火针治疗带状疱疹随机平行对照研究

Parallel Randomized Controlled Study of Herpes Zoster Lesions Acupuncture Treatment

[目的]观察火针治疗带状疱疹疗效。[方法]使用随机平行对照方法,将64例门诊及住院患者按抛硬币法简单随机分为两组。对照组32例常规针刺：阿是穴、支沟、后溪、夹脊,消毒针刺部位,每穴位6~8针,留针30min;穴位刺激后溪、夹脊、支沟,电针方法,毫针进针,留针5min,2次/d。治疗组32例火针：仰卧位,取穴后溪、夹脊、支沟,穴位酒精消毒,火针加热消毒,针体迅速刺入疱疹中央,如疱疹无病变反应,则连刺3~5个火针;渗出的液体,酒精消毒,万花油按压疱疹周边;据针刺效果,选取疱疹病变位置,逐一针灸,10~15个/次。连续治疗7d为1疗程。观测临床症状、病变皮肤、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组痊愈26例,有效4例,无效2例,总有效率93.75%。对照组痊愈15例,有效9例,无效8例,总有效率75.09%。治疗组疗效优于对照组（P〈0.05）。[结论]火针治疗带状疱疹效果显著,值得推广。

[Objective]Acupuncture treatment of herpes zoster lesions.[Methods]Random parallel control method, 64 cases of outpatient and inpatient law simply by flipping a coin randomly divided into two groups. Control group of 32 cases of conventional acupuncture： acupoints, Ashi, tributary point, after the River Point, Jiaji, sterile needle position, each point 6-8 needles, needle 30min; River Point after point stimulation, jiaji points, tributary point, EA methods needle into the needle, the needle 5min, 2 times/d. Acupuncture treatment group of 32 patients the lesion： supine position, the acupoints Creek, jiaji, tributary, acupuncture alcohol disinfection, sterilization heating fire needle, piercing needle quickly herpes center, such as herpes lesions no response, then pierced 3~5 fire needle; oozing liquid, alcohol disinfection, and then press the herpes million flowers surrounding oil; According to acupuncture effect, select herpes lesion location, each acupuncture treatment of herpes number 10 to 15/times. 7d is a continuous course of treatment. Observing clinical symptoms of adverse reactions. 2 courses of continuous treatment, to determine efficacy.[Results]The cure in 26 cases, 4 cases, 2 cases, the total effective rate was 93.75%. The control group healed in 15 cases, 9 cases, 8 cases, the total efficiency of 75.09%. Treatment group than the control group（P〈0.05）.[Conclusion]Acupuncture treatment of herpes zoster lesion effect is significant, it is worth promoting.