毫针围刺配合高能红光治疗带状疱疹疗效观察

Therapeutic Observation of Surround Needling plus High-energy Red Light for Herpes Zoster

目的观察毫针围刺配合高能红光治疗带状疱疹的临床疗效。方法将60例带状疱疹患者随机分为药物组、对照组及联合组,药物组采用口服药物治疗,对照组在药物治疗的基础上,采用毫针围刺配合电针进行治疗,联合组在药物治疗的基础上,采用毫针围刺配合电针,加用高能红光照射治疗,分别于治疗5 d、治疗10 d对其疼痛疗效及综合疗效进行比较。结果在疼痛疗效积分方面,对照组和联合组在治疗5 d后疗效优于药物组(P<0.05),而对照组与联合组之间无明显差异(P>0.05);对照组和联合组在治疗10 d后疗效明显优于药物组(P<0.01),联合组优于对照组(P<0.05)。在综合疗效方面,联合组在治疗5 d后疗效优于药物组(P<0.01);对照组与药物组无明显差异(P>0.05);对照组和联合组在治疗10 d后疗效明显优于药物组(P<0.01),且联合组优于对照组(P<0.05)。结论毫针围刺配合高能红光能有效减轻带状疱疹神经痛,缩短疼痛时间,显著改善临床症状,两者联合应用是一种安全有效的治疗方法。

Objective To observe the clinical efficacy of surround needling plus high-energy red light in treating herpes zoster. Method Sixty patients with herpes zoster were randomized into a medication group, a control group and a united group. The medication group was intervened by oral administration of medication, the control group was by surround needling plus electroacupuncture in addition to the medication, and the united group was by the medication, surround needling plus electroacupuncture, and the high-energy red light radiation. The effect on pain and the comprehensive therapeutic efficacy were evaluated on treatment day 5 and day 10. Result The efficacies in releasing pain in the control group and united group were significantly superior to that in the medication group on treatment day 5（P0.05）, while the difference between the control group and united group was statistically insignificant（P0.05）; on treatment day 10, the effects on releasing pain in the control group and united group were more significant than that in the medication group（P0.01）, and the effect in the united group was more significant than that in the control group（P0.05）. The comprehensive therapeutic efficacy in the united group was superior to that in the medication group on treatment day 5（P0.01）; the difference between the control group and medication group was statistically insignificant（P0.05）; on treatment day 10, the efficacies in the control group and united group were significantly better than that in the medication group（P0.01）, and the efficacy in the united group was superior to that in the control group（P0.05）. Conclusion Surround needling plus high-energy red light can effectively reduce the neuralgia caused by herpes zoster, shorten the pain duration, improve the symptoms, and thus this combination is an effective and safe method.