刺血疗法联合紫外线照射治疗带状疱疹

Pricking blood therapy combined with ultraviolet irradiation for treatment of acute herpes zoster

目的:评价刺血疗法联合紫外线照射治疗带状疱疹的临床疗效和安全性。方法:将130例患者随机分为观察组(65例)、对照组(65例)。观察组采用刺血疗法联合紫外线照射,先用梅花针重叩病变局部,再拔罐,取罐后采用体表分野法对皮损区及脊椎旁相应的神经根区进行紫外线照射治疗;对照组采用阿昔洛韦等西药治疗,两组疗程均为7天,观察疗效及不良反应。结果:治疗7天后观察组痊愈率和总有效率分别为76.9%和90.8%,均显著优于对照组的38.5%、66.2%(均P<0.01),观察组后遗神经痛发生率为3.1%,明显低于对照组的12.3%(P<0.05);两组疼痛、皮损、睡眠积分较治疗前明显降低(均P<0.01),且组间比较观察组各项积分下降更为显著(P<0.01,P<0.05);痊愈患者中观察组带状疱疹止痛、止疱、结痂及痊愈时间均显著低于对照组(P<0.01,P<0.05)。结论:刺血疗法联合紫外线照射治疗带状疱疹起效快,并且能有效缩短病程,降低后遗神经痛的发生率,是高效安全的治疗方案。

Objective To evaluate clinical therapeutic effect and the safety of pricking blood therapy combined with ultraviolet irradiation for treatment of acute herpes zoster. Methods One hundred and thirty cases were randomly divided into an observation group and a control group, 65 cases in each group. The observation group was treated with pricking blood therapy combined with ultraviolet irradiation. Firstly, the affected parts were heavily taped with a plum-blossom needle and then cupping. After the cup was removed, with the body surface-dividing field method, ultraviolet irradiation was given at the skin injury area and the nerve root area corresponding to para- spinal vertebra, and the control group was treated with Aciclovir and other western medicine. Seven days constitu ted one course. Their therapeutic effects and adverse reactions were observed. Results After treatment of 7 days, the cured rate of 76.9 % and the total effective rate of 90.8 % in the observation group were significantly higher than 38.5% and 66.2% in the control group, respectively （both P〈0.01）; the incidence rate of post herpetic neuralgia of 3. 1% in the observation group was significantly lower than 12.3% in the control group （P〈0.05） ; after treatment, the scores for pain, rash and sleep decreased significantly in the two groups （all P〈0.01）, more significantly decreased in the observation group than in the control group （P〈0.01 or P〈0.05）; the pain-relieving time, herpes-stopping time, scab-forming time and the cured time in the cured patients of the observation group were significantly shorter thah those in the control group （P〈0.01 or P〈0.05）. Conclusion The pricking blood therapy combined with ultraviolet irradiation has rapid therapeutic effect, effectively shortens duration of illness, decreases the incidence rate of post herpetic neuralgia and it is a safe remedy for treatment of herpes zoster.