Huang Zhuang, Huo Jin, Zhao Jiongqi
Department of TCM Physiotherapy, Beijing Northern Hospital, China North Industries Group Corporation, Beijing 100089, China.
Hospital of Acupuncture-Moxibustion, Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700.
Zhongguo Zhen Jiu. 2017 Jan 12;37(1):31-34. doi: 10.13703/j.0255-2930.2017.01.007.
To compare the clinical efficacy on primary trigeminal neuralgia between the combined therapy of electroacupuncture and triple puncture and the routine electroacupuncture therapy.
Thirty-six patients of primary trigeminal neuralgia were randomly assigned into an electroacupuncture and triple puncture group (group A) and a routine electroacupuncture group (group B), 18 cases in each one. In the group A, the triple puncture technique was used at the trigger points (the positive reactive points to trigger facial pain) and stimulated with electricity. In the group B, the regular needling technique was used at the trigger points, stimulated with electricity. The treatment was given once every two days, the treatment for 10 days made one session and two sessions were required. Separately, before treatment, at the end of the first session of treatment and at the end of the second session, the score of comprehensive symptoms, the score of visual analogue scale (VAS) and the cli-nical efficacy were evaluated in the two groups.
Compared with those before treatment, the comprehensive symptom score and VAS score were all reduced after treatment in the two groups (<0.05, <0.01). The scores were reduced much more apparently in the group A as compared with those in the group B (both <0.01). The curative and remarkably effective rate was 44.4% (8/18) and the total effective rate was 88.9% (16/18) in the group A, better than 27.8% (5/18) and 66.7% (12/18) in the group B respectively (both <0.05).
The combined therapy of triple puncture and electroacupuncture at trigger points achieves the better efficacy on primary trigeminal neuralgia as compared with the routine electroacupuncture therapy.
比较电针联合三叉神经三支针刺疗法与常规电针疗法治疗原发性三叉神经痛的临床疗效。
将36例原发性三叉神经痛患者随机分为电针联合三叉神经三支针刺组(A组)和常规电针组(B组),每组18例。A组采用三叉神经三支针刺法针刺扳机点(诱发面部疼痛的阳性反应点)并通电刺激;B组采用常规针刺法针刺扳机点并通电刺激。治疗隔日1次,10天为1个疗程,共治疗2个疗程。分别于治疗前、第1疗程结束时、第2疗程结束时评估两组患者的综合症状评分、视觉模拟评分法(VAS)评分及临床疗效。
两组治疗后综合症状评分及VAS评分均较治疗前降低(<0.05,<0.01);A组降低更明显,与B组比较差异均有统计学意义(均<0.01)。A组治愈率为44.4%(8/18),显效率为88.9%(16/18),均优于B组的27.8%(5/18)和66.7%(12/18),差异均有统计学意义(均<0.05)。
扳机点三叉神经三支针刺联合电针治疗原发性三叉神经痛的疗效优于常规电针疗法。