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LED 金光照联合阿昔洛韦治疗带状疱疹的临床疗效:一项单中心前瞻性研究。

Clinical efficacy of LED golden light combined with acyclovir in the treatment of herpes zoster: a single-center prospective study.

机构信息

Department of Dermatology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.

Nanchang University National Institute of LED On Silicon Substrute, Nanchang, Jiangxi, China.

出版信息

Lasers Med Sci. 2023 Jul 5;38(1):157. doi: 10.1007/s10103-023-03817-y.

Abstract

This study aimed to explore the safety and clinical efficacy of light emitting diode (LED) golden light combined with acyclovir in treating herpes zoster (HZ). According to the random number table, 54 inpatients with HZ were divided into control group, golden-light group, and red-light group, with 18 cases in each group. The control group received acyclovir intravenous drip, while the patients in the red-light group received acyclovir intravenous drip and red-light LED phototherapy, and the golden-light group received acyclovir intravenous drip and golden-light LED phototherapy. Primary assessments included herpes stopping time, incrustation time, decrustation time, pain visual analog scale scores (VAS), and incidence of postherpetic neuralgia (PHN) on the 30th and 90th days. Golden-light group and red-light group showed a shorter herpes stopping time, incrustation time, and decrustation time (P < 0.05) compared to the control group (P < 0.05), while the golden-light group showed a shorter incrustation time and decrustation time than the red light group (all P < 0.05). After treatment VAS scores, the golden-light group showed a significant improvement compared to the control group. The golden-light group showed a better PHN incidence than the control group at 30 days follow-up. Compared with the comprehensive curative effect, the total effective rates of the golden-light group, red-light group, and control group were 88.89%, 77.78%, and 72.22%, respectively, and the efficacy of the golden-light group was better than that of the control group and red-light group. Golden light combined with acyclovir can shorten the course of HZ, relieve pain, and reduce the occurrence of PHN, and the effect is better than that of the red-light group and the control group.

摘要

本研究旨在探讨发光二极管(LED)金光照联合阿昔洛韦治疗带状疱疹(HZ)的安全性和临床疗效。根据随机数字表,将 54 例 HZ 住院患者分为对照组、金光照组和红光组,每组 18 例。对照组给予阿昔洛韦静脉滴注,红光组给予阿昔洛韦静脉滴注联合红光 LED 光疗,金光照组给予阿昔洛韦静脉滴注联合金光照 LED 光疗。主要评估指标包括疱疹停止时间、结痂时间、脱痂时间、疼痛视觉模拟评分(VAS)和第 30 天和第 90 天的带状疱疹后神经痛(PHN)发生率。与对照组相比,金光照组和红光组的疱疹停止时间、结痂时间和脱痂时间更短(P < 0.05),金光照组的结痂时间和脱痂时间均短于红光组(均 P < 0.05)。治疗后 VAS 评分,金光照组较对照组有明显改善。金光照组在 30 天随访时的 PHN 发生率优于对照组。与对照组相比,金光照组、红光组的总有效率分别为 88.89%、77.78%和 72.22%,金光照组的疗效优于对照组和红光组。金光照联合阿昔洛韦可缩短 HZ 病程,缓解疼痛,降低 PHN 发生率,疗效优于红光组和对照组。

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