摘要
目的观察针刺调神法治疗原发性三叉神经痛的临床疗效。方法将61例原发性三叉神经痛患者,采用随机数字表法随机分为治疗组31例和对照组30例。对照组给予口服卡马西平治疗,治疗组在对照组基础上采用针刺调神法治疗。观察两组治疗前后疼痛程度、疼痛发作频率及生活质量评分变化,并比较临床疗效。结果治疗组的总有效率为90.3%,对照组为70.0%,两组比较差异有统计学意义(P<0.05)。两组治疗后疼痛评分、疼痛发作频率及生活质量评分与同组治疗前比较,差异有统计学意义(P<0.05);两组治疗后疼痛评分和疼痛发作频率比较,差异无统计学意义(P>0.05),生活质量评分比较,差异有统计学意义(P<0.05)。两组随访6个月疼痛评分、疼痛发作频率及生活质量评分与同组治疗前比较,差异有统计学意义(P<0.05),与同组治疗后比较,差异有统计学意义(P<0.05);两组随访6个月疼痛评分、疼痛发作频率及生活质量评分比较,差异有统计学意义(P<0.05)。结论针刺调神法治疗原发性三叉神经痛长期疗效明显,且能显著提高患者生活质量。
Objective To observe the clinical efficacy of mind-regulating acupuncture in treating primary trigeminal neuralgia. Method Sixty-one patients with primary trigeminal neuralgia were randomized into a treatment group of 31 cases and a control group of 30 cases by using random number table method. The control group was intervened by oral administration of Carbamazepine, while the treatment group pain intensity, pain flare-up frequency and quality of life treatment, and the clinical efficacies were compared. Result was additionally given mind-regulating acupuncture. The in the two groups were evaluated before and after the The total effective rate was 90.3% in the treatment group, versus 70.0% in the control group, and the between-group difference was statistically significant （P〈0.05）. The pain score, pain flare-up frequency and quality of life score after the treatment were significantly different from those before the treatment in both groups （P〈0.05）; there were no significant between-group differences in comparing the pain score and flare-up frequency after the treatment （P〉0.05）; there was significant between-group difference in comparing the quality of life score after the treatment（P〈0.05）. The pain score, pain flare-up frequency and quality of life score at the 6-month follow-up were significantly different from those before and after the treatment in both groups （P〈0.05）; there were significant between-group differences in comparing the pain score, flare-up frequency and the quality of life score at the 6-month follow-up （P〈0.05）. Conclusion Mind-regulating acupuncture can produce a significant efficacy in treating primary trigeminal neuralgia and obviously enhance the quality of life.
作者
潘中强
傅瑞阳
林咸明
PAN Zhong-qiang FU Rui-yang LIN Xian-ming(Huzhou Hospital of Chinese Medicine of Zhejiang Chinese Medical University, Huzhou 313000,China Zhejiang Chinese Medical University,Hangzhou 310053,China)
出处
《上海针灸杂志》
2017年第9期1069-1073,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
浙江省中医药科技研究项目(2013ZST003)
关键词
三叉神经痛
针刺疗法
耳针
VAS
针药并用
健康状况调查问卷
Trigeminal neuralgia
Acupuncture therapy
Auricular acupuncture
Visual Analogue Scale
Acupuncture medication combined
Health survey
作者简介
潘中强（1988-），男，住院医师，Email：doctorpzq@qq．com
通信作者：林咸明（1966-），男，教授，Email：linxianming66@126．com
