穴位注射治疗三叉神经痛疗效观察

Clinical observation on acupoint injection of VitB_(12) for treatment of trigeminal neuralgia

目的:探寻治疗三叉神经痛的较佳方法。方法:将104例三叉神经痛患者随机分为穴位注射组(57例)、西药组(47例)。穴位注射组予以VitB122000μg穴位注射,取穴以下关为主;西药组予以卡马西平口服。治疗3个疗程统计疗效。结果:穴位注射组愈显率为82.5%、有效率为98.2%,西药组愈显率为57.4%、有效率为80.9%,2组差异均有非常显著性意义(P<0.01)。2组治疗后疼痛积分比较,差异亦有非常显著性意义(P<0.01)。结论:VitB12穴位注射治疗三叉神经痛疗效优于口服西药卡马西平。

Objective To probe a better method for treatment of trigeminal neuralgia. Methods One hundred and four cases of trigeminal neuralgia were randomly divided into a treatment group （n = 57） and a control group （n=47）. The treatment group were treated with acupoint injection of 2 000 μg of VitB12, with Xiaguan （ST 7） selected as main point, and the control group with oral administration of Carbamazepine. The therapeutic effect were analyzed after 3 therapeutic courses. Results The cured and markedly effective rate and the effective rate were 82.5% and 98.2% in the treatment group, and 57.4% and 80.9% in the control group, with a very significant difference between the two groups （P〈0.01）. After treatment, there was a very significant difference in the cumulative score of pain between the two groups （P〈0.01）. Conclusion Acupoint injection of VitB12 has a better therapeutic effect than that of oral administration of Carbamazepine.