[1]孙一平,杨素清,安月鹏,等.柴胡牡蛎汤加味治疗带状疱疹急性期肝经郁热证疗效观察[J].陕西中医,2023,(9):1220-1222,1226.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.014]
 SUN Yiping,YANG Suqing,AN Yuepeng,et al.Efficacy observation of Chaihu Muli decoction in the treatment of acute herpes zoster with syndrome of stagnated heat of liver meridian[J].,2023,(9):1220-1222,1226.[doi:DOI:10.3969/j.issn.1000-7369.2023.09.014]
点击复制

柴胡牡蛎汤加味治疗带状疱疹急性期肝经郁热证疗效观察
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年9期
页码:
1220-1222,1226
栏目:
临床研究
出版日期:
2023-09-05

文章信息/Info

Title:
Efficacy observation of Chaihu Muli decoction in the treatment of acute herpes zoster with syndrome of stagnated heat of liver meridian
作者:
孙一平1杨素清2安月鹏2王 宇3
(1.黑龙江中医药大学,黑龙江 哈尔滨 150040; 2.黑龙江中医药大学附属第一医院皮肤科,黑龙江 哈尔滨 150040; 3.解放军总医院第七医学中心皮肤科,北京 100010)
Author(s):
SUN YipingYANG SuqingAN YuepengWANG Yu
(Heilongjiang University of Traditional Chinese Medicine,Harbin 150040,China)
关键词:
带状疱疹 柴胡牡蛎汤 肝经郁热证 白细胞介素-6 白细胞介素-8 视觉模拟量表
Keywords:
Herpes zoster Chaihu Muli decoction Syndrome of stagnated heat of liver meridian Interleukin-6 Interleukin-8 Visual analog scale
分类号:
R 752.12
DOI:
DOI:10.3969/j.issn.1000-7369.2023.09.014
文献标志码:
A
摘要:
目的:探讨柴胡牡蛎汤加味治疗带状疱疹急性期肝经郁热证患者的疗效以及对患者血清白细胞介素(IL)-6与IL-8 水平的影响。方法:选择状疱疹急性期肝经郁热证患者82例,根据随机数字表法分入对照组与治疗组,均选入41例。对照组予阿昔洛韦片; 治疗组阿昔洛韦用法同对照组,并予柴胡牡蛎汤加味内服。两组治疗10 d。比较两组疼痛评分、主要症状消退时间、治疗效果以及血清IL-6与IL-8 水平。结果:治疗10 d后,两组疼痛视觉模拟量表(VAS)评分明显减少,并且治疗组VAS评分减少更加显著(P<0.05); 治疗组患者的止疱、疼痛缓解、结痂、脱痂的消退时间较对照组均显著缩短(P<0.05); 治疗组与对照组的总有效率对应92.68%、73.17%,差异有统计学意义(P<0.05); 治疗10 d后,两组患者血清IL-6与IL-8 水平显著下调,且治疗组下调更明显(P<0.05)。结论:柴胡牡蛎汤加味治疗带状疱疹急性期肝经郁热证的疗效确切,可有效减轻患者的疼痛,缩短主要症状恢复时间,降低血清IL-6、IL-8水平。
Abstract:
Objective:To investigate the efficacy of Chaihu Muli decoction in the treatment of acute herpes zoster with syndrome of stagnated heat of liver meridian and its effect on serum levels of interleukin(IL)-6 and IL-8.Methods:A total of 82 acute herpes zoster patients with syndrome of stagnated heat of liver meridian were selected and divided into control group and treatment group by referring to random number table method with 41 cases in each group.The control group was given acyclovir tablets,and the treatment group was treated with acyclovir the same as the control group and Chaihu Muli decoction.The two groups were treated for 10 days.The pain scores,time to resolution of major symptoms,therapeutic effects,and serum levels of IL-6 and IL-8 were compared between the two groups.Results:After treatment the visual analog scale(VAS)score of the two groups was significantly decreased,and the VAS score of the treatment group was significantly decreased(P<0.05).The specific time of blister,pain relief,scab and scab removal in treatment group was significantly shortened compared with control group(P<0.05).Total effective rate for treatment group and the control group was 92.68% and 73.17%,respectively,which was statistical significance between both groups(P<0.05).Post treatment,serum levels of IL-6 and IL-8 for both groups were evidently decreased,and the decrease for treatment group was evident(P < 0.05).Conclusion:The efficacy of Chaihu Muli decoction in the treatment of acute herpes zoster with syndrome of stagnated heat of liver meridian is effective,which can effectively alleviate the pain of cases,shorten recovery time of main symptoms,and reduce the serum levels of IL-6 and IL-8.

