| 引用本文:崔我凛，张学丽.麦粒灸结合针刺治疗急性期带状疱疹的临床疗效及其高频超声影像表现[J].世界中医药,2020,(05):. |
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| 麦粒灸结合针刺治疗急性期带状疱疹的临床疗效及其高频超声影像表现 |
| Clinical Effects of Seed Sized Moxa Cone Combined with Acupuncture on Actue Herpes Zoster and Observation of Its High-frequency Ultrasound Image |
| 投稿时间：2019-06-12 |
| DOI：10.3969/j.issn.1673-7202.2020.05.024 |
| 中文关键词: 带状疱疹 高频超声 急性期 麦粒灸 |
| English Keywords:Herpes zoster High frequency ultrasound Acute Seed sized moxa cone |
| 基金项目:北京市自然科学基金项目(7192116) |
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| 中文摘要: |
| 目的：通过麦粒灸及针刺治疗急性期带状疱疹有疱疹疼痛区（A区）及无疱疹疼痛区（B区）,旨在观察临床疗效及相应部位的高频超声影像的变化，探讨麦粒灸治疗与PHN的关系。方法：选取2016年1月至2017年1月北京中医药大学附属东直门医院收治的急性期带状疱疹患者21例作为研究对象，随机分为观察组(n=11）和对照组（n=10）。2组均在口服药物、体针治疗的基础上，观察组A、B区给予麦粒灸治疗，对照组给予围刺治疗，同时评估临床疗效以及高频超声影像。疗程结束后随访患者。结果：2组结痂时间、皮损恢复时间及A区VAS评分均有改善；观察组B区VAS评分降低，2组差异无统计学意义(P>0.05）；治疗前后2组A区增厚的皮肤有改善，治疗前2组B区皮肤厚度与健侧相同；治疗前A、B区皮神经横截值均高于健侧，治疗后2组A、B区皮神经横截值均有减小。结论：观察组B区疼痛缓解、预防带状疱疹后神经痛(PHN)发生更为优势；疼痛与皮神经肿胀、炎性反应均无明显相关性；PHN与神经肿胀无明显相关性。 |
| English Summary: |
| The treatment of acute herpes zoster with herpes painful lesion(A lesion)and non-herpetic pain lesion(B lesion)through seed sized moxa and acupuncture is aimed at observing the clinical efficacy and the changes of high-frequency ultrasound images of corresponding parts and discussing the relationship between seed sized moxa treatment and PHN.Methods:A total of 21 patients with herpes zoster in Dongzhimen Hospital，Beijing University of Chinese Medicine were selected and divided into a study group(n=11)and a control group(n=10).Both groups took medicine orally and acupuncture treatment for body.The lesion of study group A and B were treated with seed sized moxa，and the control group was treated with peri-stabbing.The clinical efficacy and high-frequency ultrasound image analysis were also evaluated.Patient were given follow-up after treatment.Results:The scab time，skin lesion recovery time，and VAS score in lesion A were improved in both groups; the VAS score in lesion B was reduced in the study group，and there was no difference between the 2 groups; The thickened skin in lesion A of the 2 groups improved before and after treatment and the thickness of the skin in lesion B of the 2 groups was the same as that of the healthy side.The cross-sectional values of the cutaneous nerves in lesions A and B were higher than those in the healthy side before treatment.After treatment，the cross-sectional values of cutaneous nerves in lesion A and B decreased in both groups; PHN occurred in 2 cases in the control group.Conclusion:Lesion B in the study group has more advantages in pain relief and prevention of PHN.There is no significant correlation between pain and cutaneous nerve swelling and inflammation; PHN has no significant correlation with nerve swelling. |
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