[1]李春玲,樊改荣△.针灸刺络拔罐联合九华膏治疗带状疱疹临床研究*[J].陕西中医,2019,(12):1728-1731.
 LI Chunling,FAN Gairong..Treatment of herpes zoster with acupuncture moxibustion cupping and external use of Jiuhua ointment[J].,2019,(12):1728-1731.
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针灸刺络拔罐联合九华膏治疗带状疱疹临床研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年12期
页码:
1728-1731
栏目:
临床研究
出版日期:
2019-12-05

文章信息/Info

Title:
Treatment of herpes zoster with acupuncture moxibustion cupping and external use of Jiuhua ointment
文章编号:
DOI:10.3969/j.issn.10007369.2019.12.019
作者:
李春玲樊改荣△
陕西省铜川矿务局中心医院(铜川727000)
Author(s):
LI ChunlingFAN Gairong.
Tongchuan Mining Bureau Central Hospital in Shaanxi Province(Tongchuan 727000)
关键词:
带状疱疹中医疗法针灸刺络拔罐九华膏疗效研究
Keywords:
Key words Herpes zosterChinese medicine methodAcupuncturePricking and cuppingJiuhua ointmentCurative effect study
分类号:
R245
文献标志码:
A
摘要:
摘 要 目的:探究针灸加刺络拔罐及外用九华膏治疗带状疱疹的效果及对患者免疫功能的影响。方法:将62例带状疱疹患者均分为两组,对照组给予常规西药治疗;试验组使用针灸加刺络拔罐和九华膏外用。统计两组止泡时间、结痂时间、脱痂时间。对比两组VAS、HAMA、中性粒细胞、淋巴细胞百分比,CRP、IFNγ水平变化。结果:与对照组比较,试验组止泡时间(3.56±0.61与4.38±1.01)d、结痂时间(6.12±0.26与7.23±0.29)d、脱痂时间(11.02±1.27与13.98±1.29)d均明显缩短(P<005)。治疗后的VAS评分(2.51±0.12与3.69±0.51)分、HAMA评分(6.16±0.15与11.09±0.31)分、淋巴细胞百分(26.26±0.15与31.63±0.28)%、CRP(5.12±0.31与6.39±0.21)mg/L及IFNγ(30.61±0.36与43.26±0.61)ng/L明显下降,中性粒细胞百分(59.62±1.33与55.12±0.61)%明显升高(P<005)。结论:针灸加刺络拔罐及外用九华膏治疗带状疱疹具有较好的治疗效果,同时能够改善患者免疫功能。
Abstract:
Abstract Objective:To explore the effect of acupuncture plus pricking cupping and external application Jiuhua ointment on herpes zoster and its immune function. Methods:62 patients with herpes zoster were divided into two groups. The control group was treated with conventional western medicine. The experimental group was treated with acupuncture plus cupping and external use Jiuhua ointment. The antifoam time,scab time and dislocation time of the two groups were counted. The VAS,HAMA,neutrophils,lymphocyte percentage,CRP and IFNγ levels were compared between the two groups. Results:Compared with the control group,the antifoam time (3.56±0.61 vs 4.38±1.01)d,the scarring time (6.12±0.26 vs 7.23±0.29)d,and the dislocation time (11.02±1.27 vs 13.98±1.29)d were significantly shortened (P< 005),VAS score after treatment (2.51 ± 0.12 vs 3.69 ± 0.51),HAMA score (6.16 ± 0.15 vs 11.09 ± 0.31),percentage of lymphocytes (26.26 ± 0.15 vs 31.63 ± 0.28),CRP (5.12 ± 0.31 vs 6.39±0.21) mg/L and IFNγ (30.61±0.36 vs 43.26±0.61) ng/L decreased significantly,and the percentage of neutrophils (59.62±1.33 vs 55.12±0.61)% was significantly increased (P<005).Conclusion:Acupuncture and moxibustion plus cupping and external application of Jiuhua ointment are effective in treating herpes zoster,and can improve the immune function of patients.

