丹参穴位注射配合梅花针叩刺治疗带状疱疹的疗效观察

Efficacy Observation of Danshen Acupoint Injection Combined with Percussopunctator Sticking in the Treatment of Herpes Zoster

目的:观察丹参穴位注射配合梅花针扣刺治疗带状疱疹的临床疗效。方法:选择86例带状疱疹患者,按随机数字表法分为治疗组(42例)和对照组(44例)。对照组采用注射用更昔洛韦0.25 g静脉滴注,bid+甲钴胺片0.5 g口服,tid;治疗组在对照组基础上加用丹参注射液0.5 ml穴位注射配合梅花针叩刺,隔日1次。2周后观察两组治疗效果及可视疼痛评分(VAS)改善情况。结果:治疗组红斑减轻时间、止疱时间、结痂时间与脱痂时间均短于对照组,差异均有统计学意义(P<0.05);治疗后,两组VAS均有所降低,疼痛程度均随时间延长而减轻,且治疗组VAS降低幅度高于对照组,疼痛缓解更明显,差异具有统计学意义(P<0.05)。随访后遗神经痛发生情况,治疗组发生率低于对照组,差异具有统计学意义(P<0.05)。两组均未见明显不良反应。结论:丹参穴位注射配合梅花针扣刺对带状疱疹的临床疗效肯定,可有效缓解患者的疼痛程度。

OBJECTIVE： To observe therapeutic efficacy of Danshen acupoint injection combined with percussopunctator stick- ing in the treatment of herpes zoster. METHODS： 86 cases of herpes zoster were randomly divided into treatment group （42 cas- es） and control group （44 cases）. Control group was given ganciclovir 0.25 g intravenously, bid, and Mecobalamin tablets 0.5 g orally, tid; treatment group was additionally given acupoint injection of Danshen injection 0.5 ml combined with percussopunctator sticking every two days on the basis of control group. After 2 weeks, the therapeutic efficacy and improvement of VAS score were observed in 2 groups. RESULTS ： The erythema reduction time, herpes stopping time, crusting time and decrustation time of treat- ment group were lower than those of control group, there were statistical significance （P〈0.05） ; after treatment, VAS score of two groups were decreased, and the degree of pain was reduced with time; the decrease of VAS score in treatment group was sig- nificantly higher than in control group, pain relief was more obvious; there was statistical significance （P〈0.05）. The incidence of postherpetic neuralgia of follow-up in treatment group was significantly lower than in control group; there was statistical signifi- cance （P〈0.05）. No obvious ADR was found in 2 groups. CONCLUSIONS： Danshen acupoint injection combined with percussopunctator sticking have the obvious clinical effect on herpes zoster, and can effectively relieve the pain of patients.