Therapeutic observation of thin-cotton moxibustion plus surround needling for herpes zoster

Abstract

Objective

To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster (HZ).

Methods

Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia (PHN) were compared.

Results

During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant (P<0.05). The blister-healing time, crusting time, pain-reducing time, onset time of action and lesion-healed time in the thin-cotton moxibustion group were significantly shorter than those in the Western medication group (P<0.05). The occurrence rate of PHN was 2.07% in the thin-cotton moxibustion group, significantly lower than 9.19% in the Western medication group (P<0.01).

Conclusion

Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.

摘要

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 刺治疗, 每日治疗1 次。西药组给予静脉滴注阿昔洛韦, 每次0.25 g, 每日1 次; 阿昔洛韦软膏涂擦患处每日3-5 次。治疗10 d 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。