刺络拔罐加围刺法对急性期带状疱疹患者末梢和局部血炎性相关指标的影响  

Effects of bloodletting pricking,cupping and surrounding acupuncture on inflammation-related indices in peripheral and local blood in patients with acute herpes zoster

作　　者：郝蓬亮 杨一玲[1] 关玲[1] 

机构地区：[1]中国人民解放军总医院针灸科,北京100853

出　　处：《中国针灸》2016年第1期37-40,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察刺络拔罐加围刺法对急性期带状疱疹患者血液炎性相关指标的影响,并对其控制疼痛及治疗机制进行探讨。方法:将60例患者随机分为观察组和对照组,每组30例。观察组在疱疹局部点刺放血采样后拔罐,并在皮损局部围刺,每天1次,3天后改为隔日1次,共治疗1周;对照组静脉滴注阿昔洛韦、口服维生素B1、维生素B12,每日1次,共治疗1周。观察两组患者治疗前后视觉模拟量表(VAS)评分及末梢血与局部血中性粒细胞、淋巴细胞百分比变化情况。结果:两组患者治疗后VAS评分均明显降低(均P<0.01),治疗后观察组VAS评分、疼痛减轻时间均较对照组改善明显(P<0.01,P<0.05);观察组治疗后末梢血与局部血淋巴细胞百分比较治疗前降低(均P<0.05),局部血中性粒细胞较治疗前增高(P<0.05);对照组治疗后局部血淋巴细胞亦较治疗前降低(P<0.05);观察组局部血淋巴细胞百分比较本组末梢血及对照组局部血中的淋巴细胞百分比下降更明显(均P<0.05)。结论:刺络拔罐加围刺治疗急性期带状疱疹的疗效肯定,可显著降低患者局部血淋巴细胞数,增高中性粒细胞数,这可能是其抗病毒治疗效应的机制之一。Objective To observe the effects of bloodletting pricking,cupping and surrounding acupuncture on blood inflammation-related indices in patients with acute herpes zoster（HZ）,and to explore the mechanism of pain control and treatment.Methods A total of 60 patients were randomly divided into an observation group and a control group,30 cases in each one.In the observation group,the patients were treated with bloodletting pricking at herpes,followed by cupping treatment;also the surrounding acupuncture was performed at injured skin.The treatment was given once a day and once every other day after the first 3days;totally one-week treatment was given.In the control group,the patients were treated with intravenous drip of acyclovir and oral administration of vitamin B1 and B12,once a day for total one week.The visual analogue scale（VAS）and percentages of neutrophil,lymphocyte in peripheral and local blood were observed before and after treatment in the two groups.ResultsAfter treatment,the score of VAS was significantly reduced in both groups（both P〈0.05）;compared with the control group,the score of VAS and the time of pain relieve were significantly improved in the observation group（P〈0.01,P〈0.05）.Compared before treatment,the percentages of lymphocyte in peripheral and local blood were reduced after treatment（both P〈0.05）and the percentages of neutrophil in local blood were increased（both P〈0.05）.The lymphocyte in local blood was also reduced after treatment in the control group（P〈0.05）;compared with peripheral blood in the observation group and local blood in the control group,the percentages of lymphocyte in local blood were reduced（both P〈0.05）.Conclusion The efficacy of bloodletting pricking,cupping and surrounding acupuncture on acute herpes zoster is positive,and it can significantly lower the number of lymphocytes in the local blood and increase the number of neutrophil,which is likely to be one of the anti-virus mechanisms.

关 键 词：带状疱疹 急性期 刺络疗法 拔罐 血常规 

分 类 号：R246.7[医药卫生—针灸推拿学]