针刺调神法治疗原发性三叉神经痛的临床研究

Clinical Study on Mind-regulating Acupuncture in Treating Primary Trigeminal Neuralgia

目的观察针刺调神法治疗原发性三叉神经痛的临床疗效。方法将61例原发性三叉神经痛患者,采用随机数字表法随机分为治疗组31例和对照组30例。对照组给予口服卡马西平治疗,治疗组在对照组基础上采用针刺调神法治疗。观察两组治疗前后疼痛程度、疼痛发作频率及生活质量评分变化,并比较临床疗效。结果治疗组的总有效率为90.3%,对照组为70.0%,两组比较差异有统计学意义(P<0.05)。两组治疗后疼痛评分、疼痛发作频率及生活质量评分与同组治疗前比较,差异有统计学意义(P<0.05);两组治疗后疼痛评分和疼痛发作频率比较,差异无统计学意义(P>0.05),生活质量评分比较,差异有统计学意义(P<0.05)。两组随访6个月疼痛评分、疼痛发作频率及生活质量评分与同组治疗前比较,差异有统计学意义(P<0.05),与同组治疗后比较,差异有统计学意义(P<0.05);两组随访6个月疼痛评分、疼痛发作频率及生活质量评分比较,差异有统计学意义(P<0.05)。结论针刺调神法治疗原发性三叉神经痛长期疗效明显,且能显著提高患者生活质量。

Objective To observe the clinical efficacy of mind-regulating acupuncture in treating primary trigeminal neuralgia. Method Sixty-one patients with primary trigeminal neuralgia were randomized into a treatment group of 31 cases and a control group of 30 cases by using random number table method. The control group was intervened by oral administration of Carbamazepine, while the treatment group pain intensity, pain flare-up frequency and quality of life treatment, and the clinical efficacies were compared. Result was additionally given mind-regulating acupuncture. The in the two groups were evaluated before and after the The total effective rate was 90.3% in the treatment group, versus 70.0% in the control group, and the between-group difference was statistically significant （P〈0.05）. The pain score, pain flare-up frequency and quality of life score after the treatment were significantly different from those before the treatment in both groups （P〈0.05）; there were no significant between-group differences in comparing the pain score and flare-up frequency after the treatment （P〉0.05）; there was significant between-group difference in comparing the quality of life score after the treatment（P〈0.05）. The pain score, pain flare-up frequency and quality of life score at the 6-month follow-up were significantly different from those before and after the treatment in both groups （P〈0.05）; there were significant between-group differences in comparing the pain score, flare-up frequency and the quality of life score at the 6-month follow-up （P〈0.05）. Conclusion Mind-regulating acupuncture can produce a significant efficacy in treating primary trigeminal neuralgia and obviously enhance the quality of life.