调神活血止痛针刺法治疗丘脑痛  

Acupuncture treatment of regulating spirit,activating blood and relieving pain for thalamic pain

作　　者：张雪[1] 樊小农[2,3] 罗丁[1] 张海涛[1] 武连仲[3] 王海荣[3] 

机构地区：[1]天津中医药大学,天津300193 [2]国家中医药管理局针刺量效关系三级实验室,天津市针灸学重点实验室,天津300193 [3]天津中医药大学第一附属医院

出　　处：《中国针灸》2010年第5期367-370,共4页Chinese Acupuncture & Moxibustion

基　　金：天津中医药大学第一附属医院“拓新工程”基金科研项目:0804

摘　　要：目的:比较调神活血止痛针刺法与西药卡马西平治疗丘脑痛的疗效差异。方法:采用交叉试验设计,将11例确诊患者按照最小不平衡指数法随机分为Ⅰ组(先针刺治疗后西药治疗,6例)和Ⅱ组(先西药治疗后针刺治疗,5例)。进行统计分析时将组别命名为针刺组、西药组,均为11例。针刺治疗采用"清心调神,活血止痛"法,穴取郄门、阴郄、血海、照海。西药治疗采用口服卡马西平,疗程和治疗洗脱期均为10天。分别应用视觉模拟评分法(VAS)和美国Anderson Cancer Center疼痛评估表(MD疼痛评估值)进行疗效评定。结果:治疗后,两组患者VAS值和MD疼痛值均较治疗前明显下降(均P<0.05),但两组之间比较差异无统计学意义;针刺组疼痛降低显效率为63.6%(7/11),高于西药组的36.4%(4/11),但组间差异无统计学意义。结论:调神活血止痛针刺法治疗丘脑痛可以达到西医常用药物卡马西平的治疗效果。Objective To compare the clinical effect of acupuncture treatment and western medicine Carbamazepine for thalamic pain. Methods Crossover trial design was used, 11 cases diagnosed as thalamic pain were randomly divided into two groups according to the mini-unbalance-index method, group Ⅰ （with 6 cases received acupunc- ture first and then western medicine） and group Ⅱ （with 5 cases received western medicine first and then acupuncture）. When the effects were evaluated, the two groups were named as acupuncture group and western medicine group, 11 cases in each group. The method of clearing away the heart fire, regulating the spirit, activating blood and relieving pain was adopted in acupuncture treatment, Ximen （PC 4）, Yinxi （HT 6）, Xuehai （SP 10） and Zhao- hal （KI 6） were selected; the western medicine group was treated with oral administration of Carbamazepine, and one course as well as the eluting period were both 10 days. The effects were evaluated with visual analogue scale （VAS） and evaluation scale of Anderson Cancer Center pain in US （MD Pain Evaluation value） respectively. Results The VAS and MD value in two groups were obviously decreased after treatment （both P〈0.05）, while there was no significant difference between two groups; the markedly effective rate of pain relieving in acupuncture group was 63.6 % （7/11）, which was higher than that of 36.4 % （4/11） in western medicine group, but there was no significant difference between two groups. Conclusion Acupuncture treatment of regulating spirit, activating blood and relieving pain has a better therapeutic effect for thalamic pain, and can reach to the same therapeutic effect with western medicine Carbamazepine.

关 键 词：中风 疼痛 丘脑 针刺疗法 交叉试验设计 

分 类 号：R246.6[医药卫生—针灸推拿学]