针刺加细灸条着肤灸治疗带状疱疹62例临床疗效观察(英文)

Observation on clinical efficacy of acupuncture combined with direct moxibustion with fine-strip moxa for 62 cases of herpes zoster

目的:评价针刺加细灸条着肤灸治疗带状疱疹的临床疗效。方法:将62例带状疱疹患者按照就诊顺序随机分针灸组32例和西药组30例。针灸组采用针刺病灶相关神经节段夹脊穴加细灸条着肤灸治疗,西药组采用口服盐酸伐昔洛韦、维生素B1、维生素B12治疗。观察两组停止发疱时间、结痂时间、脱痂时间,以及比较两组的疼痛缓解程度。结果:针灸组停止发疱时间、结痂时间、脱痂时间均短于西药组[(1.74±0.43)天VS(3.86±0.58)天,(2.03±0.52)天VS(5.46±0.65)天,(5.14±0.33)天VS(8.34±0.59)天,均P<0.05];针灸组疼痛缓解程度VAS评分、疼痛持续时间均优于西药组[(10.41±12.1)VS(15.63±11.39),(4.78±0.45)天VS(8.12±0.63)天,均P<0.05];针灸组总有效率为96.9%(31/32),西药组总有效率为90.0%(27/30),针灸组优于西药组(P<0.05)。结论:针刺加细灸条着肤灸治疗带状疱疹疗效显著,能有效控制疱疹发展,缓解疼痛,缩短病程,提高治愈率,值得临床推广应用。

Objective To evaluate the clinical effect of acupuncture combined with direct moxibustion with fine-strip moxa for herpes zoster. Methods Sixty-two patients with herpes zoster were randomly divided into two groups according to attendance number, 32 in acupuncture group and 30 in western medicine group. The patients in the acupuncture group were treated by acupuncture at the nidus-related nerve segments Jiaji （夹脊 EX-B2） in combination with direct moxibustion with fine-strip moxa, while the patients in the western medicine group were treated by oral valaciclovir hydrochloride, vitamin B1, vitamin B12. The times of response, incrustation and decrustation were observed respectively, and pain relief degree of the two groups were compared. Results The response time, incrustation time and decrustation time of the acupuncture group were all less than those of the western medicine group [（1.74±0.43） days vs （3.86±0.58） days, （2.03±0.52） days vs （5.46±0.65） days, （5.14±0.33） days vs （8.34±0.59） days, all P〈O.05]. The pain relief degree （VAS score）, and pain duration in the acupuncture group were all higher obviously than those of the western medicine group [（10.41±12.1） vs （15.63±11.39）, （4.78±0.45） days vs （8.12±0.63） days, all P〈O.05]. The total effective rate of the acupuncture group was 96.9% （31/32）and that of the western medicine group was 90% （27/30）, thus the therapeutic effect of acupuncture group was better than that of western medicine group （P〈0.05）. Conclusion The therapeutic effect of acupuncture combined with direct moxibustion with fine-strip moxa is remarkable. It can effectively control the development of herpes zoster, alleviate pain and shorten therapy periods. It is worthy to be promoted and applied.