目的观察壮医药线点灸配合围针、外用药治疗艾滋病合并带状疱疹(AIDS patients with herpes zoster,AHZ)的疗效。方法采用随机对照方法,将60例AHZ患者随机分为试验组和对照组,每组30例。试验组采用壮医药线点灸配合围针及京万红烫伤膏治疗;对照组给予泛昔洛韦片、尼美舒利分散片、维生素B1及利巴韦林软膏进行治疗。疗程均为14天。观察两组患者临床疗效和治疗前后视觉模拟评分(vsualan-aloguescale,VAS)、睡眠质量评分(sleepqualityscore,QS)及1年内后遗神经痛发生率。结果试验组愈显率显著高于对照组(86.7%vs53.3%,P<0.01)。两组总有效率比较,差异无统计学意义(96.7%vs80.0%,P>0.05)。试验组治疗后VAS评分、QS积分、疼痛消失时间、皮损修复时间、结痂时间及后遗神经痛发生率均显著低于对照组(P<0.05,P<0.01)。结论壮医药线点灸配合围针及京万红烫伤膏治疗AHZ患者,具有快速止痛、缩短病程、提高患者睡眠质量的效果。
Objective To observe the clinical effect of purulent moxibustion on HIV infectors without symptoms at early stage. Methods Purulent moxibustion on Zusanli （足三里 ST 364 Xuanzhong （悬钟 GB 39） and Guanyuan （关元 CV 4） was used in these twenty cases of HIV infectors, and the course of treatment was haJf a year. Score of clinical symptoms and signs, Karnovsky score, CD4＋ cell count and QOL score were observed before and after treatment. Results The score of clinical symptoms and signs, Karnovsky score, CD4＋ cell count and QOL score of these patients were all improved obviously after moxibustion （P〈0.05, P〈0.01）. Conclusion Purulent moxibustion can relieve the clinical symtoms, improve or stabilize the level of CD4＋ cell, and improve the QOL of patients with HIV.
