He-Ne激光联合微波照射与药物治疗带状疱疹疗效的对比研究

目的研究He-Ne激光联合微波照射与药物治疗带状疱疹的疗效对比。方法带状疱疹患者200例,随机分为2组,每组100例。He-Ne激光联合微波照射治疗组,以功率为2.59mW的He-Ne激光光纤照射手合谷穴和耳部的肺、内分泌穴,每穴照射10min,每天1次;微波辐射器直接辐照受损的神经根部,功率10W,每次20min,每天1次,有渗出者局部涂甲紫。药物治疗组,根据病情的轻重分别给予穿心莲(穿琥宁)、阿昔洛韦、吗啉胍、青霉素、地塞米松、维生素B1、B12及吲哚美辛等药静脉滴注、肌内注射或口服。2组均治疗10d。结果He-Ne激光联合微波照射治疗带状疱疹组治愈率100%,无一例发生后遗神经痛;药物治疗组治愈率67%,20例出现后遗神经痛。结论以He-Ne激光联合微波照射治疗带状疱疹疗效明显优于药物治疗。

He-Ne Laser Combined with Microwave Irradiation and Medication in Treatment of Herpes Zoster:A Comparative Study of Curative Effect

Objective To study and analyze the curative effect of the He-Ne laser combined with the microwave and medication in treatment of herpes zoster. Methods The He-Ne laser with power of 2.59 mW combined with the microwave treatment was used.The laser light fiber was used to irradiate the points Hoku(LT4) and other points for lungs and endocrine system located on ears.Every point was irradiated by 10 min,1 time/d.The microwave radiator was used to directly irradiated the locations of damaged nerve roots with power of 10 W by 20 min, 1 time/d for 10 d.The exudative sites were treated by gentian violet.Medication was used as follows:Herba Andrographidis,aciclovir,moroxydine,penicillin,dexamethasone,vitamin B_1,vitamin B_(12),indometacin,etc according to the severity of conditions,all for 10 d. Results The cure rate in He-Ne laser combined with microwave group or medication group was 100% or 67%,respectively.The complication of neuralgia was not found in combined group,but were seen 20 cases in medication group. Conclusions In the therapeutic efficacy to herpes zoster the laser combined with microwave is much superior than the medication group.