巨刺法与普通针刺法治疗原发性三叉神经痛的临床观察  

Comparison of giant acupuncture and ordinary acupuncture on primary trigeminal neuralgia

作　　者：洪媛媛[1] 戴双燕 吴永刚[1] HONG Yuanyuan

机构地区：[1]深圳市中医院,广东深圳518000

出　　处：《中医临床研究》2022年第8期31-34,共4页Clinical Journal Of Chinese Medicine

基　　金：广东省中医药局科研项目(20192080):远近配穴巨刺法治疗原发性三叉神经痛的临床研究,负责人:吴永刚;深圳市科技研发资金条件与平台建设计划重点实验室(NO.CXB201111250113A)项目:深圳市针灸现代应用研究重点实验室,负责人:杨卓欣;“三名工程”中国中医科学院刘保研首席研究员中医针灸针灸临床评价方法创新团队(SZSM201612001)。

摘　　要：目的:观察远近配穴巨刺法治疗原发性三叉神经痛的临床疗效。方法:采用随机数字表法将符合诊断和纳入标准的自愿患者分为治疗组、对照组各30例。治疗组针刺健侧主穴内庭、太冲、合谷、三阴交、丘墟,再辨证选取健侧配穴。对照组针刺患侧主穴四白、下关、地仓、合谷、内庭、太冲及辨证选取患侧配穴。通过简化Mc Gill疼痛量表(Short-form of Mc Gill Pain Questionnaire,SF-MPQ)、疼痛持续时间、疼痛发作频率评价不同疗法的近远期疗效。结果:两组在治疗后1周视觉模拟评分法(Visual Analogue Scale,VAS)评分、现有疼痛强度(Present Pain Intensity,PPI)评分、疼痛分级指数(Pain Rating Index,PRI)评分及疼痛发作频率及疼痛持续时间均较治疗前降低,其中治疗组降低显著(P<0.05);在治疗疗程结束时及疗程结束后1个月,两组上述评分均较治疗前与治疗后1周显著减低(P<0.05),且两组间的差异无统计学意义(P>0.05)。治疗组总有效率优于对照组(P>0.05)。结论:针灸治疗原发性三叉神经痛安全有效。巨刺取穴法治疗较普通针刺近期效果更佳,而两组间远期疗效的差异不明显。Objective:To observe the clinical effects of giant acupuncture at matching acupoints on primary trigeminal neuralgia.Methods:The voluntary patients who met the diagnosis and inclusion criteria were divided into the treatment group and the control group according to the random number table method,30 cases in each group.In the treatment group,acupuncture was performed at the main acupoints of Neiting(内庭穴),Taichong(太冲穴),Hegu(合谷穴),Sanyinjiao(三阴交穴)and Qiuxu(丘墟穴)on the healthy side,and then the matched acupoints on the healthy side were selected according to the symptoms.In the control group,acupuncture was performed at the main acupoints of Sibai(四白穴),Xiaguan(下关穴),Dicang(地仓穴),Hegu,Neiting and Taichong onthe affected side,and then the matched acupoints on the affected side were selected.Results:After 1 week of treatment,the VAS score,PPI score,PRI score,pain frequency and pain duration in the two groups were lower than those before treatment,and the decrease in the treatment group was significant(P<0.05).At the end of the treatment course and 1 month after the treatment,the above scores in both groups were significantly lower than those before treatment and 1 week after treatment(P<0.05),and the difference between the two groups was not statistically significant(P>0.05).The total efficiency in the treatment group was better than the control group(P>0.05).Conclusion:Acupuncture is safe and effective on primary trigeminal neuralgia.Compared with ordinary acupuncture,the short-term effect of giant acupuncture was better,but the long-term effect of the two therapies were not significantly different.

关 键 词：远近配穴巨刺法 原发性三叉神经痛 近期疗效 

分 类 号：R745.11[医药卫生—神经病学与精神病学]