安神止痛针刺法治疗经典型三叉神经痛的临床研究

发布时间：2018-01-06 06:06

本文关键词：安神止痛针刺法治疗经典型三叉神经痛的临床研究　出处：《黑龙江中医药大学》2013年硕士论文　论文类型：学位论文

【摘要】：目的：本研究以安神止痛针刺法治疗经典型三叉神经痛患者,对其临床疗效进行观察,旨在验证安神止痛针刺法治疗经典型三叉神经痛的疗效。方法：将60例经典型三叉神经痛患者随机分成安神止痛针刺组、常规针刺组和药物组,三组各20例患者,两针刺组均12天为一个疗程,每疗程后休息3天,药物组15天为一个疗程,三组均治疗3个疗程。于治疗前、治疗第2周、治疗后采集患者疼痛视觉模拟评分(VAS),治疗前及治疗后采集患者改良的不良反应评分(改良TESS)、匹兹堡睡眠质量指数评分(PSQI),数据采取组内及组间对比分析。观察比较三组患者的疼痛改善情况及睡眠情况,治疗有效率以及出现的不良反应和不良反应程度。结果： 1.疼痛指数积分比较：治疗第2周VAS差值比较,安神止痛针刺组(A组)与常规针刺组(B组)比较无显著性差异(p0.05),与口服西药组(C组)比较有显著性差异(p0.05),并且西药组优于针刺组。治疗后VAS差值比较：A组与B组比较(p0.05),具有显著性差异性,并且A组优于B组。A组与C组比较p0.05,无显著性差异。三组治疗前后VAS积分组内前后比较均有显著性差异。 2.三组治疗总显愈率比较：安神止痛针刺组总显愈率为90%,常规针刺组总显愈率为75%,药物组总显愈率为85%。经统计学处理无显著性差异。 3.睡眠质量比较：治疗前三组失眠人数分布组间两两比较(均得p0.05),无显著性差异,具有可比性。治疗后三组失眠人数分布组间比较：安神止痛针刺组(A组)与常规针刺组(B组)比较(p0.05),具有显著性差异,并且A组优于B组；与口服西药组(C组)比较(p0.05),无显著性差异。三组治疗前后失眠人数组内比较：A组前后比较(p0.05),具有显著性差异；B、C组组内比较(p0.05),无显著性差异 4.三组治疗后不良反应情况比较：安神止痛针刺组、常规针刺组治疗后未出现明显不良反应。口服西药组治疗后出现与药物相关的不良反应人数为7人,占治疗人数的35%。主要副作用为头昏、嗜睡。结论： 1.安神止痛针刺法能明显减轻经典型三叉神经痛患者的疼痛强度； 2.安神止痛刺法能明显改善三叉神经痛伴发失眠患者的睡眠质量；对睡眠质量的改善可能有助于疼痛的缓解; 3.安神止痛针刺法对经典型三叉神经痛的疗效优于常规针刺法,与口服卡马西平无差异,且无明显不良反应。
[Abstract]:Objective: to observe the clinical effect of the treatment of classic trigeminal neuralgia with the acupuncture of soothing spirit and relieving pain, in order to verify the curative effect of the acupuncture method on classic trigeminal neuralgia. Methods: sixty patients with classic trigeminal neuralgia were randomly divided into three groups: the acupuncture group with Anshen analgesia, the group with routine acupuncture and the group with drugs. The patients in each group were treated for 12 days. After each course of treatment rest 3 days, the drug group 15 days as a course of treatment, the three groups were treated for 3 courses. Before treatment, the second week of treatment, the patients were collected after the treatment of visual analogue pain scores (VASs). Modified adverse reaction scores (modified TESS, Pittsburgh Sleep quality Index, PSQI) were collected before and after treatment. The pain improvement and sleep state, the effective rate, the adverse reactions and the degree of adverse reactions in the three groups were observed and compared by using intra-group and inter-group comparative analysis. Results: 1. Comparison of pain index integral: there was no significant difference in VAS difference between group A (group A) and group B (group B) at the second week of treatment (P 0.05). There was significant difference between group C and group C (P 0.05), and the difference of VAS between group A and group B was better than that of group A. after treatment, the difference of VAS between group A and group B was higher than that of group B (P 0.05). There was no significant difference between group A and group C (p 0.05), and there was significant difference in VAS score between group A and group C before and after treatment, and there was a significant difference between group A and group C before and after treatment, and there was no significant difference between group A and group C before and after treatment. 2. Comparison of the total apparent recovery rate among the three groups:. The total apparent recovery rate of the acupuncture group was 90g, that of the routine acupuncture group was 75kum, and that of the drug group was 85.The results showed that there was no significant difference between the two groups. 3. Comparison of sleep quality: there was no significant difference in the distribution of insomnia between the three groups before treatment (P 0.05). After treatment, there was significant difference between group A and group B (P 0.05), and group A was better than group B; There was no significant difference between group C and group C (P 0.05). There was a significant difference in the number of insomnia patients before and after treatment between group A and group A before and after treatment, and there was a significant difference between group A and group A before and after treatment. There was no significant difference between group C and group B (P 0.05). 4. Comparison of adverse reactions after treatment in three groups: there were no obvious adverse reactions after treatment in the Acupuncture group and the routine acupuncture group, while 7 patients in the oral western medicine group had drug-related adverse reactions after treatment. The main side effects are dizziness and drowsiness. Conclusion: 1.Anshen analgesic acupuncture can obviously reduce the pain intensity of the patients with classic trigeminal neuralgia; 2. The acupuncture method of soothing the mind and relieving pain can obviously improve the sleep quality of the patients with trigeminal neuralgia accompanied with insomnia, and the improvement of sleep quality may help to relieve the pain. 3. The therapeutic effect of Anshen analgesic acupuncture on classical trigeminal neuralgia was better than that of routine acupuncture, and there was no significant adverse reaction with carbamazepine.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.6

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