火针对急性期带状疱疹皮损的影响  

Clinical Study on Fire Needling Therapy in Treating Skin Lesions of Acute Herpes Zoster at Acute Stage

作　　者：林国华[1] 李丽霞[2] 陈楚云[2] 赵婷婷[1] 刘悦[3] 李茜[1] 

机构地区：[1]广州中医药大学第一附属医院针灸科,广东广州510405 [2]广州市中医医院,广东广州510130 [3]广东省第二中医院,广东广州510095

出　　处：《广州中医药大学学报》2011年第2期136-139,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家十一五科技支撑项目计划课题(编号:2006BAI12B07-3)

摘　　要：【目的】评价在带状疱疹急性期的针灸治疗中火针治疗对疱疹皮损的影响。【方法】采用多中心、随机、对照的方法,将87例带状疱疹患者随机分为电针组、电针+火针组、西药组,电针组予电针阿是穴、夹脊穴、支沟穴、后溪穴治疗,电针+火针组予电针阿是穴、夹脊穴、支沟穴、后溪穴治疗,并以火针点刺水疱疹;西药组予盐酸伐昔洛韦、维生素B1口服,以10 d为1个疗程,共计1个疗程。观察3组患者的止疱时间、结痂时间、脱痂时间、带状疱疹综合疗效评分。【结果】电针组、电针+火针组较西药组能更好地改善带状疱疹总体症状(P<0.05或P<0.01);电针治疗能加速疱疹痂结、痂皮脱落,且电针配合火针疗法较单纯电针法疗效更显著,均优于西药疗法(P<0.05)。【结论】带状疱疹急性期在电针的基础上加用火针治疗有加速疱疹痂结、痂皮脱落的作用。Objective To evaluate the clinical efficacy of fire needling therapy on treating the skin lesions of herpes zoster at acute phase.Methods A multiple-center,randomized and control trial was carried out in 87 patients with skin lesions of herpes zoster at acute phase.The patients were randomized into 3 groups： electroacupuncture（EA） group was given EA on points of Ashi,Jiaji（EX-B2）,Zhigou（TE6） and Houxi（SI3）,combination group was given pricking blisters with fire needling on the basis of treatment for EA group,and western medicine group received oral use of valaciclovir hydrochloride and vitamin B1.The treatment lasted one course of 10 days.Time for blisters stopping coming out,time for forming a scab,time for decrustation and the score of the comprehensive therapeutic effect were observed in 3 groups.Results Overall symptoms of herpes zoster were obviously relieved in EA group and combination group（P〈0.05 or P〈0.01 compared with those in western medicine group）.EA enhanced the blisters to form a scab and promoted decrustation,and EA combined with fire needling had better effect（P〈0.05 compared with western medicine group）.Conclusion EA combined with fire needling exerts certain effect on enhancing the blisters to form a scab and promoting decrustation for patients with herpes zoster at acute phase.

关 键 词：随机对照试验 带状疱疹/针灸疗法 皮损/针灸疗法 火针疗法 穴 阿是 穴 夹脊 

分 类 号：R246.7[医药卫生—针灸推拿学]