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[疼痛类型、人格特质与改良针刺的疗效]

[Type of pain, personality traits and effectiveness of modified acupuncture].

作者信息

Domzał T, Zaleska B, Kwasucki J, Foss A, Gierczak J

出版信息

Neurol Neurochir Pol. 1978 May-Jun;12(3):235-42.

PMID:683428
Abstract

In 50 patients with headaches and 50 with radicular pains pain sensitivity and pain tolerance as well as personality traits (Eysenck and Cattell questionnaire) were determined and a modification of acupuncture (with additional chemical stimulation) was used for treatment. The results of treatment were compared with personality traits. Differences were found in the personality traits between patients with paroxysmal headaches and patients with radicular pains. No statistically significant correlation was found, on the other hand, between the results of treatment and personality traits. The obtained results were best in the group of patients with paroxysmal headaches (permanent analgesic effect obtained in 70% of cases). The results of treatment obtained in the group of patients with continuous headaches and with radicular pains were similar. In patients with a lower threshold of pain sensitivity a higher proportion of permanent disappearance of pain was observed after treatment, and this observation may be useful for establishing indications to this therapy. Lack of any influence of personality traits on the result of this modified acupuncture may suggest that the basic analgesic action of these procedure is at lower levels of the nervous system and that it causes blockade of inflow of pain stimuli.

摘要

对50例头痛患者和50例神经根性疼痛患者测定了疼痛敏感性、疼痛耐受性以及人格特质(艾森克和卡特尔问卷),并采用改良针灸法(附加化学刺激)进行治疗。将治疗结果与人格特质进行比较。发现阵发性头痛患者与神经根性疼痛患者的人格特质存在差异。另一方面,未发现治疗结果与人格特质之间存在统计学上的显著相关性。在阵发性头痛患者组中获得的结果最佳(70%的病例获得了持久的镇痛效果)。持续性头痛患者组和神经根性疼痛患者组的治疗结果相似。在疼痛敏感性阈值较低的患者中,治疗后观察到疼痛永久消失的比例较高,这一观察结果可能有助于确定该疗法的适应证。人格特质对这种改良针灸的结果没有任何影响,这可能表明这些治疗方法的基本镇痛作用发生在神经系统的较低水平,并且它会导致疼痛刺激的传入受阻。

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