神经阻滞联合火针治疗对带状疱疹急性期患者结痂、痊愈时间及病程的影响观察

Observation on the Effects of Nerve Block Combined with Fire Acupuncture on Scabbing,Healing Time and Course of Disease in Patients with Acute Herpes Zoster

目的:探讨神经阻滞联合火针治疗对带状疱疹急性期患者结痂、痊愈时间及病程的影响。方法:选择2015年6月~2018年10月重庆市铜梁区中医院收治的60例带状疱疹急性期患者为研究对象,采用随机数字表法将所有患者分为观察组和对照组,每组各30例。对照组采取神经阻滞治疗,观察组在对照组基础上联合火针治疗。对两组的治疗总有效率、疗效见效时间和疼痛评分(VAS评分)进行对比分析。结果:观察组治疗后的总有效率明显高于对照组,VAS评分明显低于对照组,均具有统计学意义(P<0.05);观察组治疗后的消肿时间、疼痛消失时间、结痂时间和痊愈时间均明显短于对照组,具有统计学意义(P<0.05)。结论:神经阻滞与火针联合治疗带状疱疹急性期的疗效显著,能明显缩短起效时间,减轻疼痛。

Objective:To explore the effects of nerve block combined with fire acupuncture on scabs,healing time and course of disease in patients with acute herpes zoster.Methods:Sixty patients with acute herpes zoster treated in Tongliang District Traditional Chinese Medicine Hospital of Chongqing from June 2015 to October 2018 were selected as the research subjects.All patients were divided into observation group and control group by random number table method.There were 30 cases in each group.The control group was treated with nerve block,and the observation group was combined with fire acupuncture on the basis of the control group.The two groups were compared and analyzed for total effective rate,time to effect and pain score(VAS score).Results:The total effective rate in the observation group after treatment was significantly higher than that in the control group,and the VAS score was significantly lower than that in the control group,all of which were statistically significant(P<0.05);the swelling time,pain disappearance time,and crusting in the observation group The time and healing time were significantly shorter than those in the control group,which was statistically significant(P<0.05).Conclusion:The combination of nerve block and fire acupuncture in the treatment of herpes zoster in the acute phase has a significant effect,which can significantly shorten the onset time and reduce pain,which is worthy of clinical promotion.