齐刺电针扳机点治疗原发性三叉神经痛疗效观察

发布时间：2018-01-03 18:40

本文关键词：齐刺电针扳机点治疗原发性三叉神经痛疗效观察　出处：《中国针灸》2017年01期 　论文类型：期刊论文

【摘要】：目的:比较齐刺电针疗法与常规电针疗法治疗原发性三叉神经痛的临床疗效差异。方法:将36例原发性三叉神经痛患者随机分为齐刺电针组与常规电针组,每组18例。齐刺电针组采用齐刺扳机点(可激发面部疼痛的阳性反应点)为主,并予电针刺激;常规电针组采用常规针刺扳机点,并予电针刺激,均隔日1次,10d为一疗程,共治疗2个疗程。分别于治疗前、第1个疗程后、第2个疗程后对两组综合症状评分、疼痛视觉模拟量表(VAS)评分及临床疗效进行评价。结果:与治疗前比较,齐刺电针组和常规电针组治疗后综合症状评分和VAS评分均有所降低(P0.05,P0.01),齐刺电针组较常规电针组评分降低更加明显(均P0.01);齐刺电针组愈显率为44.4%(8/18)、总有效率为88.9%(16/18),分别优于常规电针组的27.8%(5/18)、66.7%(12/18,均P0.05)。结论:齐刺电针扳机点治疗原发性三叉神经痛疗效优于常规电针治疗。
[Abstract]:Objective: to compare the clinical efficacy of combined electroacupuncture and conventional electroacupuncture in the treatment of primary trigeminal neuralgia. Methods: 36 patients with primary trigeminal neuralgia were randomly divided into two groups. There were 18 cases in each group. In the electroacupuncture group, the trigger point (the positive reaction point that could stimulate facial pain) was used, and the electroacupuncture was given. The routine electroacupuncture group was treated with routine acupuncture trigger point and electroacupuncture stimulation once a day for 10 days as a course of treatment, respectively before and after the first course of treatment. After the second course of treatment, the comprehensive symptom score, visual analogue pain scale (VAS) and clinical efficacy of the two groups were evaluated. Results: compared with before treatment. The comprehensive symptom score and VAS score of acupuncture group and routine electroacupuncture group were all decreased after treatment (P 0.05 P 0.01). The score of acupuncture group was significantly lower than that of conventional electroacupuncture group (all P 0.01). The effect rate of acupuncture group was 44.4% and the total effective rate was 88.9 / 18, which was better than that of conventional electroacupuncture group (27.850 / 18). Conclusion: the treatment of primary trigeminal neuralgia with electroacupuncture trigger point is superior to that of conventional electroacupuncture therapy in the treatment of primary trigeminal neuralgia.
【作者单位】：兵器工业北京北方医院中医理疗科;中国中医科学院针灸研究所针灸医院;
【分类号】：R246.6
【正文快照】： 三叉神经痛是指三叉神经某一支或几支分布区内出现的短暂而反复发作的剧烈疼痛,常发生在单侧面部,疼痛性质被患者描述为刀割样、电击样、撕裂样疼痛,持续时间短,发作间歇期无明显症状。本病病因病机不明,属于中医“面痛”“面风”“风头痛”范畴。据统计,其年均发病率高达4/10

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