芒针透刺督脉治疗卒中后中枢性疼痛疗效研究  

Clinical Study of Elongated Needle Penetrating Governor Vessel for Treating Central Post-stroke Pain

作　　者：贾泽坤[1] 朋源凤 周婷[1] 燕练钢 江娜[1] 李静[1] 曹奕[1] Jia Zekun;Peng Yuanfeng;Zhou Ting;Yan Liangang;Jiang Na;Li Jing;Cao Yi(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Anhui,Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《中国中医急症》2021年第7期1192-1194,1203,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：安徽省自然科学基金项目(1908085QH371);安徽省名中医曹奕工作室建设项目;安徽省第十三批“115”产业创新团队。

摘　　要：目的观察芒针透刺督脉治疗卒中后中枢性疼痛(CPSP)的临床效果。方法将60例CPSP患者按随机化原则分为针刺组、药物组各30例。针刺组给予芒针透刺督脉穴位针刺治疗,每周6次,药物组予以普瑞巴林口服,每次75 mg,每日1次,均治疗4周。疗程前后对比疼痛视觉模拟评分(VAS)、改进Fugl-Meyer感觉、运动障碍评分、感觉阈值(CPT)、日常生活能力(MRS)。结果两组患者VAS、MRS较治疗前下降(P<0.05);Fugl-Meyer感觉、运动障碍评分显著提高(P<0.05),针刺组较药物组更优,差异有统计学意义(P<0.05)。治疗后针刺组CPT数据下降明显(P<0.05),较药物组更优,差异有统计学意义(P<0.05)。结论芒针透刺督脉穴位可作为CPSP治疗方法,减轻临床症状。Objective:To observe the clinical effects of elongated needle penetrating Governor Vessel for treating central post-stroke pain.Methods:A total of 60 patients with central post-stroke pain were randomly divided into the acupuncture group and drug group,30 patients in each group.The acupuncture group was given elongated needle penetrating acupuncture 6 times a week.The drug group was given Pregabalin 75 mg per time,once per day.The two groups were treated for 2 courses.Visual Analogue Scale(VAS),modified Fugl-Meyer scale,Current Perception Threshold(CPT)and Modified Rankin Scale(MRS)were used to evaluate the efficacy before and after treatment.Results:The VAS and MRS in the two groups were decreased compare with before treatment(P<0.05).The scores of Fugl-Meyer in both groups were increased after treatment(P<0.05),and the acupuncture group was better than the drug group(P<0.05).The data of CPT in the acupuncture group was obviously decreased after treatment(P<0.05),and was better than the drug group,the difference was statistically significantly(P<0.05).Conclusion:Elongated needle penetrating Governor Vessel can be used as a therapy for CPSP to reduce clinical symptoms.

关 键 词：卒中后中枢性疼痛 芒针 督脉 感觉阈值检测 

分 类 号：R743.9[医药卫生—神经病学与精神病学]