深刺局部穴治疗三叉神经痛疗效观察

Therapeutic effect of deep acupuncture at local acupoints on trigeminal neuralgia

目的寻找提高三叉神经痛疗效的有效方法。方法将90例原发性三叉神经痛患者随机分为深刺组(45例)、常规针刺组(45例)。常规针刺组以局部近取浅刺和循经远取手足阳明经穴位为主,深刺组在此基础上对局部穴位采用深刺达神经干的方法。治疗3个疗程后统计疗效。结果两组均收到明显疗效,深刺组临床治愈12例,显效24例,好转7例,无效2例,有效率为95.6%;而常规针刺组分别为7例、15例、12例、11例、75.6%。深刺组疗效优于常规针刺组(P<0.05)。结论针刺治疗三叉神经痛,局部穴位深刺加循经远取手足阳明经穴位,能明显提高疗效。

Objective To search for an effective method for increasing therapeutic effect on trigeminal neuralgia. Methods Ninety cases of primary trigeminal neuralgia were randomly divided into a deep needling group and a routine needling group, 45 cases in each group. The routine needling group were treated by shallow acupuncture at local acupoints and distal acupoints along the Hand- and Food-Yangming Channels, and the deep needling group were treated by acupuncture at the above acupoints and deeply needling at the local acupoints to nerve stem for 3 courses. Results In the deep needling group 12 cases were clinically cured, 24 cases were markedly effective, 7 cases improved and 2 cases were ineffective, with a total effective rate of 95.6%; and in the routine needling group, the cor- responding figure were 7, 15, 12, 11, 75.6%. The therapeutic effect in the deep needling group was better than that in the routine needling group （P〈0.05）. Conclusion Deeply needling local acupoints plus acupuncture at distal acupoints along the Hand- and Foot-Yangming Channels can increase significantly the therapeutic effect on trigeminal neuralgia.