参考文献/References:

[1] 张 倩,黄振水,胡倩倩,等.带状疱疹患者生活质量状况及影响因素分析[J].中华医学杂志,2022,102(42):3395-3400.
[2] 郝 飞,李若瑜.应重视带状疱疹的规范化管理[J].中华医学杂志,2022,102(40):3151-3155.
[3] 成 靓.临床治疗带状疱疹急性期的研究进展[J].北京中医药,2021,40(5):558-560.
[4] 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,2019,40(12):1728-1731.
[5] 张燕飞.干扰素治疗带状疱疹的用药策略[J].皮肤科学通报,2021,38(6):543-547.
[6] 刘汉山,丁 鹏,李 强,等.中医综合疗法治疗急性期带状疱疹的疗效观察[J].中国中医急症,2021,30(9):1651-1653.
[7] 中国医师协会皮肤科医师分会带状疱疹专家共识工作组.带状疱疹中国专家共识[J].中华皮肤科杂志,2018,51(6):403-408.
[8] 周冬梅,陈维文.蛇串疮中医诊疗指南(2014年修订版)[J].中医杂志,2015,56(13):1163-1168.
[9] 严广斌.视觉模拟评分法[J].中华关节外科杂志:电子版,2014,8(2):273.
[10] 国家中医药管理局医政司.22个专业95个病种中医诊疗方案[M].北京:国家中医药管理局医政司,2010:303-305.
[11] 徐幼苗,杨 旭,刘婷婷,等.脉冲射频联合富血小板血浆治疗老年带状疱疹的临床研究[J].中国现代医学杂志,2021,31(8):65-69.
[12] 周英丽,张少君,王渭玲.不同外用药方案治疗带状疱疹疗效研究[J].陕西医学杂志,2018,47(5):653-655.
[13] 尹 冬,岳致丰.阿昔洛韦联合瓜蒌红花甘草汤治疗带状疱疹的临床效果观察及安全性分析[J].中国性科学,2020,29(11):145-148.
[14] 毛青青,李 萍,曹桂娴.火针联合阿昔洛韦治疗带状疱疹疗效观察[J].陕西中医,2021,42(7):958-960.
[15] 李靖遐,冯淑兰,郑会斌.基于“少阳火郁”探讨柴胡类方联合火针治疗带状疱疹[J].中国中医急症,2021,30(6):1030-1033.
[16] 刘宇博,索林格,宁 凯,等.清肝泻火除湿方对带状疱疹肝经郁热证患者外周血T淋巴细胞亚群及细胞因子水平的影响[J].现代中西医结合杂志,2019,28(12):1342-1345.
[17] 沙娟娟,朱 颜,候沛红.普瑞巴林联合超短波治疗带状疱疹后神经痛34例临床观察[J].陕西医学杂志,2017,46(11):1602-1603.
[18] 陈金芳,雷 静,林能兴.带状疱疹患者血清PGE2、IL-6、TNF-α水平及病毒载量与病情严重程度的相关性[J].中国微生态学杂志,2021,33(2):201-204.
[19] 高 岩,姚 杰,付晓华.活血散瘀汤合阿昔洛韦治疗带状疱疹后遗神经痛疗效观察[J].现代中西医结合杂志,2018,27(15):1658-1661.
[20] 何 花,范晶华,张燕玲,等.免疫低下人群感染水痘-带状疱疹病毒38例的临床特征[J].昆明医科大学学报,2022,43(8):127-131.

相似文献/References:

[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.
 LI Chunling,FAN Gairong..Treatment of herpes zoster with acupuncture moxibustion cupping and external use of Jiuhua ointment[J].,2019,(9):1728.
[2]毛青青,李 萍,曹桂娴.火针联合阿昔洛韦治疗带状疱疹疗效观察[J].陕西中医,2021,(7):958.[doi:DOI:10.3969/j.issn.1000-7369.2020.07.040]
[3]潘明甫,罗远带,贺诗寓,等.解毒生新汤联合脐环穴针刺治疗带状疱疹疗效研究[J].陕西中医,2024,(4):549.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.026]
 PAN Mingfu,LUO Yuandai,HE Shiyu,et al.Effect of Jiedu Shengxin decoction combined with umbilical ring acupuncture on herpes zoster[J].,2024,(9):549.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.026]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81973846)
更新日期/Last Update: 2023-09-08