He Lan, Zhou Wan-Yu, Zhang Xiu-Mei
TCM Department, The Third Hospital Affiliated to Beijing University, Beijing 100191, China.
Zhongguo Zhen Jiu. 2012 Feb;32(2):107-10.
To observe the differences of therapeutic effect in primary trigeminal neuralgia (PTN) of hyperactive of liver yang type treated by deep and shallow puncturing at Xiaguan (ST 7).
Sixty-three cases of PTN of hyperactive of liver yang type were randomly divided into a deep puncturing group (32 cases) and a shallow puncturing group (31 cases). Xiaguan (ST 7) of affected region, Hegu (LI 4) and Taichong (LV 3) of bilateral sides, Cuanzhu (BL 2), Sibai (ST 2) and Jiachengjiang (Extra) relevant to the affected branch of nerve stem were selected in both groups. In deep puncturing group, Xiaguan (ST 7) was punctured to the depth of spheno-palatine ganglion (SPG); Cuanzhu (BL 2), Sibai (ST 2) and Jiachengjiang (Extra) were respectively punctured to the depth of supraorbital foramen, infraorbital foramen and mental foramen. In shallow group, routine puncturing was applied; the needles were connected with G6805 electric acupuncture apparatus, and switched on for 30 min every time; the treatment was applied every other day. Pain index, traditional Chinese medicine symptoms index and clinical therapeutic effect were observed after 2 courses of treatment.
In deep puncturing group, the VAS scores and the traditional Chinese medicine symptoms scores (pain degree, pain frequency, upsetting, conjunctival congestion, bitter mouth and hypochondriac pain) after treatment were much more lower than those before treatment (all P < 0.01); in shallow puncturing group, except hypochondriac pain (P > 0.05), other indices above after treatment were obviously lower than those before treatment (P < 0.01, P < 0.05). Compared with the indices in both groups after treatment, the VAS scores, the pain degree, conjunctival congestion and total scores of traditional Chinese medicine symptoms in deep puncturing group were more significant (all P < 0.05). The total effective rate was 93.8% (30/32) in deep puncturing group, superior to that of 87.1% (27/31) in shallow puncturing group (P < 0.05). No any adverse reaction was observed in both groups.
The therapeutic effect of trigeminal neuralgia of hyperactive of liver yang type treated with electroacupuncture is remarkable, and deep puncturing at Xiaguan(ST 7) to SPG is more effective than routine puncturing.
观察下关穴深刺与浅刺治疗肝阳上亢型原发性三叉神经痛（PTN）的疗效差异。
将63例肝阳上亢型PTN患者随机分为深刺组（32例）和浅刺组（31例）。两组均选取患侧下关穴、双侧合谷穴和太冲穴，以及与患侧神经干分支相关的攒竹穴、四白穴和夹承浆穴。深刺组下关穴直刺至蝶腭神经节深度，攒竹穴、四白穴和夹承浆穴分别直刺至眶上孔、眶下孔和颏孔深度。浅刺组采用常规针刺，针接G6805型电针仪，每次通电30分钟，隔日治疗1次。治疗2个疗程后观察疼痛指数、中医症状指数及临床疗效。
深刺组治疗后视觉模拟评分法（VAS）评分及中医症状评分（疼痛程度、疼痛频率、心烦、结膜充血、口苦、胁肋疼痛）均较治疗前明显降低（均P<0.01）；浅刺组治疗后除胁肋疼痛外（P>0.05），其余各项指标均较治疗前明显降低（P<0.01，P<0.05）。两组治疗后比较，深刺组VAS评分、疼痛程度、结膜充血及中医症状总评分改善更显著（均P<0.05）。深刺组总有效率为93.8%（30/32），优于浅刺组的87.1%（27/31）（P<0.05）。两组均未观察到任何不良反应。
电针治疗肝阳上亢型三叉神经痛疗效显著，下关穴深刺至蝶腭神经节的疗效优于常规针刺。
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