刺络放血拔罐疗法联合中药治疗恶性肿瘤放化疗并发带状疱疹临床观察
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摘要
目的:观察刺络放血拔罐疗法联合中药治疗恶性肿瘤放化疗并发带状疱疹的临床疗效。方法:将恶性肿瘤放化疗并发带状疱疹患者80例随机分为观察组与对照组各4 0例;对照组采用阿昔洛韦口服+软膏外涂治疗,观察组采用刺络放血拔罐疗法联合予龙胆泻肝汤合瓜蒌红花甘草汤治疗,2组均治疗7天;观察比较2组临床疗效、患者结痂时间和止痛时间、不良反应发生率及远期后遗神经痛发生率。结果:总有效率观察组为9 2.5%,对照组为72.5%,2组比较,差异有统计学意义(P<0.05)。观察组结痂时间、止痛时间均明显短于对照组,2组比较,差异有统计学意义(P<0.05)。不良反应、后遗神经痛发生率观察组分别为2.5%、5.0%,对照组分别为15.0%、20.0%,2组比较,差异均有统计学意义(P<0.05)。结论:刺络拔罐放血疗法联合中药内服治疗恶性肿瘤放化疗并发带状疱疹能提高临床疗效,缩短疗程,减少不良反应及后遗神经痛的发生。
Objective:To observe the clinical effect of cupping therapy of bloodletting puncture combined with Chinese medicine for malignant tumor complicated with herpes zoster after radio-chemotherapy. Methods:Divided 80 cases of patients with malignant tumor complicated with herpes zoster after radio-chemotherapy into the observation group and the control group randomly, 40 cases in each group. The control group received oral administration of acyclovir and external application of ointment, while the observation group received cupping therapy of bloodletting puncture combined with Longdan Xiegan tang and Gualou Honghua Gancao tang for treatment.The two groups received treatment for seven days. Observed and compared the clinical effect, incrustation time, analgesic time,incidence of adverse reactions and incidence of long-term post herpetic neuralgia in the two groups after treatment. Results: The total effective rate was 92.5% in the observation group and was 72.5% in the control group,the difference being significant(P < 0.05). The incrustation time and analgesic time in the observation group were obviously shorter than those in the control group,the difference being significant(P < 0.05). The incidence of adverse reactions and incidence of post herpetic neuralgia were 2.5% and 5.0% respectively in the observation group,while were 15.0% and 20.0% respectively in the control group,differences being significant(P < 0.05). Conclusion:The therapy of cupping therapy of Bloodletting Puncture combined with Chinese medicine for malignant tumor complicated with herpes zoster after radio-chemotherapy can improve the clinical effect,shorten the course and reduce the adverse reaction and the occurrence of post herpetic neuralgia.
Objective:To observe the clinical effect of cupping therapy of bloodletting puncture combined with Chinese medicine for malignant tumor complicated with herpes zoster after radio-chemotherapy. Methods:Divided 80 cases of patients with malignant tumor complicated with herpes zoster after radio-chemotherapy into the observation group and the control group randomly, 40 cases in each group. The control group received oral administration of acyclovir and external application of ointment, while the observation group received cupping therapy of bloodletting puncture combined with Longdan Xiegan tang and Gualou Honghua Gancao tang for treatment.The two groups received treatment for seven days. Observed and compared the clinical effect, incrustation time, analgesic time,incidence of adverse reactions and incidence of long-term post herpetic neuralgia in the two groups after treatment. Results: The total effective rate was 92.5% in the observation group and was 72.5% in the control group,the difference being significant(P < 0.05). The incrustation time and analgesic time in the observation group were obviously shorter than those in the control group,the difference being significant(P < 0.05). The incidence of adverse reactions and incidence of post herpetic neuralgia were 2.5% and 5.0% respectively in the observation group,while were 15.0% and 20.0% respectively in the control group,differences being significant(P < 0.05). Conclusion:The therapy of cupping therapy of Bloodletting Puncture combined with Chinese medicine for malignant tumor complicated with herpes zoster after radio-chemotherapy can improve the clinical effect,shorten the course and reduce the adverse reaction and the occurrence of post herpetic neuralgia.
引文
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[18]陈玮,刘桂珍,姚秋红.刺络拔罐治疗急性期带状疱疹临床疗效观察[J].上海针灸杂志,2014,33(12):1132-1134.
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[2]张曼.穴位注射治疗带状疱疹临床研究[J].中医学报,2014,29(3):448-449.
[3]王恩文,王东林,马惠文,等.57例恶性肿瘤合并带状疱疹的回顾性分析[J].重庆医学,2015,44(26):3655-3657.
[4]王仁珍,王红,王郧莲,等.带状疱疹455例临床分析[J].中国皮肤性病学杂志,2005,19(12):730-731.
[5]赵辨,王千秋,王秉鹤,等.临床皮肤病学[M].苏州:江苏科学技术出版社,2001:300-303.
[6]张学军.皮肤性病学[M].北京:人民卫生出版社,2008:63.
[7]国家中医药管理局.ZY/T001.1~001.9-94中医病证诊断疗效标准[S].南京:南京大学出版社,1994:144.
[8]吴文锋.针药结合治疗带状疱疹45例疗效观察[J].亚太传统医药,2007,3(1):77-78.
[9]常雪利.刺络拔罐加温针灸治疗带状疱疹后遗神经痛临床研究[J].中医学报,2012,27(7):906-907.
[10]欧阳颀,魏智钧,侯艳.刺血疗法联合紫外线照射治疗带状疱疹[J].中国针灸,2010,18(3):178-179.
[11]卢彦顺.银翘散联合阿昔洛韦片治疗单纯疱疹60例[J].河南中医,2011,31(9):1037-1038.
[12]王兴远,陈绪元,陈晓品,等.恶性肿瘤放化疗并发带状疱疹的临床分析[J].肿瘤,2003,23(1):71-72.
[13]徐丹丹,叶斌.针刺、放血疗法治疗带状疱疹临床研究[J].亚太传统医药,2015,11(14):64-65.
[14]杨令云.五黄散联合阿昔洛韦治疗疱疹性龈口炎临床研究[J].中医学报,2011,26(8):1007-1008.
[15]鲍素玉.不同剂量阿昔洛韦治疗带状疱疹临床疗效比较[J].海峡药学,2010,22(3):123-125.
[16]彭光玲,李惠.早期足量抗病毒治疗带状疱疹临床疗效观察[J].重庆医科大学学报,2013,38(3):311-314.
[17]钟秀莲.辨证取穴联合刺络拔罐治疗带状疱疹疗效观察及辨证施护[J].辽宁中医药大学学报,2014,16(6):227-229.
[18]陈玮,刘桂珍,姚秋红.刺络拔罐治疗急性期带状疱疹临床疗效观察[J].上海针灸杂志,2014,33(12):1132-1134.
[19]周学林.放血拔罐加针刺夹脊穴治疗带状疱疹47例[J].中国全科医学,2006,9(4):338-339.