关刺扳机点治疗原发性三叉神经痛疗效观察

目的:观察关刺扳机点治疗原发性三叉神经痛的临床疗效。方法:将103例原发性三叉神经痛患者按就诊顺序分为关刺组(53例)和常规针刺组(50例)。关刺组采用下颌关节扳机点(即下关穴附近寻找阳性点)关刺治疗,并远端配穴合谷、外关、太冲、内庭常规针刺;常规针刺组取下关、风池,并根据三叉神经痛各支的疼痛侧重配穴,采用常规针刺。采用视觉模拟评分法(VAS)和三叉神经痛症状评分于治疗前、第1疗程和第2疗程后对患者的疼痛程度、综合症状积分进行评定,并评定疗效。结果:两组治疗1个疗程后、2个疗程后VAS评分和综合症状评分均较治疗前明显降低(P<0.05,P<0.01),关刺组较常规针刺组降低更明显(均P<0.05);关刺组和常规针刺组总有效率分别为90.6%(48/53)和72.0%(36/50),关刺组优于常规针刺组(P<0.05)。结论:关刺扳机点治疗原发性三叉神经痛疗效显著,优于常规针刺治疗。

Clinical efficacy observation on primary trigeminal neuralgia treated with joint needling method at the trigger point

Objective To observe the clinical efficacy on primary trigeminal neuralgia treated with joint needling method at the trigger point.Methods One hundred and three cases of primary trigeminal neuralgia were divided into a joint needling group(53 cases) and a conventional needling group(50 cases) according to the visit sequence.In the joint needling group,the joint needling method was used at the trigger point in the mandibular joint the positive point near to Xiaguan(ST 7)];the conventional needling was used at Hegu(LI 4),Waiguan(TE 5),Taichong(LR 3) and Neiting(ST 44).In the conventional needling group,Xiaguan(ST 7) and Fengchi(GB 20) were used and the supplementary acupoints were selected according to the involved branches of trigeminal nerve.The conventional needling method was used.The Visual Analogue Scale(VAS) and the score of trigeminal neuralgia were adopted to assess the pain severity and the comprehensive symptoms before treatment and after the 1st and 2nd sessions of treatment separately.The efficacy was assessed.Results After the 1st and 2nd sessions of treatment,VAS score and the comprehensive symptom score were reduced obviously as compared with those before treatment in either group(P<0.05,P<0.01).The score reducing in the joint needling group was much superior to that in the conventional needling group(both P<0.05).The total effective rate was 90.6%(48/53) and 72.0%(36/50) in the joint needling group and the conventional needling group respectively.The effect in the joint needling group was better than that in the conventional needling group(P<0.05).Conclusion The joint needling method at the trigger point achieves the significant efficacy on primary trigeminal neuralgia,which is superior to that with the conventional needling method.