刺络放血拔罐疗法联合中药治疗恶性肿瘤放化疗并发带状疱疹临床观察

Clinical Observation on Cupping Therapy of Bloodletting Puncture Combined with Chinese Medicine for Malignant Tumor Complicated with Herpes Zoster after Radio-chemotherapy

目的:观察刺络放血拔罐疗法联合中药治疗恶性肿瘤放化疗并发带状疱疹的临床疗效。方法:将恶性肿瘤放化疗并发带状疱疹患者80例随机分为观察组与对照组各4 0例;对照组采用阿昔洛韦口服+软膏外涂治疗,观察组采用刺络放血拔罐疗法联合予龙胆泻肝汤合瓜蒌红花甘草汤治疗,2组均治疗7天;观察比较2组临床疗效、患者结痂时间和止痛时间、不良反应发生率及远期后遗神经痛发生率。结果:总有效率观察组为9 2.5%,对照组为72.5%,2组比较,差异有统计学意义(P<0.05)。观察组结痂时间、止痛时间均明显短于对照组,2组比较,差异有统计学意义(P<0.05)。不良反应、后遗神经痛发生率观察组分别为2.5%、5.0%,对照组分别为15.0%、20.0%,2组比较,差异均有统计学意义(P<0.05)。结论:刺络拔罐放血疗法联合中药内服治疗恶性肿瘤放化疗并发带状疱疹能提高临床疗效,缩短疗程,减少不良反应及后遗神经痛的发生。

Objective：To observe the clinical effect of cupping therapy of bloodletting puncture combined with Chinese medicine for malignant tumor complicated with herpes zoster after radio-chemotherapy. Methods：Divided 80 cases of patients with malignant tumor complicated with herpes zoster after radio-chemotherapy into the observation group and the control group randomly, 40 cases in each group. The control group received oral administration of acyclovir and external application of ointment, while the observation group received cupping therapy of bloodletting puncture combined with Longdan Xiegan tang and Gualou Honghua Gancao tang for treatment.The two groups received treatment for seven days. Observed and compared the clinical effect, incrustation time, analgesic time,incidence of adverse reactions and incidence of long-term post herpetic neuralgia in the two groups after treatment. Results： The total effective rate was 92.5% in the observation group and was 72.5% in the control group,the difference being significant（P〈0.05）. The incrustation time and analgesic time in the observation group were obviously shorter than those in the control group,the difference being significant（P〈0.05）. The incidence of adverse reactions and incidence of post herpetic neuralgia were 2.5% and 5.0% respectively in the observation group,while were 15.0% and 20.0% respectively in the control group,differences being significant（P〈0.05）. Conclusion：The therapy of cupping therapy of Bloodletting Puncture combined with Chinese medicine for malignant tumor complicated with herpes zoster after radio-chemotherapy can improve the clinical effect,shorten the course and reduce the adverse reaction and the occurrence of post herpetic neuralgia.