摘要
目的 讨论刺络放血拔罐疗法对带状疱疹（HZ）患者疼痛、睡眠、生活质量、心理健康方面的影响。方法 选取本院在2023.1~2024.1收治的100例HZ患者进行临床观察，在随机数字表法的作用下将其分组，试验组（刺络放血拔罐疗法，50例），对照组（常规疗法，50例）。以HZ患者治疗后疱疹结痂时间、疼痛程度（VAS）作为评估疗效的主要指标，以治疗后患者睡眠（PSQI）、皮肤病生活质量指数（DLQI）、心理焦虑程度（HAMA）作为评估治疗效果的次要指标。结果 ①在对照组HZ患者常规疗法后的疗效指标对比中，显示试验组患者疱疹结痂时间更早，VAS指数更小，表示患者治疗后其疗效价值更高（P＜0.05）；②试验组的HZ患者治疗后PSQI、DLQI、HAMA三项疗效评估指标均低于对照组，显示其治疗后在睡眠、生活质量、心理焦虑反应方面的改善作用高于对照组，（P＜0.05）。结论 在HZ患者的治疗方案中，采取刺络放血拔罐疗法更快改善患者症状，促进患者身心康复。
关键词： 带状疱疹；刺络放血拔罐；疱疹结痂时间；疼痛指数
Abstract
Objective To discuss the effects of cupping therapy on pain, sleep, quality of life and mental health in patients with herpes zoster (HZ). Methods 100 HZ patients admitted to our hospital from 2023.1-2024.1 were selected for clinical observation. Under the function of random number table, they were divided into experimental group (cupping therapy, 50 cases) and control group (conventional therapy, 50 cases). Herpes crust-time and pain degree (VAS) of HZ patients after treatment were used as the main indexes to evaluate the therapeutic effect, and sleep (PSQI), skin disease quality of life index (DLQI) and psychological anxiety degree (HAMA) of patients after treatment were used as the secondary indexes to evaluate the therapeutic effect. Results (1) The comparison of the efficacy indexes of HZ patients in the control group after conventional therapy showed that the herpes scab time of patients in the experimental group was earlier and the VAS index was smaller, indicating that the efficacy value of patients after treatment was higher (P < 0.05); ② After treatment, the PSQI, DLQI and HAMA of HZ patients in the experimental group were lower than those in the control group, indicating that the improvement of sleep, quality of life and psychological anxiety response after treatment was higher than that in the control group (P < 0.05). Conclusion In the treatment scheme of HZ patients, cupping therapy with pricking blood can improve the symptoms of patients faster and promote the physical and mental recovery of patients.
Key words： Herpes zoster; Cupping by pricking collaterals and letting blood; Herpes scab time; Pain index
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