艾灸配合拔罐治疗风寒型三叉神经痛疗效观察

Therapeutic Observation of Moxibustion plus Cupping for Trigeminal Neuralgia Due to Wind-cold

目的观察艾灸配合拔罐治疗风寒型三叉神经痛的临床疗效。方法将70例风寒型三叉神经痛患者随机分为治疗组和对照组,每组35例。治疗组采用艾灸配合拔罐治疗,对照组采用常规针刺治疗。治疗2个疗程后,观察两组治疗前后VAS评分及各项疼痛症状积分,并比较两组临床疗效。结果治疗组总有效率为85.7%,对照组为57.1%,两组比较差异具有统计学意义(P<0.05)。两组治疗后VAS评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后VAS评分与对照组比较,差异具有统计学意义(P<0.01)。治疗组治疗后疼痛范围评分、疼痛程度评分、持续时间评分、发作频次评分、生活质量影响评分、情绪状态影响评分及疼痛症状总分与对照组比较,差异均具有统计学意义(P<0.01,P<0.05)。结论艾灸配合拔罐是一种治疗风寒型三叉神经痛的有效方法。

To observe the clinical efficacy of moxibustion plus cupping in treating trigeminal neuralgia due to wind-cold. Method Seventy patients with trigeminal neuralgia due to wind-cold were randomized into a treatment group and a control group, 35 cases in each group. The treatment group was intervened by moxibustion plus cupping, while the control group was by ordinary acupuncture. The Visual Analogue Scale（VAS） and other pain indexes were observed before treatment and after 2 treatment courses, and the clinical efficacies were compared. Result The total effective rate was 85.7% in the treatment group versus 57.1% in the control group, and the difference was statistically significant（P〈0.05）. The VAS scores were significantly changed after treatment in both groups（P〈0.01）. After treatment, the VAS score of the treatment group was significantly different from that of the control group（P〈0.01）. After intervention, the scores of pain range, pain intensity, pain duration, attack frequency, quality of life, affection, and global pain score in the treatment group were significantly different from that in the control group（P〈0.05）. Conclusion Moxibustion plus cupping is an effective approach in treating trigeminal neuralgia due to wind-cold.