滚针放血疗法联合中药治疗带状疱疹疗效观察

Observation of the effect of rolling needle bloodletting therapy combined with traditional Chinese medicine in the treatment of herpes zoster

目的:观察滚针放血疗法联合龙胆泄肝汤化载方治疗肝胆湿热型带状疱疹的疗效。方法:收集2018年1月-2019年6月收治的肝胆湿热型带状疱疹患者72例,随机分为治疗组和对照组各36例。对照组口服阿昔洛韦片0.8 g,每天3次;喷昔洛韦乳膏外擦患处,每天4次;口服甲钴胺0.5 mg,每天3次,疗程10 d。治疗组在对照组基础上加用滚针放血每3 d 1次,共3次;早、晚各口服龙胆泻肝汤化载方汤药250 ml,共14 d。比较两组治疗后视觉模拟评分法(VAS)评分、治愈率及后遗神经痛发生率。结果:治疗组治愈率为77.8%(28/36),明显优于对照组的44.4%(16/36,P<0.05)。治疗组的后遗神经痛发生率为8.3%(3/36),明显低于对照组的33.3%(12/36,P<0.05)。治疗后治疗组的VAS评分为(0.67±0.76)分,明显优于对照组的(3.56±1.75)分(P<0.05)。结论:滚针放血疗法联合龙胆泄肝汤化载方治疗带状疱疹可以有效缓解疼痛,缩短病程,提高治愈率,降低带状疱疹后遗神经痛的发生率。

Objective:To observe the effect of rolling needle bloodletting therapy combined with Longdan xiegan decoction huazaifang in the treatment of herpes zoster(HZ)of hepatobiliary damp heat type.Methods:From January 2018 to June 2019,72 cases of herpes zoster of hepatobiliary damp heat type were collected and randomly divided into a treatment group and a control group with 36 cases in each group.The control group took acyclovir tablets 0.8 g orally 3 times a day;penciclovir cream was applied to the affected area 4 times a day;mecobalamin 0.5 mg was given orally three times a day for 10 days.On the basis of the same treatment of the control group,the treatment group was given bloodletting by rolling needle once every 3 days,3 times in total;in the morning and evening,250 mml of Longdan xiegan decoction huazaifang was taken orally for 14 days.After treatment,visual analogue scale(VAS),cure rate and incidence of sequelae neuralgia were compared between the two groups.Results:The cure rate of the treatment group was 77.8%(28/36),which was significantly better than that of the control group 44.4%(16/36,P<0.05).The incidence of sequelae neuralgia of the treatment group was 8.3%(3/36),which was significantly lower than that of the control group 33.3%(12/36,P<0.05).After treatment,the VAS score of the treatment group was(0.67±0.76),which was significantly better than that of the control group(3.56±1.75)(P<0.05).Conclusion:Rolling needle bloodletting therapy combined with Longdan xiegan decoction huazaifang can effectively relieve pain,shorten the course of disease,improve the cure rate,and reduce the incidence of postherpetic neuralgia.