中国麻风皮肤病杂志 ›› 2025, Vol. 41 ›› Issue (11): 806-810.doi: 10.12144/zgmfskin202511806

• 临床研究 • 上一篇    下一篇

针刺联合刺络拔罐治疗急性期带状疱疹回顾性研究

王建峰1,2,张媛媛1,2,李不言1,2,王雪松1,2,孙璐璐1,2,杨宝琦1,2,杨青1,2,刘国艳1,2   

  1. 1山东第一医科大学附属皮肤病医院，山东济南，250022; 2山东省皮肤病性病防治研究所，山东济南，250022
  • 出版日期:2025-11-15 发布日期:2025-11-11

Retrospective study on acupuncture combined with pricking-cupping therapy for acute herpes zoster

WANG Jianfeng1,2, ZHANG Yuanyuan1,2, LI Buyan1,2, WANG Xuesong1,2, SUN Lulu1,2, YANG Baoqi1,2, YANG Qing1,2, LIU Guoyan1,2   

  1. 1 Dermatology Hospital of Shandong First Medical University, Jinan 250022, China; 2 Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan 250022, China
  • Online:2025-11-15 Published:2025-11-11

PDF (PC)

18

摘要： 目的：评价中医针刺联合刺络拔罐治疗急性期带状疱疹的临床疗效和其对带状疱疹后遗神经痛的影响。方法：回顾性分析2022年7月至2024年7月收治的236例急性期带状疱疹患者，根据治疗方法分为中医外治组（基础治疗+针刺联合刺络拔罐）、激素组（基础治疗+糖皮质激素）、对照组（基础治疗）。对3组患者临床资料进行统计学分析，比较水疱干涸时间、疼痛NRS评分、带状疱疹后遗神经痛（PHN）发生率。结果：中医外治组、激素组及对照组水疱干涸时间分别为（6.29±1.59）天，（7.14±1.48）天和（9.00±1.48）天，治疗4周后疼痛NRS评分分别为0.41±0.63，0.28±0.48，0.95±0.92，PHN发生率分别为33.9%，27.1%，61.1%，三组比较差异均有统计学意义（均P＜0.05）；中医外治组和激素组患者治疗4周后疼痛NRS评分和PHN发生率差异均无统计学意义（均P＞0.05）。结论：针刺联合刺络拔罐治疗在缩短急性期带状疱疹的水疱干涸时间，缓解疼痛及PHN发生率方面效果明显。

关键词: 带状疱疹, 针刺, 刺络拔罐, 糖皮质激素, 带状疱疹后遗神经痛

Abstract: Objective: To evaluate the clinical efficacy of acupuncture combined with pricking and cupping therapy in the treatment of acute herpes zoster and its impact on postherpetic neuralgia (PHN). Methods: A retrospective analysis was conducted on 236 patients with acute herpes zoster admitted between July 2022 and July 2024. Based on the treatment method, patients were divided into three groups: a traditional Chinese medicine (TCM) external treatment group (basic treatment + acupuncture combined with pricking and cupping), a hormone group (basic treatment + glucocorticoids), and a control group (basic treatment only). Statistical analysis was performed on the clinical data of the three groups to compare the blister drying time, pain Numeric Rating Scale (NRS) scores, and the incidence of postherpetic neuralgia (PHN). Results: The blister drying times in the TCM external treatment group, hormone group, and control group were (6.29 ± 1.59) days, (7.14 ± 1.48) days, and (9.00 ± 1.48) days, respectively. The pain NRS scores at 4 weeks after treatment were 0.41 ± 0.63, 0.28 ± 0.48, and 0.95 ± 0.92, respectively. The incidence rates of PHN were 33.9%, 27.1%, and 61.1%, respectively. The differences among the three groups were statistically significant (Ps＜0.05). However, there were no statistically significant differences in the pain NRS scores at 4 weeks after treatment or the incidence of PHN between the TCM external treatment group and the hormone group (Ps＞0.05). Conclusions: Acupuncture combined with pricking and cupping therapy significantly shortens the blister drying time in acute herpes zoster, alleviates pain, and reduces the incidence of PHN.

Key words: herpes zoster, acupuncture, pricking and cupping therapy, glucocorticoids, postherpetic neuralgia