加味瓜蒌散联合毫火针治疗带状疱疹的临床效果  

Clinical Efficacy of Modified Gualou Powder Combined with Milli-Fire Needling in the Treatment of Herpes Zoster

作　　者：李硕 伍尚祯 彭春锦 李岚生 LI Shuo;WU Shangzhen;PENG Chunjin;LI Lansheng(The First Affilicatted Hospital of Guangzhou Medical University Hengqin Hospital,Zhuhai 519030,China;不详)

机构地区：[1]广州医科大学附属第一医院横琴医院(横琴粤澳深度合作区中心医院),广东珠海519030 [2]珠海市人民医院

出　　处：《中外医学研究》2025年第6期19-21,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：广东省中医药局科研项目(20221364)。

摘　　要：目的:探讨加味瓜蒌散联合毫火针治疗带状疱疹(HZ)的临床效果。方法:选取2022年1月—2023年9月珠海市人民医院收治的121例HZ患者作为研究对象,按患者意愿,随机分为A组59例和B组62例。基础治疗为口服盐酸伐昔洛韦片加甲钴胺片的常规西医治疗,A组在基础治疗上给予加味瓜蒌散联合毫火针治疗,B组在基础治疗上加用红光照射治疗。观察两组皮疹情况、疼痛情况(视觉模拟评分法评分)及睡眠质量(匹茨堡睡眠质量指数量表评分)。结果:A组止疱时间、结痂时间、脱痂时间均短于B组,差异有统计学意义(P<0.05);视觉模拟评分法评分和匹茨堡睡眠质量指数量表评分,改善情况均优于B组,差异有统计学意义(P<0.05)。结论:加味瓜蒌散联合毫火针治疗带状疱疹,可快速减轻皮肤症状,缓解急性期疼痛,改善睡眠质量,具有较好的临床疗效。Objective:To investigate the clinical effect of modified Gualou powder combined with milli-fire needling in the treatment of herpes zoster(HZ).Method:A total of 121 HZ patients admitted to Zhuhai People's Hospital from January 2022 to September 2023 were selected as the study objects.According to the patients'wishes,59 cases were randomly divided into group A,and 62 cases were randomly divided into group B.The basic treatment was conventional Western medicine treatment of oral valaciclovir hydrochloride tablets plus mecobalamine tablets.The group A was given modified Gualsanthis powder combined with fireneedle treatment on basic treatment,while group B was given red light irradiation treatment on basic treatment.The skin rash,pain(Visual Analog Score)and sleep quality(Pittsburgh Sleep Quality Index Scale)were observed in the two groups.Result:The time of vesiculation,scab formation and scab removal in group A were shorter than those in group B,and the difference was statistically significant(P<0.05).Improvement of the scores of Visual Analogue Scale scoring method and Pittsburgh Sleep Quality Index Scale in group A was better than that in group B,and the difference was statistically significant(P<0.05).Conclusion:Modified Gualou powder combined with milli-fire needling in the treatment of herpes zoster can quickly reduce skin symptoms,relieve acute pain,improve sleep quality,and have good clinical efficacy.

关 键 词：加味瓜蒌散 毫火针 带状疱疹 

分 类 号：R275.9[医药卫生—中西医结合]