T lymphocytes(CD3+),inducible T cells/helper T cells(CD4+),CD8+levels before and after treatment between two groups were compared.Incidence of postherpetic neuralgia and the total effective rate of clinical efficacy between two groups were compared.Results After treatment,the pain disappearance time,blister stopping time,time to form the scab,and time for scar detachment,CD8+level,VAS score,and serum substance P level in the observation group were shorter or lower than those in the control group(P<0.05);The levels of CD3+and CD4+were higher than those in the control group(P<0.05);The incidence of postherpetic neuralgia in the observation group(6.67%,4/60)was lower than that in the control group(25.00%,15/60)(P<0.05).The total effective rate of clinical efficacy(88.33%,53/60)in the observation group was higher than that in the control group(65.00%,39/60)(P<0.05).Conclusion The combination of fire needle and acupoint bloodletting therapy can shorten the disappearance time of various discomfort symptoms,alleviate pain,improve immune levels and serum substance P level,reduce the risk of postherpetic neuralgia,and enhance the response rate in patients with acute herpes zoster.It is worthy of clinical promotion.

acute herpes zosterfire needleacupoint bloodlettingVisual Analogue Scaleblister stopping time

刘可佳、姚伟伟、韩超汝、宋世珅

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首都医科大学附属北京友谊医院中医科,北京 100050

北京市和平里医院皮肤科,北京 100013

急性期带状疱疹 火针 穴位放血 视觉模拟评分 止疱时间

国家自然科学基金资助项目北京友谊医院科研启动基金首都卫生发展科研专项2022年度项目

82004109yyqdkt2019-43首发2022-2-20213

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(10)