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基于"火郁发之"理论治疗急性期带状疱疹的临床疗效观察

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目的:观察基于"火郁发之"理论采用不同灸量治疗急性期带状疱疹(Herpes Zoster,HZ)的临床疗效观察.方法:选取急性期带状疱疹60例患者随机分成高灸量组(n=30例)、低灸量组(n=30例)两组,分析比较两组患者临床疗效及治疗后带状疱疹后神经痛(postherpetic heuralgia,PHN)发生率、视觉模拟量表评分(visual analogue scale/Score,VAS)、匹兹堡睡眠质量指数评分(Pitts-burgh sleep quality index,PSQI)、心理状态评分(抑郁自评量表(self-ratingdepressionscale,SDS),焦虑自评量表(self-rating anxiety scale,SAS)、皮损愈合指标,及治疗前后、治疗过程中进行安全性观察.结果:治疗后,高灸量组患者临床总有效率(96.7%,29例/30例)高于低灸量组(93.3%,28例/30例),两组总有效率比较差异具有统计学意义(P<0.05),且PHN发生率高灸量组低于低灸量组,两组在疼痛评分、睡眠评分、心理评分、脱痂时间均较治疗前有所下降,但高灸量组下降幅度更大,差异具有统计学意义(P<0.05).两组患者均无明显不良反应.结论:高灸量组和低灸量组治疗急性期带状疱疹均有效果且安全有效,但高灸量组在缩短病程、缓解疼痛,改善日常生活质量优于低灸量组.
Clinical Observation on the Treatment of Acute Herpes Zoster based on the Theory of"Fire Stagnation"
Objective:To observe the clinical efficacy of different amounts of moxibustion in the treatment of acute herpes zoster(Her-pesZoster,HZ)based on the theory of"fire stagnation".Methods:60 patients with acute herpes zoster were randomly divided into high moxi-bustion group(n=30)and low moxibustion group(n=30).The clinical efficacy and the incidence of post-herpetic neuralgia(postherpeticheu-ralgia,PHN),visual analog scale score(visualanaloguescale/Score,VAS),Pittsburgh sleep quality index(pittsburghsleepqualityindex,PSQI)and mental state score(self-rating depression scale)(self-ratingdepressionscale,SDS)were analyzed and compared between the two groups.Self-rating anxiety scale(self-ratinganxietyscale,SAS),skin lesion healing index,safety before and after treatment and during treatment were observed.Results:After treatment,the total clinical effective rate in the high moxibustion group(96.7%,29/30)was higher than that in the low moxibustion group(93.3%,28/30).There was significant difference in the total effective rate between the two groups.The incidence of PHN in the high moxibustion group was lower than that in the low moxihustion group.The pain score,sleep score,psychological score and eschar removal time of the two groups were lower than those before treatment.However,the decrease was greater in the high moxibustion group,and the difference was statistically significant(P<0.05).There were no obvious adverse reactions in both groups.Conclusion:Both the high moxi-bustion group and the low moxihustion group are effective and safe in the treatment of acute herpes zoster,but the high moxibustion group is superior to the low moxibustion group in shortening the course of disease,relieving pain and improving the quality of daily life.

Clinical efficacy of acute herpes zosterFire stagnationMoxibustion doseClinical Efficacy

杜晋、周建伟

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西南医科大学中西医结合学院 四川 泸州 646099

四川省中医药科学院 四川 成都 610041

急性期带状疱疹 火郁发之 灸量临床疗效

2024

内蒙古中医药
内蒙古自治区中医药学会,内蒙古自治区中蒙医研究所

内蒙古中医药

影响因子:0.444
ISSN:1006-0979
年,卷(期):2024.43(6)