刺血拔罐与星状神经节阻滞治疗急性期头面部带状疱疹的疗效比较

发布时间：2018-06-07 18:19

本文选题：带状疱疹 + 带状疱疹后遗痛　；参考：《上海医学》2014年10期

【摘要】：目的综合应用药物联合刺血拔罐治疗急性期头面部带状疱疹(HZ),并与药物联合星状神经节阻滞治疗的疗效进行比较。方法 22例急性期头面部HZ患者随机分入治疗组(10例)和对照组(12例),两组患者均采用药物治疗(包括口服药物和外用药)。治疗组在药物治疗的基础上再予刺血拔罐治疗,对照组在药物治疗的基础上再予星状神经节阻滞治疗。分别于治疗前和治疗后3d、1周、2周、3周、5周采用疼痛视觉模拟评分(VAS评分)评估疼痛程度,采用睡眠影响指数(SIS)评估睡眠质量。结果两组组内各时间点间疼痛VAS评分两两比较,差异均有统计学意义(P值均0.05),随治疗时间的延长疼痛VAS评分明显降低,两组的治疗均有效。治疗前两组间疼痛VAS评分的差异无统计学意义(P0.05);治疗后3和5周,治疗组的疼痛VAS评分均显著低于对照组(P值均0.05)。两组组内各时间点间SIS两两比较,治疗组除了治疗后3周与治疗后5周外,对照组除了治疗后2周与治疗后3周外,差异均有统计学意义(P值均0.05),随治疗时间的延长SIS明显降低,两组的治疗均有效。治疗前两组间SIS的差异无统计学意义(P0.05);治疗后1、3和5周,治疗组的SIS均显著低于对照组(P值均0.05)。结论与星状神经节阻滞治疗比较,刺血拔罐治疗急性期头面部HZ更有效,且经济、易推广。
[Abstract]:Objective to compare the therapeutic effects of combined drug therapy with blood puncture and cupping on head and face herpes zoster in acute stage and stellate ganglion block. Methods 22 patients with head and facial HZ in acute stage were randomly divided into treatment group (n = 10) and control group (n = 12). The treatment group was treated with blood pricking and cupping on the basis of drug therapy, while the control group was treated with stellate ganglion block on the basis of drug therapy. The degree of pain was evaluated by visual analogue score (VAS) and sleep quality was evaluated by SISs before and 3 days after treatment. Results the VAS scores of pain in each time point of the two groups were significantly different (P < 0.05). The VAS scores of pain were significantly decreased with the prolongation of the treatment time, and the two groups were effective. There was no significant difference in pain VAS score between the two groups before treatment, but at 3 and 5 weeks after treatment, the pain VAS score in the treatment group was significantly lower than that in the control group (P < 0.05). SIS was compared at different time points in the two groups. In the treatment group, except 3 weeks after treatment and 5 weeks after treatment, the control group was in addition to 2 weeks after treatment and 3 weeks after treatment. The difference was statistically significant (P < 0.05). SIS was significantly decreased with the prolongation of treatment time, and the treatment was effective in both groups. There was no significant difference in SIS between the two groups before treatment (P 0.05), and the SIS levels in the treatment group were significantly lower than those in the control group at 3 and 5 weeks after treatment (P < 0.05). Conclusion compared with stellate ganglion block treatment, blood pricking and cupping is more effective, economical and easy to popularize in treating head and face HZ in acute stage.
【作者单位】：上海交通大学医学院附属仁济医院麻醉科;安徽蚌埠医学院;
【基金】：2010年上海高校选拔培养优秀青年教师科研专项基金资助
【分类号】：R752.12

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