中西医结合序贯疗法治疗带状疱疹疗效观察

发布时间：2018-05-20 18:15

本文选题：疱疹 + 带状　；参考：《中国全科医学》2010年24期

【摘要】：目的对比观察中西医结合序贯法和单用西药治疗带状疱疹的临床疗效。方法 80例患者按随机数字表随机分为观察组和对照组,每组40例。观察组先口服泛昔洛韦,接受刺络放血并紫外线照射,然后再接受脉冲超声波治疗,对照组口服药物泛昔洛韦。试验结束后,对两组患者的疼痛、睡眠、皮损情况及不良反应进行综合评价。结果对照组痊愈14例、显效15例、进步9例、无效2例,观察组治愈23例、显效14例、进步2例、无效1例,两组疗效间差异有统计学意义(u=2.42,P0.05)。治疗后观察组的疼痛、皮损、睡眠积分较对照组明显降低,差异有统计学意义(P0.05)。观察组2例、对照组1例患者口服泛昔洛韦后感轻度头晕、恶心、腹胀、便秘等症状,次日症状缓解。观察组2例患者行超声治疗时发生了局部水肿。结论与单纯西药治疗比较,中西医结合序贯法治疗带状疱疹在疼痛、皮损和睡眠方法的效果较好,且不良反应较少。
[Abstract]:Objective to observe the clinical effect of combined traditional Chinese and western medicine (TCM) and western medicine alone in the treatment of herpes zoster. Methods 80 patients were randomly divided into observation group (n = 40) and control group (n = 40). The observation group was treated with panciclovir first, then treated with pulsed ultrasound, and the control group was treated with panciclovir (Panciclovir). After the trial, the pain, sleep, skin lesions and adverse reactions of the two groups were evaluated. Results there were 14 cases of cure, 15 cases of marked effect, 9 cases of progress and 2 cases of ineffectiveness in the control group. In the observation group, 23 cases were cured, 14 cases were markedly effective, 2 cases were improved, and 1 case was ineffective. The difference between the two groups was statistically significant (P 0.05). After treatment, pain, skin lesions and sleep scores in the observation group were significantly lower than those in the control group (P 0.05). Two patients in the observation group and one patient in the control group had mild dizziness, nausea, abdominal distension and constipation after taking panciclovir. The symptoms were relieved the next day. Two patients in the observation group developed local edema during ultrasound treatment. Conclusion Sequential treatment of herpes zoster with combination of traditional Chinese and western medicine is more effective than that of western medicine alone in pain, skin lesion and sleep, and there are fewer adverse reactions.
【作者单位】：北京军区总医院理疗科;
【分类号】：R752.12

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