三焦辨证论治带状疱疹急性期患者的临床研究  

Clinical Study on Treatment of Patients with Acute Herpes Zoster by Syndrome Differentiation of Sanjiao Theory

作　　者：江锋[1] JIANG Feng(Department of Dermatology,Anfu County People's Hospital,Anfu 343200,Jiangxi,China)

机构地区：[1]安福县人民医院皮肤科,江西安福343200

出　　处：《医学信息》2024年第18期151-153,157,共4页Journal of Medical Information

基　　金：吉安市科技计划项目(编号:304134172006)。

摘　　要：目的分析三焦辨证论治带状疱疹急性期患者的临床疗效。方法选取2022年2月-2023年2月我院诊治的120例急性期带状疱疹患者为研究对象,采用随机数字表法分为对照组和观察组,各组60例。对照组采用常规西药治疗,观察组在对照组基础上联合应用三焦辨证论治,比较两组临床疗效、临床症状(疼痛消失时间、皮疹消退时间、止疱时间、结痂时间)改善情况、不同时间段疼痛评分(VAS)以及临床不良反应发生率。结果观察组治疗总有效率为96.67%,高于对照组的81.67%(P<0.05);观察组疼痛消失时间、皮疹消退时间、止疱时间、结痂时间均短于对照组(P<0.05);两组治疗后1、3、7 d的VAS评分均低于治疗前,且观察组低于对照组(P<0.05);观察组不良反应发生率为5.00%,与对照组的6.67%比较,差异无统计学意义(P>0.05)。结论三焦辨证论治可提升急性期带状疱疹的临床总有效率,且可缩短临床症状改善时间,降低患者疼痛程度,且不增加不良反应发生率。Objective To analyze the clinical efficacy of syndrome differentiation of Sanjiao theory in Patients with acute herpes zoster.Methods A total of 120 patients with acute herpes zoster diagnosed and treated in our hospital from February 2022 to February 2023 were selected as the research objects.They were divided into control group and observation group by random number table method,with 60 patients in each group.The control group was treated with conventional western medicine,and the observation group was treated with syndrome differentiation of Sanjiao theory on the basis of the control group.The clinical efficacy,improvement of clinical symptoms(pain disappearance time,rash regression time,blister stopping time,scab formation time),pain scores(VAS)at different time periods and the incidence of clinical adverse reactions were compared between the two groups.Results The total effective rate of treatment in the observation group was 96.67%,which was higher than 81.67%in the control group(P<0.05).The pain disappearance time,rash regression time,blister stopping time and scabbing time in the observation group were shorter than those in the control group(P<0.05).The VAS score of the two groups at 1,3 and 7 day after treatment was lower than that before treatment,and that in the observation group was lower than that in the control group(P<0.05).The incidence of adverse reactions in the observation group was 5.00%,which was compared with 6.67%in the control group,the difference was not statistically significant(P>0.05).Conclusion The syndrome differentiation of Sanjiao theory can improve the clinical total effective rate of patients with acute herpes zoster,shorten the improvement time of clinical symptoms,reduce the pain degree of patients,and do not increase the incidence of adverse reactions.

关 键 词：三焦辨证 带状疱疹 急性期 止疱时间 结痂时间 

分 类 号：R241.8[医药卫生—中医诊断学]