Clinical Study On The Combination Of Fire Needle And Electroacupuncture Therapy In Acute Phases Of Herpes Zoster

Objective:Through rigorous prospective randomized controlled trial to observe fire needle+Electric acupuncture Therapy, fire needle method and clinical effect of electric acupuncture treatment of acute herpes zoster, fire needle combined with electrical acupuncture on acute herpes zoster of skin condition, the improvement of the pain and heritage neuralgia after the occurrence of the three aspects of the curative effect and mechanism of action, and provide clinical evidence for its effectiveness.Methods:By simple random method to90cases of patients with acute herpes ribbon met the inclusion criteria were divided into three groups, the treatment group of30patients using thermal treatment of acupuncture and electro-acupuncture control group were treated with A30fire needle therapy, the control group were treated with B30electric acupuncture treatment, the three groups were1,1,10a course of treatment, were treated for a course of treatment, while observing, recording and compared three groups of lesions before and after treatment, pain intensity (VAS assessment method), the degree of pain relief (%), the pain began to ease time, immediate analgesic effect, duration of analgesia, and follow-up to the first30days, the incidence of postherpetic neuralgia records.Results:1、 Analysis of HerpesThe treatment group; Upon examination, between the treatment group and the control group A blistering time ended, the scab off time (P<0.01), there is a statistically significant difference; scab time (P<0.05), there are significant differences between the control group B ended with blistering time, crusting time, the scab off time (P<0.01), there is a statistically significant difference; between group a and group B ended blistering time (P<0.05), there are significant differences; scab, scab off time (P<0.01) had a statistically significant difference between the treatment group showed earlier can prevent an increase in the acute phase of shingles blisters, scabs and accelerate herpes scab off.2、Analysis of Pain(1) VAS values before and after the first treatment comparison, the mean difference between the two are:the treatment group-33.67+12.31; control group A-22.67±6.53; group B-27.33±9.71, the difference between the treatment group before and after treatment were compared with the number of the remaining two large, can be considered the treatment of pain and improvement in patients before and after treatment is more significant.(2) the degree of pain relief:Treatment group54.90±3.51, group A,41.03±3.30, group B53.57±4.28, the treatment group and control group A were compared, P<0.01, statistically significant comparison between the description of the two, pain relief treatment group than the control group index A; the control group A and group B were compared and found P<0.01, group B indicators in pain relief was significantly better than the control group A; treatment group and control group B comparison, P>0.05, compared description between treatment group and control group B relieve pain indicators showed no statistical significance.(3) analgesic effect time: Treated group1.93±0.83points, control points A4.37+1.45, Bl.83±0.87in the control group of the treated group and.the control group A were compared, P<0.05, instant Town pain effect, the treatment group and the control group B onset time faster than the control group A (P<0.05), and the treatment group and the control group no significant difference in onset time (P>0.05)(4):the treatment group was904.00±244.578minutes, the control group A537.00±274.54minutes, control group B740.00±258.11minutes, the treatment group compared with control group A after inspection, the control group compared with control group B, A, P<0.01, there is statistical significance, the treatment group compared with control group B (P>0.05, no statistical significance.3、The incidence of postherpetic neuralgia (PHN)30(thirty) days from treatment, treatment group heritage neuralgia after observed in4patients, control group A legacy after the onset of neuralgia,6patients in the control group B in the treatment of the30th day after five patients appeared neuralgia. After compared to the literature, neuralgia rate is low.Conclusion:Three treatment methods can improve the situation of acute lesions of patients with herpes zoster, embodied in:blister ended shorten the time period and scab scab off time, which, combined with electric fire needle acupuncture blister ended in shortening the time, crusting time and time off the scab, the superior fire needle group and EA group, in both the control group, the control group than the control group a, B in improving herpes.Three treatments and can effectively reduce the patient’s pain VAS comparison value in the treatment after the first treatment group than the control group pain improvement in both the control group than in the control group B of analgesia group A; immediate analgesic effect in the treatment group and control group B onset time faster than the control group A (P<0.05), and the treatment group and the control group no significant difference in onset time (P>0.05); after the analgesic effect of the treatment group than the control group a, B; treatment methods can be used to reduce the three groups of postherpetic neuralgia occurred, according to the statistical analysis of data, P>0.05, three in reducing sequelae neuropathic pain, no statistical difference.