益气调督法治疗带状疱疹的临床研究

Clinical Study on the Treatment of Herpes Zoster with the Method of Yiqi Tiaodu

目的分析益气调督法对带状疱疹(HZ)的疗效。方法随机选取2019年6月—2021年1月就诊于该院门诊及住院HZ患者60例为研究对象,依据随机数表法分成对照组(常规针刺)和观察组(益气调督法),各30例。比较两组治疗前后的视觉模拟评分法(VAS)评分、匹兹堡睡眠指数量表(PSQI)评分、疼痛消失时间、结痂时间、皮损消退时间、治疗有效率和不良反应发生情况。结果观察组的治疗有效率为96.67%高于对照组的50.00%,差异有统计学意义(χ^(2)=16.705,P<0.05)。治疗后,观察组VAS分为(1.75±0.46)分低于对照组(3.84±0.65)分,差异有统计学意义(t=14.376,P<0.05),且PSQI各维度得分均低于对照组,差异有统计学意义(P<0.05)。观察组的疼痛消失、结痂以及皮损消退时间为(2.96±0.70)、(3.18±1.02)、(3.05±0.96)d短于对照组(5.25±1.08)、(4.96±1.14)、(5.02±1.05)d,差异有统计学意义(t=9.746、6.373、7.584,P<0.05)。两组皮下出血以及烫伤等不良反应发生率相比,差异无统计学意义(P>0.05)。结论益气调督法对HZ患者疗效确切,能减轻其疼痛感,改善其睡眠质量,同时不良反应较少,安全性较高,值得采用。

Objective To analyze the curative effect of Yiqi Tiaodu method on herpes zoster(HZ).Methods A total of 60 HZ patients who were treated in the hospital's outpatient and inpatient areas from June 2019 to January 2021 were randomly selected as the research objects.According to the random number table method,they were divided into the control group(conventional acupuncture)and the observation group(Yiqi Tiaodu method),30 cases in each group.The visual analogue scale(VAS)score,pittsburgh sleep index(PSQI)score,pain disappearance time,scab formation time,skin lesion regression time,treatment efficiency and adverse reactions were compared between the two groups before and after treatment.Results The effective rate of treatment in the observation group was 96.67%higher than that in the control group50.00%,the difference was statistically significant(χ^(2)=16.702,P<0.05).After treatment,the VAS score of the observation group was(1.75±0.46)points lower than that of the control group(3.84±0.65)points,the difference was statistically significant(t=14.376,P<0.05).And the scores of each dimension of PSQI were lower than those of the control group,the difference was statistically significant(P<0.05).The pain disappearance,crusting and skin lesions disappearing time in the observation group were(2.96±0.70)d,(3.18±1.02)d,(3.05±0.96)d,shorter than the control group(5.25±1.08)d,(4.96±1.14)d,(5.02±1.05)d,the difference was statistically significant(t=9.746,6.373,7.584,P<0.05).There was no significant difference in the incidence of adverse reactions such as subcutaneous hemorrhage and scald between the two groups(P>0.05).Conclusion The method of Yiqi Tiaodu has definite curative effect on HZ patients,which can reduce their pain and improve their sleep quality.