温针灸结合拔罐治疗风寒型三叉神经痛的效果

Effect of needle warming moxibustion combined with cupping on trigeminal neuralgia of wind-cold type

目的:探讨温针灸结合拔罐治疗风寒型三叉神经痛(TN)的效果。方法:抽取2015年6月至2020年8月安阳市第六人民医院收治的风寒型TN患者76例,依据治疗方案分为两组,每组38例。观察组给予温针灸结合拔罐治疗,对照组给予常规西医治疗。回顾性比较两组治疗效果、炎性因子水平,应用视觉模拟评分法(VAS)评估疼痛程度。结果:观察组总有效率为94.74%(36/38),高于对照组的76.32%(29/38),χ^(2)=5.208,P=0.022。治疗后,观察组炎性因子肿瘤坏死因子、白细胞介素-6分别为(27.00±4.36)pg/ml、(20.44±2.79)pg/ml,低于对照组的(32.68±8.00)pg/ml、(24.71±3.99)pg/ml,P<0.05。治疗后1、3周,观察组VAS评分低于对照组(F=8.390、33.901,P<0.05)。结论:温针灸结合拔罐可有效缓解风寒型TN疼痛,改善机体炎症反应。

Objective To investigate the effect of needle warming moxibustion combined with cupping on trigeminal neuralgia(TN)of wind-cold type.Methods A total of 76 patients with wind-cold type TN admitted to Anyang Sixth People’s Hospital from June 2015 to August 2020 were selected and divided into two groups according to the treatment plan,with 38 cases in each group.The observation group was treated with needle warming moxibustion combined with cupping,while the control group was treated with routine western medicine.The treatment effects and the levels of inflammatory factors between the two groups were retrospectively compared,and the visual analogue scale(VAS)was used to evaluate the pain degree.Results The total effective rate in the observation group was 94.74%(36/38),which was higher than 76.32%(29/38)in the control group,χ^(2)=5.208,P=0.022.After treatment,the inflammatory factors tumor necrosis factor and interleukin-6 in the observation group were(27.00±4.36)pg/ml and(20.44±2.79)pg/ml,respectively,which were lower than(32.68±8.00)pg/ml,(24.71±3.99)pg/ml in the control group,P<0.05.One and three weeks after treatment,the VAS score in the observation group were lower than those in the control group(F=8.390,33.901,P<0.05).Conclusions Needle warming moxibustion combined with cupping can effectively relieve the pain of wind-cold TN and improve the body’s inflammatory response.