Treatment of 60 cases of senile herpes zoster by encircled acupuncture plus valaciclovir

摘要

目的

观察局部围针配合万乃洛韦治疗治疗老年带状疱疹的临床疗效及安全性。

方法

60 例老年带状疱疹患者分为两组: 针药组采用局部围针配合万乃洛韦治疗, 在皮肤损害的周围, 离疱疹约 0.8 寸左右进针, 针尖与皮肤呈 15°, 进行斜刺向疱疹中心, 根据皮肤损害部位的大小, 每隔 1 寸左右取 1 穴围刺。 治疗期间同时予口服万乃洛韦, 每次 300 mg, 每日 2 次, 连服 10 日; 西药组单纯口服万乃洛韦, 每次 300mg, 每日 2 次, 连服 10 天。

结果

针药组在止疱、止痛、结痂时间均显著低于西药组(P<0.01), 后遗神经痛发生率明显降低(P<0.05)。

结论

局部围针配合万乃洛韦治疗老年带状疱疹起效快, 能有效缩短病程、 降低后遗神经痛发生率。

Abstract

Objective

To observe the clinical therapeutic effect and safety of local encircled acupuncture plus valaciclovir in treating senile herpes zoster.

Methods

Sixty senile patients with herpes zoster were divided into two groups. In acupuncture and medicine group, the patients were treated by encircled acupuncture plus valaciclovir. The needle was inserted about 0.8 cun away from herpes and to form an angle of 15° with the skin around the skin lesion. During treatment, valaciclovir was taken orally 300 mg every time, twice every day for successive 10 days. In western medicine group, valaciclovir was taken orally 300 mg every time, twice every day for successive 10 days.

Results

The time of stopping herpes, relieving pain and scabbing in acupuncture and medicine group was significantly lower than that in western group.

Conclusion

Local encircled acupuncture plus valaciclovir in treating senile herpes zoster got effects quickly and could effectively shorten the course of disease and reduce the incidence rate of residual neuralgia.