推拿结合物理因子治疗臂丛神经损伤神经病理性疼痛的临床疗效观察

目的：观察推拿结合物理因子治疗臂丛神经损伤术后神经病理性疼痛的临床疗效.方法：采用随机、对照的研究方法,将50例臂丛神经损伤术后疼痛患者随机分为推拿结合物理因子治疗组和单纯物理因子对照组,采用McGill疼痛询问量表评估两组疼痛情况,进行疗效比较.结果：50例病例全部完成治疗,无脱落病例.完成全部治疗后,两组PRI感觉项评分有统计学意义（P〈0.05）,PPI、VAS评分有显著性差异（P〈0.01）.推拿结合物理因子治疗组治疗前后比较,PRI感觉项、PRI情绪项评分有统计学意义（P〈0.05）,其余各项评分有显著性差异（P〈0.01）.结论：推拿结合物理因子治疗臂丛神经损伤术后神经病理性疼痛优于单纯物理因子治疗.

Clinical efficacy of massage and physical factors in the treatment of brachial plexus injury neuropathic pain

Objective：the therapeutic effect of Tuina integrated with physical factors in treating the neuropathic pain after b rachial plexus injury. Methods：Divide 50 cases of neuropathic pain after brachial plexus injury into Tuina integrated with physical factors treatment group and only physical factors therapy controlled group randomly. The short--form of McGill Pain Questionnaire was used in this study to compare the effects. Result： 50 ca- ses finished the whole course,no case losses. After the treatment,PRI emotional degree had statistical differences （P〈0.05） while the PPI and VAS scores had significant statistical differences （P〈0.01） between the groups. PRI feeling and emotional degrees of the treatment group had statistical differences （P〈0.05） while the other had significant statistical differences （P〈0. 01）. Conclusion： Tuina integrated physical factors treatment was more effective than only physical factors one.