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电针围刺阿是穴配合放血拔罐治疗带状疱疹
http://www.100md.com 2011年5月1日 谢小英
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     [摘要] 目的 比较电针围刺阿是穴配合放血拔罐法与西药治疗带状疱疹的疗效差异。方法 将60例患者随机分为观察组(35例)、对照组(25例)。观察组采用电针围刺阿是穴配合疱疹局部梅花针刺血加拔火罐治疗,每天1次;对照组采用口服阿昔洛韦片、甲钴胺片。结果 观察组显愈率为97.1﹪,优于对照组的84.0﹪(P<0.05);在疼痛、瘙痒、烧灼感及睡眠临床症状改善方面,观察组优于对照组(均P<0.01)。结论 电针围刺阿是穴配合放血拔罐是治疗带状疱疹的有效方法,疗效优于常规西药治疗。

    [关键词] 电针; 拔罐; 刺血疗法; 阿是穴,围刺; 疱疹,带状

    [中图分类号] R275[文献标识码] B[文章编号] 1005-0515(2011)-05-010-02

    Observation on therapeutic effect of EA Wai stabbed Ashi combined with blood-letting and cupping on herpes zoster

    Xie Xiaoying

    (Department of Acupuncture, Xindu District Hospital of TCM, Chengdu, Sichuan, 610500, China)

    [Abstract] Objective To compare the therapeutic effect differences between EA Wai stabbed Ashi combined with blood-letting plus cupping and western medicine therapy. Method Sixty cases were randomly divided into an observation group (n=35)and a control group (n=25).The observation group was treated by EA Wai stabbed Ashi combined with blood-letting with a plum-blossom needle at the affected parts plus cupping ,once each day .The control group was treated by oral Acyclovir and Mecobalamin for Injection tablets .Result The cured and markedly effective rate of 97.1﹪ in the observation group was better than that of 84.0﹪ in the control group (P<0.05),and improvements of pain ,pruritus,burning sensation and sleep in the observation group were superior to those of the control group (all P<0.01).Conclusion EA Wai stabbed Ashi combined with blood-letting and cupping is a better therapy for herpes zoster and its therapeutic effect is better than that of routine western medicine therapy.

    [Keywords] Electro-acupuncture; Cupping Therapy; Pricking Blood Therapy; Point Ashi; Herpes Zoster

    带状疱疹是一种由病毒侵犯神经根所致的皮肤上出现成簇水泡、沿神经走向分布、疼痛剧烈的疱疹性皮肤病。该病同时累及皮肤和神经,沿皮损分布处常伴有不同程度的局部皮肤知觉过敏、灼热、麻木、针刺样疼痛,患者常表现为烦躁不安、食欲不振,甚至彻夜难眠,严重影响患者的生活质量。笔者于2010年1-12月利用电针围刺阿是穴配合放血拔罐治疗本病35例,并与西药组25例进行对照观察,现报道如下:

    1 临床资料

    1.1 诊断纳入标准 全部病例均符合国家中医药管理局颁布的《中医病证诊断疗效标准》中带状疱疹诊断标准[1]。所有病例均在出现疱疹3天内到我科门诊,病程≤7天;年龄≥21岁;临床症状评分≥2分;发病后未使用任何其他抗病毒药物治疗,且无合并细菌感染者;愿意接受本治疗方案,签署知情书并同意随访的患者。

    1.2 排除标准 妊娠或哺乳期妇女;过敏体质及对多种药物过敏者;瘢痕体质者;合并严重心脑血管、肝肾、造血系统等原发性疾病或全身衰竭者,糖尿病、恶性肿瘤、精神病、结缔组织病、血友病患者;患者伴有其他皮肤病如皮肤溃疡、湿疹、银屑病、扁平苔藓等不宜用拔罐疗法者;有出血倾向的患者;病情危重,难以对治疗的有效性和安全性做出确切评价者 ......

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