深刺下关穴配合电疗法治疗三叉神经痛的疗效

发布时间：2018-06-08 21:27

本文选题：深刺法 + 下关穴　；参考：《中国老年学杂志》2017年09期

【摘要】：目的探讨深刺下关穴配合电疗法治疗三叉神经痛(TN)的疗效。方法 26例TN患者,男12例,女14例;年龄55~70岁,平均年龄(62.5±6.5)岁,随机分为深刺治疗组与对照组。两组选穴相同,均为"百会"、"下关"、"合谷"。治疗组:深刺下关穴配合电针;对照组:常规深度针刺下关穴配合电针。每日早、晚各治疗1次,半月为1个疗程。按照2008年《中药新药治疗三叉神经痛的临床研究指导原则》判定疗效;运用疼痛视觉模拟评分(VAS)记录患者治疗前后疼痛程度所对应的分数;通过计数法记录治疗前后患者发作频次/d,2个疗程后统计结果。结果治疗组临床总有效率92.30%,在疼痛VAS比较上优于对照组(P0.05),患者疼痛程度明显减轻;在发作频率上比较优于对照组(P0.05),可使发作频次显著减少。结论下关穴深刺配合电针疗法在刺灸方法上突破传统针刺深度,取得显著疗效。
[Abstract]:Objective to investigate the therapeutic effect of deep acupuncture on Xiaguan point combined with electrotherapy for trigeminal neuralgia (TNN). Methods Twenty-six patients with TN, including 12 males and 14 females, aged 5570 years, with an average age of 62.5 卤6.5 years, were randomly divided into treatment group and control group. The two groups selected the same points, for the "Baihui", "Xiaguan", "Hegu". The treatment group was treated with deep acupuncture and electroacupuncture, while the control group was treated with conventional deep acupuncture combined with electroacupuncture. Each day was treated once in the morning and in the evening, half a month as a course of treatment. According to the guiding principles of Clinical Research on Trigeminal Neuralgia treated with traditional Chinese Medicine in 2008, the scores of pain degree before and after treatment were recorded by visual analogue score of pain (VASs). The frequency of attack before and after treatment was recorded by counting method, and the statistical results were obtained after two courses of treatment. Results the total clinical effective rate of the treatment group was 92.30%, which was better than that of the control group in comparing the VAS with the control group (P 0.05), and the pain degree of the patients was obviously alleviated, and the frequency of attack was significantly decreased than that of the control group (P 0.05). Conclusion Deep acupuncture at Xiaguan point combined with electroacupuncture can break through the traditional acupuncture depth and obtain remarkable curative effect.
【作者单位】：黑龙江中医药大学附属第一医院;黑龙江中医药大学;
【基金】：国家自然科学基金面上项目(81373714) 教育部2009年度立项“春晖计划”项目(Z2009-1-15030) 黑龙江省自然科学基金面上项目(H2015033,D201214,H201462)资助哈尔滨市科技创新人才研究专项资金项目(2016RAXYJ096)
【分类号】：R246.6

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