不同针灸方法治疗急性期带状疱疹疗效与患者满意度的相关分析  

Correlative Analysis on Therapeutic Efficacy and Patients' Satisfaction of Different Acupuncture Methods for Treating Acute Herpes Zoster

作　　者：陈楚云[1] 孔美君[2] 李丽霞[1] 刘立群[1] 刘悦[3] 林国华[2] 

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

出　　处：《安徽中医学院学报》2012年第4期47-51,共5页Journal of Anhui Traditional Chinese Medical College

基　　金："十一五"国家科技支撑计划(2006BAI12B07-3);广东省科技计划项目(2010B030700048)

摘　　要：目的观察不同针灸方法治疗急性期带状疱疹的疗效,并分析患者满意度与疗效的关系。方法采用中心随机对照的方法,将133例患者随机分为5组,最终共125例符合研究方案,电针组、电针+铺棉灸组、电针+火针组、电针+叩刺拔罐组、西药组分别为27、23、24、20、31例,分别予电针、电针+铺棉灸、电针+火针、电针+叩刺拔罐及西药治疗,每天1次,10d为1个疗程。结果仅电针组的总体疗效优于西药组(P<0.05),4个电针组疱疹结痂较西药组显著缩短(P<0.01),除电针+铺棉灸组外,其他3个电针组脱痂时间显著少于西药组(P<0.05)。各组患者满意度比较,差异无统计学意义(P>0.05)。患者满意度与止疱、结痂时间存在显著的负相关(分别为P=0.006、P=0.017)。结论电针或电针+火针治疗能更快地促使疱疹痂皮脱落,且患者满意度较高,是值得推荐的疗法。Objective To observe the therapeutic efficacies of different acupuncture methods for treating acute herpes zoster, and to analyze the correlation between patients＇ satisfaction and therapeutic efficacy. Methods A total of 133 patients were randomly divided into five groups using center randomized con- trolled method, and 125 cases fit the inclusion criteria finally. Among the patients, 27 received electroacu- puncture therapy, 23 received electroacupuncture and cotton-sheet moxibustion therapy, 24 received electroacupuncture and fire needle therapy, 20 received electroacupuncture and tapping-cupping therapy, and31 received Western medicine therapy. All patients received treatment once per day, and each period of treatment was 10 d. Results Only the electroacupuncture group was better than the Western medicine group with regard to the overall efficacy （P〈0.05）. The times of crust formation in the four groups invol- ving electroacupuncture were significantly shorter than that in the Western medicine therapy group （P〈 0.01）. Except the electroacupuncture and cotton-sheet moxibustion therapy group, the electroacupunc- ture-involving therapy groups had significantly shorter decrustation time than the Western medicine thera- py group （P^0.05）. There were no statistical differences in patients＇ satisfaction among different groups （P〉0.05）. The patients＇ satisfaction was negatively correlated with the time to blistering stop and time of crust formation （P=0. 006, P=0. 017）. Conclusion Electroacupuncture alone or combined with fire nee- dle therapy can promote decrustation and result in better satisfaction in patients with acute herpes zoster, showing promise for use in treatment of acute herpes zoster.

关 键 词：带状疱疹 针灸疗法 疗效 满意度 相关分析 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]