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薄棉灸配合围刺治疗带状疱疹疗效观察
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薄棉灸配合围刺治疗带状疱疹疗效观察
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Journal Article
薄棉灸配合围刺治疗带状疱疹疗效观察
2016
Overview
目的：比较薄棉灸配合围刺与西药治疗带状疱疹（herpes zoster,HZ）的临床疗效差异。方法：将83例带状疱疹患者按入院先后顺序分为2组，薄棉灸组41例，西药组42例。薄棉灸组给予疱疹表面薄棉灸，辅以疱疹周围围刺；台疗，每日治疗1次。西药组给予静脉滴注阿昔洛韦，每次O．25g，每日1次；阿昔洛韦软膏涂擦患处每日3-5次。治疗10d后，比较两组患者水疱开始吸收时间、结痂时间、疼痛减轻时间、显效时间、皮损愈合时间及后遗神经痛发生率。结果：治疗过程中，薄棉灸组脱落1例，西药组脱落2例。薄棉灸组愈显率为92．5％，总有效率为97．5％；西药组愈显率为72．5％，总有效率87．5％，两组愈显率及总有效率差异均有统计学意义（P〈0．05）。薄棉灸组患者疱疹开始吸收时间、结痂时间、疼痛减轻时间、显效时间、皮损愈合时间均明显低于西药组（P〈0．05）。薄棉灸组后遗神经痛发生率为2．07％，显著低于西药组的9．19％（P〈0．01）。结论：薄棉灸配合围刺治疗Hz疗效优于阿昔洛韦，且能明显降低后遗神经痛的发生率。
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