本文選題：原發(fā)性三叉神經(jīng)痛 + 祛風(fēng)安神止痛針刺法��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:探討祛風(fēng)安神止痛針刺法治療原發(fā)性三叉神經(jīng)痛(PTN)的臨床療效以及探討該方法治療本病可能的作用機制。方法:按隨機數(shù)字表法將60例PTN患者分為兩組,治療組30例采用祛風(fēng)安神止痛針刺法治療,對照組30例采用常規(guī)針刺法治療。治療組取百會、四神聰、太陽、內(nèi)關(guān)、神門、其他腧穴參照針灸學(xué)教材,第一支痛:攢竹、陽白、魚腰、絲竹空、外關(guān);第二支痛:四白、顴毼、迎香、下關(guān)、合谷;第三支痛:夾承漿、翳風(fēng)、頰車、大迎、內(nèi)庭。對照組取穴參照針灸學(xué)教材。兩組均每日針灸1次,留針時間50min,7天為一個療程,連續(xù)針灸4個療程后,進行治療前后疼痛視覺模擬(VAS)評分、焦慮量表(SAS)評分、匹茲堡睡眠指數(shù)(PSQL)評分以及兩組總有效率的比較。利用統(tǒng)計學(xué)軟件對所有數(shù)據(jù)進行分析,從而得出綜合的臨床療效評價。結(jié)果:1.疼痛視覺模擬評分法(VAS):治療組患者與對照組患者治療前VAS評分對比,P0.05,沒有顯著性差異,具有可比性;針灸4個療程后,治療組患者與對照組患者VAS評分對比,P0.05呈顯著性差異;且針灸4個療程后,治療組患者與對照組患者VAS差值對比,治療組病患VAS評分下降比對照組明顯,P0.05呈顯著性差異。2.匹茲堡睡眠質(zhì)量指數(shù)(PSQL)評分:治療組患者與對照組患者治療前PSQL評分對比,P0.05沒有顯著性差異,具有可比性;針灸4個療程后,治療組患者與對照組患者PSQL評分對比,P0.05呈顯著性差異;且針灸4個療程后,治療組患者與對照組患者PSQL差值對比,治療組患者PSQL評分下降比對照組明顯,P0.05呈顯著性差異。3.焦慮量表(SAS)評分:治療組患者與對照組患者治療前SAS評分對比,P0.05,沒有顯著性差異,具有可比性;針灸4個療程后,治療組患者與對照組患者SAS評分對比,P0.05呈顯著性差異;且針灸4個療程后,治療組病患與對照組病患SAS差值對比,治療組病患SAS評分下降比對照組明顯,P0.05呈顯著性差異。4.總有效率:祛風(fēng)安神止痛針刺組和常規(guī)針刺組總有效率分別為86.6%和76.6%,祛風(fēng)安神止痛針刺組病患的療效更優(yōu)。結(jié)論1.祛風(fēng)安神止痛針刺法能夠明顯緩解PTN病患的疼痛程度,且療效強于常規(guī)針刺法。2祛風(fēng)安神止痛針刺法能夠改善病人的焦慮和睡眠狀況,從而幫助緩解PTN患者的疼痛。
[Abstract]:Objective: to investigate the clinical effect of treating primary trigeminal neuralgia (PTNN) with the acupuncture of dispelling wind and soothing spirit and relieving pain, and to explore the possible mechanism of this method. Methods: 60 patients with PTN were randomly divided into two groups: the treatment group (30 cases) was treated with the acupuncture method of dispelling wind and calming the spirit and the pain relieving pain, and the control group (30 cases) was treated with the routine acupuncture method. The treatment group took Baihui, Sishen Cong, Sun, Neiguan, Shenmen, other acupoints refer to acupuncture and moxibustion teaching materials, the first pain: save bamboo, yang white, fish waist, silk bamboo empty, outside Guan; second branch pain: four white, zygomaticus, Yingxiang, Xiguan, Hegu; The third pain: clamping paste, pannelian, buccal car, big Ying, chamber. In the control group, acupoints were taken for reference. The acupuncture and moxibustion were performed once a day for 50 minutes and 7 days as a course of treatment. After 4 consecutive courses of acupuncture and moxibustion, the visual analogue pain score and the anxiety scale (SAS) were evaluated before and after the treatment. Pittsburgh Sleep Index (PSQL) score and total effectiveness comparison between the two groups. Statistical software was used to analyze all the data, and a comprehensive evaluation of clinical efficacy was obtained. The result is 1: 1. Visual analogue score of pain: the VAS scores of patients in treatment group and control group were compared before treatment (P 0.05), there was no significant difference (P 0.05), there was significant difference in VAS score between patients in treatment group and control group after four courses of acupuncture and moxibustion (P < 0.05), and there was no significant difference in VAS score between patients in treatment group and control group (P < 0.05). After 4 courses of acupuncture and moxibustion, the VAS difference between the treatment group and the control group was compared. The VAS score of the treatment group was significantly lower than that of the control group (P0.05). Pittsburgh Sleep quality Index (PSQL) score: there was no significant difference in PSQL score between the treatment group and the control group before treatment (P0.05). There was significant difference in PSQL score between the treatment group and the control group (P0.05). After four courses of acupuncture and moxibustion, the PSQL difference between the treatment group and the control group was compared, the PSQL score of the treatment group decreased significantly than that of the control group (P0.05). 3. SAS score: there was no significant difference in SAS score between the treatment group and the control group before treatment, there was no significant difference, and there was significant difference in the SAS score between the treatment group and the control group after 4 courses of acupuncture and moxibustion. After 4 courses of acupuncture and moxibustion, the difference of SAS between the treatment group and the control group was compared. The SAS score of the treatment group was significantly lower than that of the control group (P0.05). The total effective rate was 86. 6% and 76. 6% in the acupuncture group and 76. 6% in the routine acupuncture group, respectively. The curative effect of the acupuncture group was better than that of the control group. Conclusion 1. The acupuncture method of dispelling wind and soothing spirit and relieving pain can obviously alleviate the pain degree of PTN patients, and the curative effect is stronger than that of routine acupuncture method .2 the acupuncture method of dispelling wind and soothing the mind to relieve pain can improve the anxiety and sleep condition of patients with PTN, thus help to alleviate the pain of PTN patients.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6

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