阿昔洛韦滴眼液联合中药治疗老年带状疱疹的临床分析(1)
【摘要】 目的 观察阿昔洛韦滴眼液联合中药(复方板蓝根颗粒 丹参注射液 黄芪注射液)治疗带状疱疹的临床疗效。 方法 将临床确诊带状疱疹的69例老年患者随机分成治疗组和观察组。两组常规预防感染和对症治疗观察组35例视情况给予阿昔洛韦滴眼液外涂患处，同时服用板蓝根颗粒；对照组34例口服阿昔洛韦片、维生素，观察用药后老人的症状和体征。结果 观察组总有效率976%。疼痛消退时间和结痂出现时间明显优于对照组。结论 阿昔洛韦滴眼液联合中药治疗老年带状疱疹疗效明显优于口服阿昔洛韦片,而且早期应用阿昔洛韦滴眼液能迅速止痛、止疱，并且采用中药治疗有利于神经恢复减少后遗神经痛的发生对老年人的生活质量有提升作用。
【关键词】 带状疱疹；阿昔洛韦滴眼液；中药
Clinical analysis of senile herpes zoster treatment by Acyclovir Eye Drops Combined with traditional Chinese medicine AN Yuju Qingdao Jiaonan Chinese Medicine Hospital,Qingdao 266400,China
, 百拇医药
【Abstract】 Objective To observe the clinical efficacy of the treatment of herpes zoster by Acyclovir Eye Drops combined with traditional Chinese medicines (Compound Isatis Particles, Salvia Injection and Astragalus Injection in this case)Methods Randomly divide 69 elderly clinically diagnosed herpeszoster patients into treatment group and observation group 35 people in routine infection prevention and symptomatic treatment observation group would be given Acyclovir Eye Drops on the affected part and Compound Isatis Particles at the same time The other 34 people in the control group would be given Acyclovir Tablets and vitamin orally, after which symptoms and signs would be observedResults The Observation Group, where total efficiency tops 976%, takes less time for the pain to subside and scab to appear than the control groupConclusion The treatment of senile herpes zoster by the way of Acyclovir Eye Drops combined with traditional Chinese medicine is obviously better than taking Acyclovir Tablets orally And the early use of Acyclovir Eye Drops can quickly relieve pain and stop blisters Herbal treatment is good to neurological recovery, can reduce the incidence of postherpetic neuralgia and enhance the life quality of the aged
, 百拇医药
【Key words】 Herpes zoster；Acyclovir Eye Drops；Traditional Chinese Medicine--------------------------------------------------------------------------------
作者单位：266400 青岛胶南中医医院 带状疱疹是由于潜伏于神经节内的水痘带状疱疹病毒复制所引起的急性炎症性皮肤感染，中医称为“缠腰火龙”“缠腰火丹”俗称“蜘蛛疮”。该病毒具有亲神经性及皮肤的特征，主要病变在神经及皮肤表皮。好发于春秋季节，老年人发病率高于其他人群并留下较严重的后遗神经痛。主要治疗方法为抗病毒及对症处理，并预防并发症。我院采用外用阿昔洛韦滴眼液同时联合应用中药治疗老年带状疱疹，取得满意的效果，现报告如下。
1 资料与方法
11 一般资料 自2009年3月至2011年3月间经皮病科门诊收治的老年带状疱疹确诊病例69例，其中男23例女46例，年龄为>60岁、<85岁并采用随机数字表发将患者分为两组，观察组男11例，女24例，对照组男12例，女22例。患者病程长短不一，最短2 d，最长7 d。
12 诊断标准 参照《中西医临床皮肤病学》[1]中带状疱疹诊断标准。本病早期表现为低热、全身不适，并于病毒侵害之神经分布区域出现皮肤刺痒、灼痛，多发于一侧胸胁背、腰腹部或头面部，不超过中线；1~2 d后出现皮肤损害，为群集性小米至绿豆大小的丘疱疹或红斑，迅速发展为发亮密集成簇水泡，疱疹出现时多数沿周围神经走向单侧分布，依次排列成带状，一般不超过体表正中线发病过程中伴有神经痛，常有淋巴结肿大并伴有体倦、乏力、纳差等全身症状。老年患者疱疹愈合后残留神经痛，短者半月，长者可达数月之久。, http://www.100md.com(安郁菊)
【关键词】 带状疱疹；阿昔洛韦滴眼液；中药
Clinical analysis of senile herpes zoster treatment by Acyclovir Eye Drops Combined with traditional Chinese medicine AN Yuju Qingdao Jiaonan Chinese Medicine Hospital,Qingdao 266400,China
, 百拇医药
【Abstract】 Objective To observe the clinical efficacy of the treatment of herpes zoster by Acyclovir Eye Drops combined with traditional Chinese medicines (Compound Isatis Particles, Salvia Injection and Astragalus Injection in this case)Methods Randomly divide 69 elderly clinically diagnosed herpeszoster patients into treatment group and observation group 35 people in routine infection prevention and symptomatic treatment observation group would be given Acyclovir Eye Drops on the affected part and Compound Isatis Particles at the same time The other 34 people in the control group would be given Acyclovir Tablets and vitamin orally, after which symptoms and signs would be observedResults The Observation Group, where total efficiency tops 976%, takes less time for the pain to subside and scab to appear than the control groupConclusion The treatment of senile herpes zoster by the way of Acyclovir Eye Drops combined with traditional Chinese medicine is obviously better than taking Acyclovir Tablets orally And the early use of Acyclovir Eye Drops can quickly relieve pain and stop blisters Herbal treatment is good to neurological recovery, can reduce the incidence of postherpetic neuralgia and enhance the life quality of the aged
, 百拇医药
【Key words】 Herpes zoster；Acyclovir Eye Drops；Traditional Chinese Medicine--------------------------------------------------------------------------------
作者单位：266400 青岛胶南中医医院 带状疱疹是由于潜伏于神经节内的水痘带状疱疹病毒复制所引起的急性炎症性皮肤感染，中医称为“缠腰火龙”“缠腰火丹”俗称“蜘蛛疮”。该病毒具有亲神经性及皮肤的特征，主要病变在神经及皮肤表皮。好发于春秋季节，老年人发病率高于其他人群并留下较严重的后遗神经痛。主要治疗方法为抗病毒及对症处理，并预防并发症。我院采用外用阿昔洛韦滴眼液同时联合应用中药治疗老年带状疱疹，取得满意的效果，现报告如下。
1 资料与方法
11 一般资料 自2009年3月至2011年3月间经皮病科门诊收治的老年带状疱疹确诊病例69例，其中男23例女46例，年龄为>60岁、<85岁并采用随机数字表发将患者分为两组，观察组男11例，女24例，对照组男12例，女22例。患者病程长短不一，最短2 d，最长7 d。
12 诊断标准 参照《中西医临床皮肤病学》[1]中带状疱疹诊断标准。本病早期表现为低热、全身不适，并于病毒侵害之神经分布区域出现皮肤刺痒、灼痛，多发于一侧胸胁背、腰腹部或头面部，不超过中线；1~2 d后出现皮肤损害，为群集性小米至绿豆大小的丘疱疹或红斑，迅速发展为发亮密集成簇水泡，疱疹出现时多数沿周围神经走向单侧分布，依次排列成带状，一般不超过体表正中线发病过程中伴有神经痛，常有淋巴结肿大并伴有体倦、乏力、纳差等全身症状。老年患者疱疹愈合后残留神经痛，短者半月，长者可达数月之久。, http://www.100md.com(安郁菊)