头针治疗丘脑痛疗效观察

Observations on the Therapeutic Effect of Scalp Acupuncture on Thalamic Pain

目的探索针刺治疗丘脑痛的可能性,观察头针和体针治疗丘脑痛的疗效差异。方法将80例丘脑痛患者随机平分为两组,治疗组采用头针配合体针方法治疗,对照组采用体针方法治疗。持续治疗28d,于治疗14d和治疗28d后观察疗效。结果两组患者治疗14d后与治疗前比较MPQ各项积分差异均有统计学意义(P<0.05),治疗28d后与治疗前比较差异更显著(P<0.01);两组患者治疗28d后与治疗前比较TCD各项指标差异均有统计学意义(P<0.05);治疗组总有效率为72.5%,对照组总有效率为47.5%,两组比较差异具有统计学意义(P<0.05)。随访3个月复发率治疗组为0%,对照组为15.8%,两者比较差异有统计学意义(P<0.05)。结论针刺治疗丘脑痛有较好疗效,头针与体针并用治疗丘脑痛疗效尤为显著。

Objective To explore the possibility of acupuncture treatment for thalamic pain and compare the efficacy of scalp acupuncture with body acupuncture in treating thalamic pain. Methods Eighty patients with thalamic pain were randomly allocated evenly to two groups. The treatment group received scalp acupuncture plus body acupuncture and the control group, body acupuncture only. Treatment lasted 28 days. The therapeutic effects were evaluated after 14 and 28 days of treatment. Results There were statistically significant differences in MPQ item scores between after 14 days of treatment and before （P〈0.05） and larger between after 28 days of treatment and before （P〈0.01） in the two groups. There were statistically significant differences in TCD indices between after 28 days of treatment and before in the two groups（P〈0.05）. The total efficacy rate was 72.5% in the treatment group and 47.5% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. A three months＇ follow-up showed that the recurrence rate was 0% in the treatment group and 15.8% in the control group. There was a statistically significant difference between the two groups （P〈0.05）. Conclusion Acupuncture is a safe and more effective way to treat thalamic pain. Scalp acupuncture has a marked therapeutic effect on thalamic pain.