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针刺对特发性三叉神经痛患者认知功能和生活质量的影响

Effect of Acupuncture on Cognitive Function and Quality of Life in Patients With Idiopathic Trigeminal Neuralgia.

作者信息

Gao Jie, Zhao Chongfa, Jiang Wenchen, Zheng Baosen, He Yongjin

机构信息

Department of Anesthesiology, Tianjin Haihe Hospital.

Department of Pain Treatment, Tianjin First Central Hospital, Tianjin, China.

出版信息

J Nerv Ment Dis. 2019 Mar;207(3):171-174. doi: 10.1097/NMD.0000000000000937.

Abstract

To estimate the effect of acupuncture on idiopathic trigeminal neuralgia (ITN), we recruited 116 patients with ITN from December 2016 to April 2018 and further divided into them into two groups: acupuncture intervention group (n = 62) and sham control group (n = 54). Clinical pain, cognitive function, and quality of life (QoL) assessed with the 36-Item Short Form Health Survey (SF-36) were evaluated at the initial time of treatment, at the end of treatment, and 6 weeks after the treatment. Pain intensity, headache, and generalized body pain showed significant decrease both at the end of treatment and after 6 weeks of treatment when compared with initial time. The scores of the cognitive tests (Mini-Mental State Examination, Trail Making Test, Verbal Fluency Test, tracing score, and memory score) and five aspects of the SF-36 assessment (role emotional, general health, body pain, role physical, and mental health scores) showed significant improvement at the end of treatment compared with the initial time. Whereas after 6 weeks of treatment, the Mini-Mental State Examination, memory score, and Trail Making Test-A score and four aspects of the SF-36 assessment (vitality, bodily pain, mental health, and role physical) showed significant improvement when compared with the end of treatment. Acupuncture can be used as an alternative treatment to improve cognitive function and QoL of patients with ITN.

摘要

为评估针灸对特发性三叉神经痛(ITN)的疗效,我们于2016年12月至2018年4月招募了116例ITN患者,并将其进一步分为两组:针灸干预组(n = 62)和假手术对照组(n = 54)。在治疗初始、治疗结束时以及治疗后6周,使用36项简短健康调查(SF - 36)评估临床疼痛、认知功能和生活质量(QoL)。与初始时相比,治疗结束时和治疗6周后疼痛强度、头痛及全身疼痛均显著降低。认知测试(简易精神状态检查表、连线测验、语言流畅性测试、追踪分数和记忆分数)的得分以及SF - 36评估的五个方面(角色情感、总体健康、身体疼痛、角色生理和心理健康得分)在治疗结束时与初始时相比有显著改善。而在治疗6周后,简易精神状态检查表、记忆分数、连线测验A得分以及SF - 36评估的四个方面(活力、身体疼痛、心理健康和角色生理)与治疗结束时相比有显著改善。针灸可作为一种替代治疗方法来改善ITN患者的认知功能和生活质量。

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