针刺结合雷火灸治疗三叉神经痛的临床研究

发布时间：2018-11-20 10:57

【摘要】：目的:通过临床研究对比分析针刺结合雷火灸与单纯使用针刺治疗三叉神经痛的疗效。进一步探究雷火灸在临床上的应用,为三叉神经痛患者推选更加适合的治疗方式。方法:临床研究将患者分为两组:治疗组30例和对照组30例。治疗组采用针刺结合雷火灸治疗三叉神经痛,对照组单纯使用针刺,10天为1个疗程,共治疗3个疗程。通过对比分析治疗前后患者VAS评分表,统计分析3个疗程后两组患者的疗效,进而得出结论。结果:两组患者性别比较P0.05,无明显差异。治疗组、对照组年龄分布比较,用χ2检验,P0.05,可见两组间年龄也无明显差异,有可比性。治疗组与对照组的疼痛程度VAS评分经t检验统计分析得出:治疗前两组对比无显著差异(P0.05);治疗1~2个疗程后两组对比无显著差异(P0.05);3个疗程结束后两组对比差异显著(P0.05),治疗组的疼痛程度较对照组明显减轻。两组患者治疗3个疗程,对阶段疗效采用秩和检验,第1个疗程结束后,对比分析两组疗效(P0.05),差异显著,治疗组疗效优于对照组;第2疗程结束后对比分析两组疗效(P0.05),认为两组疗效无显著差异;治疗结束后治疗组总有效率为93.33%,对照组总有效率为83.33%,对比分析两组疗效(P0.05),认为两组疗效差异显著,治疗组的疗效优于对照组。随访的5个月内,治疗组4人复发,对照组9人复发。结论:两种治疗方法对于三叉神经痛的治疗均取得了满意的疗效,针刺结合雷火灸相对于单纯的针刺其疗效更好,且患者的复发率较低,可作为一种治疗方式在临床推广应用。
[Abstract]:Objective: to compare and analyze the curative effect of acupuncture combined with thunder fire moxibustion and simple acupuncture on trigeminal neuralgia. To further explore the clinical application of Thunderfire moxibustion, to select a more suitable treatment for patients with trigeminal neuralgia. Methods: the patients were divided into two groups: treatment group (n = 30) and control group (n = 30). The treatment group was treated with acupuncture combined with thunder fire moxibustion for trigeminal neuralgia while the control group was treated with acupuncture for 10 days. The VAS scores of patients before and after treatment were analyzed, and the curative effects of the two groups were statistically analyzed after three courses of treatment, and the conclusion was reached. Results: there was no significant difference between the two groups (P 0.05). The age distribution of the treatment group and the control group were compared by 蠂 2 test (P0.05). There was no significant difference in age between the two groups and there was comparability between the two groups. The VAS scores of pain degree in the treatment group and the control group were statistically analyzed by t-test. The results showed that there was no significant difference between the two groups before treatment (P0.05), and there was no significant difference between the two groups after 1 ~ 2 courses of treatment (P0.05). There was significant difference between the two groups after three courses of treatment (P0.05). The pain degree of the treatment group was significantly less than that of the control group. Two groups of patients treated for three courses of treatment, the stage efficacy of rank sum test, after the first course of treatment, comparative analysis of the two groups of efficacy (P0.05), the treatment group is better than the control group; At the end of the second course of treatment, the curative effect of the two groups was compared and analyzed (P0.05), and it was concluded that there was no significant difference in the curative effect between the two groups. The total effective rate of the treatment group was 93.33 and the total effective rate of the control group was 83.33 after the end of treatment. The comparison and analysis of the two groups of curative effect (P0.05), the treatment group is better than the control group. Within 5 months of follow-up, 4 patients recurred in the treatment group and 9 in the control group. Conclusion: the two methods have achieved satisfactory curative effect in the treatment of trigeminal neuralgia. Acupuncture combined with thunder fire moxibustion is more effective than simple acupuncture, and the recurrence rate of the patients is low. It can be used as a treatment method in clinical application.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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