灯芯灸治疗急性期带状疱疹疗效观察  

Therapeutic Observation of Wick Moxibustion in Treatment of Acute-stage Herpes Zoster

作　　者：杨如杏 邱福山 YANG Ru-xing1, QIU Fu-shan2.(1.Quanzhou Hospital of Traditional Chinese Medicine of Fujian Province, Quanzhou 362000, China; 2. Geriatric Rehabilitation Department, Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou 350003, China)

机构地区：[1]福建省泉州市中医院,泉州362000 [2]福建中医药大学附属康复医院,福州350003

出　　处：《上海针灸杂志》2018年第7期780-784,共5页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的比较灯芯灸与普通针刺疗法治疗急性期带状疱疹的临床疗效。方法将60例急性期带状疱疹患者按照随机数字表分为治疗组和对照组,每组30例。两组均给予基础治疗,治疗组在基础治疗的基础上采用灯芯灸,隔日1次;对照组采用针刺治疗,每日1次。共治疗10 d。观察两组止疱时间和结痂时间,不同时间点VAS评分变化,并比较两组的临床疗效,随访记录后遗神经痛发生率。结果治疗组总有效率为100.0%,愈显率为86.7%,均优于对照组的86.7%和63.3%,差异均有统计学意义(P<0.05)。治疗组对促进水疱吸收、结痂时效上均优于对照组(P<0.05)。两组在不同时点VAS评分下降,分别与上一时间点评分比较,差异有统计学意义(P<0.01)。两组不同时间点VAS评分比较,差异均有统计学意义(P<0.01)。治疗组出现后遗神经痛发生率为0%,对照组为13.3%,治疗组优于对照组(P<0.05)。结论灯芯灸是治疗急性期带状疱疹的有效方法,能较快缓解疼痛,明显改善皮损,缩短带状疱疹的治疗疗程,可在一定程度上降低后遗神经痛的发生率,改善患者的生存质量。Objective To compare wick moxibustion and ordinary acupuncture in treatment of acute-stage herpes zoster. Method Sixty patients with acute-stage herpes zoster were randomized into a treatment group and a control group, with 30 cases in each group. Basic treatment was given to both groups, while in addition, the treatment group was given wick moxibustion once every other day and the control group received acupuncture once a day, for 10 d in total. The time taken for blisters to dry out and crust in the two groups, and changes of Visual Analogue Scale（VAS） at different time points were observed, the clinical efficacies were compared between the two groups, and the occurrence of postherpetic neuralgia（PHN） was recorded in the follow-up. Result The total effective rate was 100.0% and the markedly effective rate was 86.7% in the treatment group, significantly better than 86.7% and 63.3% in the control group（P〈0.05）. The treatment group showed more effective in promoting the drying out and crusting of blisters than the control group（P〈0.05）. The VAS score dropped with time, and the score was significantly different than that at the previous time point（P〈0.01）. There were significant differences in the VAS score between the two groups at each time point（P〈0.01）. The occurrence rate of PHN was 0% in the treatment group versus 13.3% in the control group, and the treatment group was significantly better than the control group（P〈0.05）. Conclusion Wick moxibustion is an effective approach in treating acute-stage herpes zoster, as it can efficiently reduce pain, significantly improve skin lesion and shorten the treatment duration, reduce the odds for PHN to some extent and improve the patients＇ quality of life.

关 键 词：针刺疗法 灸法 灯草灸 疱疹 带状 针药并用 

分 类 号：R246.7[医药卫生—针灸推拿学]