热敏灸治疗原发性三叉神经痛不同灸量的临床疗效观察  

Clinical observation of heat-sensitive moxibustion on primary trigeminal neuralgia with different amount of moxibustion

作　　者：付勇[1] 章海凤[2] 熊俊[1] 张波[1] 李林[1] 陈日新[1] 

机构地区：[1]江西中医药大学附属医院,南昌330006 [2]湖南中医药大学,长沙410007

出　　处：《中华中医药杂志》2013年第9期2617-2620,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)资助项目(No.2009CB522902);江西省教育厅青年基金(No.GJJ10217)~~

摘　　要：目的:比较热敏灸治疗原发性三叉神经痛(PTN)不同灸量的临床疗效差异。方法:将63例PTN患者随机分为个体化的消敏饱和灸量组(以下简称饱和灸量组)32例和传统灸量组31例。两组均采用热敏灸治疗,试验组以热敏灸感消失为度,对照组每次15min,共治疗35次,观察治疗前后两组患者治疗疗效、视觉模拟评分(VAS)、头痛生活质量问卷(MSQ)量表计分等变化。结果:饱和灸量组总有效率78.13%,与传统灸量组(41.94%)相比,差异有统计学意义(P<0.01),饱和灸量组VAS计分差异有统计学意义(P<0.05),且MSQ(即功能受限、功能障碍、情感3部分)计分有明显差异(P<0.01,P<0.05)。结论:消敏饱和灸量艾灸治疗PTN疗效优于传统灸量艾灸治疗,消敏定量是个体化的动态灸量,因人而异,是热敏灸取得最佳疗效的关键因素之一。Objective： To compare the heat-sensitive moxibustion for treatment of primary trigeminal neuralgia （FrN） of quantitative moxibustion in clinical effect. Methods： 63 cases of PTN were randomly divided into an experimental group and a control group, with 32 cases in the test group and 31 cases in the control group. Both of the two groups were using heat-sensitive moxibustion, the test group with heat-sensitive moxibustion sensation disappeared as the standard, while the control group, 15min each time, for 35 times. Both groups were observed before and after treatment. The curative effect, visual analog scale （VAS）, headache and quality of life questionnaire （MSQ） inventory score changes were observed. Results： The total effective rate of treatment group was 78.13%, compared with the control group （41.94%）, the curative effect of treatment group had significant difference （P〈0.01）, the difference of the VAS score in treatment group was statistically significant （P〈0.05）, and there were obvious differences in the score of functional limitations, dysfunction and emotion （MSQ） （P〈0.01, P〈0.05）. Conclusion： Xiaomin saturated amount of moxibustion treatment of trigeminal nerve is superior to that of traditional moxibustion therapy volume, heat-sensitive moxibustion time differs from patient to patient. Xiaomin quantitative heat-sensitive moxibustion is one of the key factors to obtain the best curative effect.

关 键 词：灸量 热敏灸 原发性三叉神经痛 

分 类 号：R246[医药卫生—针灸推拿学]