电针结合情感区针刺对洁牙时牙本质过敏症镇痛效果的临床疗效观察

发布时间：2018-12-22 08:05

【摘要】：目的:观察电针结合情感区针刺对洁牙时牙本质过敏症疼痛的镇痛效果,为口腔镇痛的临床应用提供新的思路和方法。方法:本课题选取2016年3月至2016年8月黑龙江中医药大学附属第一医院口腔科门诊患者,均符合纳入标准。研究共纳入病例80例,分别以随机数字表法分为治疗组(电针、情感区针刺联合常规口腔科治疗组)和对照组(常规口腔科治疗组)各40例。其中治疗组(采取不同取穴进行治疗)和对照组再分上、下牙疼痛患者各20例。治疗组上牙痛患者针刺太溪穴(双侧)、内庭穴(双侧)和头部情感区;下牙痛患者针刺太溪穴(双侧)、合谷穴(双侧)和头部情感区。将电刺激仪一端(本电针仪器不分正负极)分别连接双侧太溪穴、内庭穴、合谷穴,另一端用湿纱布包裹固定在附近皮肤上作通路电极。波形取疏密波,以患者能够忍受的强度为限度,留针30min;头部情感区行手法捻转2-3分钟后留针。采用视觉模拟评分法(VAS)、数字评定量表(NRS)、疼痛六点行为评分法(BRS6)、Houpt治疗过程依从性评价量表比较镇痛效果。结果:1.治疗组与对照组患者治疗前的VAS评分经比较,均无统计学意义(p0.05),两组具有可比性。全部治疗完成后,治疗组和对照组VAS评分经比较,有统计学意义(p0.05);两组评分分值都有所降低,且治疗组更为明显。2.治疗组与对照组患者治疗前的NRS评分经比较,均无统计学意义(p0.05),两组具有可比性。全部治疗完成后,治疗组和对照组NRS评分经比较,有统计学意义(p0.05);两组评分分值都有所降低,且治疗组更为明显。3.治疗组与对照组患者治疗前的BRS6评分经比较,无统计学意义(p70.05),两组具有可比性。全部治疗完成后,治疗组和对照组BRS6评分经比较,均有统计学意义(p0.05);两组评分分值都有所降低,且治疗组更为明显。4.治疗组与对照组患者全部治疗完成后的Houpt治疗过程依从性评价量表评分经比较,具有统计学意义(p0.05);两组评分分值都有所降低,且治疗组更为明显。结论:1.电针结合情感区针刺治疗可以减轻洁牙时牙本质过敏症产生的疼痛。2.电针结合情感区针刺治疗对洁牙时牙本质过敏症治疗过程中的依从性有改善作用。
[Abstract]:Objective: to observe the analgesic effect of electroacupuncture combined with emotional area acupuncture on dentin hypersensitivity pain during dental cleaning, and to provide a new way of thinking and method for clinical application of oral analgesia. Methods: from March 2016 to August 2016, we selected outpatients in stomatology department of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine. 80 cases were randomly divided into treatment group (40 cases) and control group (40 cases). There were 20 patients with lower teeth pain in treatment group and 20 patients in control group. In the treatment group, Taixi (bilateral), inner atrium (bilateral) and head emotional area were acupuncture in patients with upper toothache, Taixi (bilateral), Hegu (bilateral) and head emotional area were acupuncture in patients with lower toothache. One end of the electric stimulator (not divided into positive and negative electrodes) was connected to the bilateral Taixi acupoint, the inner atrium point, the Hegu point, and the other end was fixed on the nearby skin with wet gauze as the channel electrode. The wave shape is dredged, the patient can endure the intensity as the limit, the needle is kept for 30 minutes, the head emotion area is twirled for 2-3 minutes, then the needle is kept. Visual analogue scale (VAS),) was used to evaluate the analgesic efficacy of (NRS), (six points behavior scale for pain) (BRS6), Houpt compliance evaluation scale for the course of treatment). Results: 1. There was no significant difference in VAS score between the treatment group and the control group before treatment (p0. 05), the two groups were comparable. After the complete treatment, the VAS scores of the treatment group and the control group were statistically significant (p0.05), the scores of both groups were decreased, and the treatment group was more obvious. There was no significant difference in NRS score between the treatment group and the control group before treatment (p0. 05), the two groups were comparable. After the complete treatment, the NRS scores of the treatment group and the control group were statistically significant (p0.05), the scores of both groups were decreased, and the treatment group was more obvious. There was no significant difference in BRS6 score between the treatment group and the control group before treatment (p70.05), the two groups were comparable. After all the treatment, the BRS6 score of the treatment group and the control group were statistically significant (p0.05), the scores of both groups were decreased, and the treatment group was more obvious. 4. The scores of compliance evaluation scale of Houpt treatment process in the treatment group and control group were statistically significant (p0. 05), and the scores of both groups were lower, and the treatment group was more obvious. Conclusion: 1. Electroacupuncture combined with emotional area acupuncture can relieve the pain caused by dentin hypersensitivity during tooth cleaning. 2. Electroacupuncture combined with emotional area acupuncture can improve the compliance of dentin hypersensitivity in tooth cleaning.
【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】：2017
【分类号】：R246.83

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