微创穴位埋线法治疗原发性三叉神经痛82例临床总结

Clinical summary on minimally invasive acupoint thread-embedding in the treatment of 82 cases of primary trigeminal neuralgia

目的:分析微创穴位埋线治疗原发性三叉神经痛的效果。方法:对诊断为原发性三叉神经痛的82例患者根据疼痛位置选择下关穴针刺蝶腭神经节,辅助面颈部和四肢穴位进行微创针刺埋线,分别进行治疗期间疗效评定和治疗后随访,并统计并发症发生情况。结果:82例患者治疗期间和随访的总有效率分别为72.8%和73.8%,治疗前口服卡马西平类药物的患者有20例(45.5%)停药,未出现严重并发症。结论:微创穴位埋线法治疗原发性三叉神经痛简便有效,值得临床推广。

Objective： To summarize and analyze the effect of minimally invasive point embedding therapy in patients with primary trigeminal neuralgia. Methods： The patients with primary trigeminal neuralgia in the past 1 year underwent minimally invasive point embedding. According to the location of the pain,the sphenopalatine ganglion was acupointed through the Shiguan Point. And points of facial neck and limbs were chosen auxiliary. Clinical effect and post-treatment follow-up were evaluated,and the incidence of complications were recorded. Results： The total effective rate during the therapy and in the follow-up was 72. 8% and 73. 8% in 82 patients. And 20（ 45. 5%） patients discontinued the carbamazepine. There were no serious complications. Conclusion： The minimally invasive point embedding therapy is simple and effective in the treatment of primary trigeminal neuralgia that is worth promoting.