基于通阳活血法采用局部灼灸及回旋灸治疗带状疱疹及预防其后遗神经痛的临床观察

发布时间：2018-03-10 03:27

本文选题：艾灸　切入点：带状疱疹　出处：《大众科技》2016年04期 　论文类型：期刊论文

【摘要】：目的:采用局部灼灸及回旋灸治疗带状疱疹及预防其后遗神经痛,为提高带状疱疹的临床疗效及降低带状疱疹后遗神经痛的发生率提供临床依据。方法:本研究方法采用随机表随机分组对照观察的方法,共观察符合纳入标准的带状疱疹患者60例,分为治疗组30例,对照组30例。治疗组基于通阳活血法采用局部灼灸及回旋灸治疗,对照组采用壮医药线点灸治疗,两组均采用阿昔洛韦抗病毒治疗。两组均治疗7天,观察并分析两组7天后的临床疗效,通过回访方式了解第1、2、3个月后带状疱疹后遗神经痛相关症状的变化。结果:治疗组和对照组两组治疗前后比较,疼痛程度、皮损程度、皮损面积、烧灼感积分下降,差异有统计学意义(P0.05)。两组7天疗效分析比较,治疗组及对照组总有效率分别为90%和76.67%,P0.05,有统计学意义。两组带状疱疹后遗神经痛相关症状变化于1个月后、2个月后、3个月后有所改善,其差异具有统计学意义(P0.05)。结论:(1)带状疱疹的发生多因"瘀"而非"热",故外治应针对"瘀"以热疗为主,通阳以行瘀。(2)局部回旋灸及壮医药线点灸均可起通阳行瘀的作用,故对治疗带状疱疹治疗及预防其后遗神经痛均有疗效。但回旋灸的热力更甚,故疗效优于药线点灸,且其更简便。(3)局部灼灸时会形成一层薄痂,进一步的促进疱疹的愈合。
[Abstract]:Objective: to treat herpes zoster and prevent sequelae neuralgia by local cautery moxibustion and circumflex moxibustion. To improve the clinical efficacy of herpes zoster and reduce the incidence of postherpetic neuralgia. A total of 60 patients with herpes zoster were observed and divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with local cautery moxibustion and circumflex moxibustion based on tonifying Yang and activating blood circulation method, while the control group was treated with Zhuang medicine thread moxibustion. Both groups were treated with acyclovir for 7 days. Results: the degree of pain, the degree of skin damage, the area of skin lesion and the score of burning sensation were decreased in the treatment group and the control group before and after treatment. The difference was statistically significant (P 0.05). The total effective rates of the treatment group and the control group were 90% and 76.67 respectively, which were statistically significant. The symptoms of postherpetic neuralgia in the two groups were changed after 1 month, 2 months and 3 months, respectively. Conclusion the occurrence of herpes zoster is mainly caused by "stasis" rather than "heat". Therefore, external treatment should focus on heat therapy for "stasis", local moxibustion for tonifying yang with blood stasis. 2) local moxibustion and line moxibustion of Zhuang medicine can all play the role of tonifying yang and promoting blood stasis. Therefore, the treatment of herpes zoster and the prevention of sequelae neuralgia have curative effect, but the heat of cyclotron moxibustion is more serious, so the curative effect is better than that of drug line moxibustion, and it is more convenient... 3) A thin scab will be formed when local cautery moxibustion is used to further promote the healing of herpes.
【作者单位】：广西中医药大学;广西中医药大学第一附属医院;
【分类号】：R246.7

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