针刺配合药物直流电导入治疗三叉神经痛临床观察

Clinical Observations on Acupuncture plus Direct Current Drug Introduction for the Treatment of Trigeminal Neuralgia

目的寻找疗效确切而又尽量能保留面部感觉的三叉神经痛治疗方法。方法将60例患者随机分为治疗组、对照组,治疗组予常规针刺治疗,并配合维生素B12、山莨宕碱注射液离子导入治疗,对照组给予口服卡马西平、弥可保治疗,两组均连续治疗30 d后,进行统计、分析。结果治疗组总有效率为93.3%,对照组为70.0%;共有48例患者参加6个月至1年的随访,期间治疗组复发3例,复发率为11.1%,对照组复发6例,复发率为28.6%。结论针刺配合维生素B12、山莨宕碱(654-2)直流电导入治疗三叉神经痛具有疗效确切、操作简单、能保留患者面部皮肤感觉的优点。

Objective To seek a treatment for trigeminal neuralgia,which has a definite effect and preserves facial sensation as much as possible.Methods Sixty were randomly allocated to treatment and control groups.The treatment group received conventional acupuncture plus ion-introduction of vitamin B12 and anisodamine injections and the control group took carbamazepine and methycobal orally.A statistical analysis was made after both groups were treated for 30 days.Results The total efficacy rate was 93.3% in the treatment group and 70.0% in the control group.A total of 48 patients were followed up for 6 months to 1 year.During that time,3 patients of the treatment group suffered a relapse,with a recurrence rate of 11.1% and 6 patients of the control group did so,with a recurrence rate of 28.6%.Conclusion Acupuncture plus direct current introduction of vitamin B12 and anisodamine（654-2） for the treatment of trigeminal neuralgia has the advantages of being definitely effective,easy to perform and able to preserve sensation in the facial skin of the patient.