基于“火郁发之”理论治疗急性期带状疱疹的临床疗效观察  

Clinical Observation on the Treatment of Acute Heerrppes Zoster based on the Theory of"Fire Stagnation"

作　　者：杜晋 周建伟 DU Jin;ZHOU Jianwei(School of Integrated Chinese and Western medicine,Southwest Medical University,Luzhou,Sichuan 646099;Sichuan Academy of Traditional Chinese Medicine and Materia Medica,Chengdu,Sichuan 610041)

机构地区：[1]西南医科大学中西医结合学院,四川泸州646099 [2]四川省中医药科学院,四川成都610041

出　　处：《内蒙古中医药》2024年第6期55-59,共5页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：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(pittsburgh 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。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)

关 键 词：急性期带状疱疹 火郁发之 灸量临床疗效 

分 类 号：R228[医药卫生—中医基础理论]