参考文献/References:

[1] 于生元,万 有,万 琪,等.带状疱疹后神经痛诊疗中国专家共识[J].中国疼痛医学杂志,2016,22(3):161167.
[2] 崔长弘.带状疱疹流行病学特征及预防策略研究现状[J].疾病监测,2013,28(12):10301034.
[3] 范玉江,刘清国,尹改珍.毫火针围点刺配合药物治疗带状疱疹疗效观察[J].上海针灸杂志,2013,32(2):118120.
[4] 刘亚军,李若瑜.生大黄粉外敷配合刺络拔罐放血治疗带状疱疹的临床观察[J].中国医药导报,2013,10(14):110111.
[5] 陈裕充.2009中国中西医结合皮肤性病学术会议纪要[J].中国中西医结合杂志,2009,29(8):679679.
[6] 袁艳丽,宋立婷,焦来文.威伐光与加巴喷丁对带状疱疹后神经痛疗效及VAS评分作用分析[J].陕西医学杂志,2017,46(5):660661.
[7] 邱 玲,杨 璇,张 吉,等.电针夹脊穴配合调制中频治疗老年带状疱疹后遗神经痛的临床观察[J].中国康复,2016,31(2):138140.
[8] 郭娟莉.药物治疗联合红光照射对带状疱疹神经痛的治疗效果[J].陕西医学杂志,2017,46(8):11401141.
[9] 樵书宏,寇鹏涛,郭娟莉,等.桃红四物汤联合普瑞巴林治疗带状疱疹后遗神经痛疗效及机制研究[J]. 陕西中医,2019,40(9):12511254.
[10] 张薇薇,詹玮玮,石 波, 等.早期多模式镇痛治疗带状疱疹及预防带状疱疹后遗神经痛57例[J].医药导报,2019,38(4):461464.
[11] 张静月,张鹏娇,孙东光, 等.普瑞巴林联合皮内注射治疗急性带状疱疹性疼痛及 带状疱疹后神经痛的临床疗效研究[J].河北医学,2019,25(9):15201523.
[12] 赵姣妹,傅 佳,张 悦, 等.急性期带状疱疹疼痛患者血清水痘-带状疱疹病毒DNA检测及其意义[J].山东医药,2018,58(23):8284.
[13] 陈 琳.观察氦氖激光联合治疗带状疮疹对减轻带状疱疹患者疼痛 和促进皮疹痊愈的效果[J].数理医药学杂志,2019,32(9):13011302.
[14] 董淑珺.龙胆泻肝汤与针刺联合西药治疗带状疱疹(热毒炽盛)随机平行对照研究[J].实用中医内科杂志,2019,33(1):4245.
[15] 于 涓,董映莅.龙胆泻肝汤联合伐昔洛韦治疗带状疱疹的疗效及安全性评价[J].中国中医药现代远程教育,2019,17(6):106107.
[16] 李 梦.针灸治疗带状疱疹临床研究现状[J].中国中医急症,2013,22(11):19271929.
[17] 陈金生,宫庆娟,黄秋兰,等.针灸对急性带状疱疹患者血液cFLIP表达的影响[J].实用医学杂志,2013,29(15):25622565.
[18] 赵博华.梅花针刺络拔罐法治疗带状疱疹急性期临床观察[J].北京中医药,2013,32(5):371372.
[19] 张争艳,张 申.针灸联合刺络拔罐治疗带状疱疹的临床疗效观察[J].浙江中医药大学学报,2014,38(12):14251427.
[20] 龚 宇,彭 斌,雷山川,等.人免疫球蛋白对老年头面部带状疱疹疗效及外周血中TNFα的影响[J].重庆医学,2017,46(7):923925.

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备注/Memo

备注/Memo:
*陕西省自然科学基础研究计划项目(2012JM4025)
更新日期/Last Update: 2019-12-19