浮针治疗帕金森病伴发四肢疼痛临床研究

Clinical Study of Superficial Needling in Treating PD with Limbs Pain

目的:对浮针治疗帕金森病伴四肢疼痛患者的临床疗效进行观察。方法:将确诊的40例住院患者随机分为观察组(20例)和对照组(20例)。在常规药物治疗的基础上,予观察组2天1次的浮针治疗,共进行2周;予对照组常规针刺治疗,每日1次,1周6次,共进行2周。比较两组治疗前及治疗2周后的McGill疼痛问卷简表(SF-MPQ)及39项帕金森病生存质量调查问卷(PDQ-39)评分;分别对两组临床疗效进行统计分析。结果:治疗2周后,两组患者的SF-MPQ单项评分及总分均较治疗前明显减少(均P<0.05),观察组评分明显低于对照组(P<0.05);两组患者的PDQ-39评分较治疗前明显减少(均P<0.05),观察组优于对照组(P<0.05)。总有效率方面,观察组为95%(19/20),高于对照组70%(14/20)(P<0.05)。结论:使用浮针对帕金森病伴发四肢疼痛患者进行治疗,可有效缓解患者疼痛症状,提升患者生活质量,疗效优于普通针刺。

Objective:To observe the clinical effect of superficial needling in the treatment of Parkinson’s disease(PD)with limbs pain.Methods:40 patients were randomly divided into the observation group(n=20)and the control group(n=20).On the basis of conventional medication,the observation group was treated with superficial needling(once every two days for two weeks)and the control group was treated with conventional acupuncture(once a day,6 times a week for 2 weeks).The scores of SF-MPQ and PDQ-39 were compared before the treatment and two weeks after the treatment.The clinical efficacy was also analyzed in the two groups.Results:Each single score and the total score of SF-MPQ were significantly lowered after two weeks of treatment than those before the treatment in the two groups(P<0.05);the scores of the observation group were significantly lower than those of the control group(P<0.05).The PDQ-39 scores were also significantly reduced after the treatment than those before the treatment in the two groups(P<0.05),and the reduction in the observation group was more significant(P<0.05).The total effective rate was 95%(19/20)in the observation group,which was significantly higher than 70%(14/20)in the control group(P<0.05).Conclusion:Superficial needling is superior to conventional acupuncture in treating PD with limbs pain,which can effectively alleviate the pain symptoms,improve the quality of life of the patients.