电针、围针刺配合铺棉灸治疗带状疱疹的临床观察

Clinical observation of the herpes zoster with electric acupuncture, surrounding acupuncture and moxibus- tion with cotton

目的观察电针、围针刺配合铺棉灸治疗带状疱疹的临床疗效。方法将40例带状疱疹患者随机分为观察组和对照组，每组20例。观察组采用电针、围针刺配合铺棉灸治疗；对照组采用盐酸伐昔洛韦、维生素B1治疗。观察并记录2组患者治疗期间疼痛程度、疼痛开始缓解时间、疼痛持续时间、止疱时间、结痂时问和脱痂时间等数据，参照《中医病症诊断疗效标准》进行疗效评定。结果观察组痊愈率75％，对照组痊愈率35％，观察组痊愈率明显优于对照组（P〈0．05），但2组的总有效率差异无统计学意义（P〉0．05）；治疗后目测类比评分法（VAS）评分，观察组明显低于对照组（P〈0．05）；疼痛开始缓解时间及疼痛持续时间观察组均明显少于对照组（P〈0．05）；止疱时间观察组明显快于对照组（P〈0．01）；结痂时间、脱痂时间观察组也明显短于对照组（P〈0．05）。结论电针、围针刺配合铺棉灸治疗带状疱疹具有快速缓解疼痛，缩短疼痛持续时间、止疱时间、结痂时间和脱痂时间等的优点，安全有效，经济实惠。

Objective To observe the clinical effect of electric acupuncture, surrounding acupuncture and cotton moxibustion in the treatment of herpes zoster. Methods Forty cases with herpes zoster were randomly divid- ed into a treatment group and a control group, with 20 patients in each group. The treatment group was treated with e- lectric acupuncture, surrounding acupuncture and cotton moxibustion, while the control group was treated with valaci- clovir and vitamin B1. In the two groups severity of pain and the time of pain beginning to ease, pain lasting blisters disappearing, incrustation and decrustation during treatment were observed and recorded, referring to the People＇s Re- public of China Traditional Chinese Medicine Industry Standard （Chinese disease diagnosis and efficacy standard） for efficacy evaluation. Results There was significant difference between the treatment group and the control group with regard to the cure rate （75% versus 35% , P 〈 0.05 ） ; however, the total effective rates of two groups had no significant difference （ P 〉 0.05）. After treatment VAS score in treatment group was significantly lower than that in control group （ P 〈 0.05 ） ; in treatment group the time of pain beginning to ease and pain lasting were significantly less than those in control group （ P 〈 0.05 ） ; the time of blister disappearing in treatment group was significantly fas- ter than that in control group （P 〈 0.01 ） ; the time of incrustation and decrustation in treatment group were signifi- cantly less than those in control group （P 〈 0.05）. Conclusion The advantages of electric acupuncture, surround- ing acupuncture and cotton moxibustion in the treatment of herpes zoster were shown as faster pain easing, shorter pain lasting, shorter duration of blister and incrustation. This treatment for herpes zoster is safe, effective and affordable.