原发性三叉神经痛临床治疗探讨

Clinical discussion on treating primary trigeminal neuralgia

目的:通过观察比较针灸和口服卡马西平治疗原发性三叉神经痛的临床效果,探讨治疗原发性三叉神经痛的有效方式。方法:选取80位原发性三叉神经痛患者(均为我院神经科2012年2月-2014年4月收纳并进行治疗的),其中40位患者采用了针灸治疗术,其余40位进行口服卡马西平临床药物治疗,分别命名为观察组和对照组,治疗后期比较两组患者的治疗效果。主要比较治疗前后视觉模拟评分的改变情况和治疗有效率。结果:观察组患者的治疗前后视觉模拟评分相较于对照组有较大幅度的降低,治疗有效率也明显高于对照组。结论:针灸治疗术在治疗三叉神经痛方面效果明显,可以缩短治疗和康复时间,治疗方式相对简便,具有临床推广价值。

Objective:To observe clinical effects of acupuncture and carbamazepine on primary trigeminal neuralgia. Methods:80 cases of primary trigeminal neuralgia were divided into the observation group (40 cases) and the control group (40 cases). The observation group were treated by acupuncture. The control group were treated with carbamazepine. After treatment the two groups were compared. Change of visual analog scale and the efficiency were compared before and after treatment. Results: The visual analog score in the observation group was significantly lower than the control group. The efficiency in the observation group was significantly higher than that the control group. Conclusion:Acupuncture in the treatment of trigeminal neuralgia has obvious effect, and it can reduce hospital time.