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针药并用治疗原发性三叉神经痛47例
引用本文:蔡国锋,张殿全,李旗,孙波,庄哲,赵慧. 针药并用治疗原发性三叉神经痛47例[J]. 针灸临床杂志, 2010, 26(5)
作者姓名:蔡国锋  张殿全  李旗  孙波  庄哲  赵慧
作者单位:1. 黑龙江中医药大学附属第二医院,黑龙江,哈尔滨,150001
2. 深圳市观澜人民医院,广东,深圳,518110
3. 华北煤炭医学院,河北,唐山,063000
4. 黑龙江中医药大学,黑龙江,哈尔滨,150040
基金项目:黑龙江江省中医管理局项目 
摘    要:目的:通过对比观察针药结合治疗血瘀型原发性三叉神经痛(TN)的可行性及有效性评价,旨在为血瘀型TN寻求一种疗效确切、持久而副反应少的临床治疗模式。方法:将96例符合TN入选标准的患者,随机分成治疗组及对照组,按就诊顺序录入。治疗组给予针灸、自拟汤药结合治疗共完成47例;对照组给予单纯卡马西平治疗共完成44例,疗程均为1个月,采用了Huskisson"视觉模拟评分法(VAS)"和制定的"三叉神经痛症状分级量化表",在疗后90天评定,得出疗效评价并判断安全性。结果:两组在VAS疼痛改善程度上无显著性差异,疗效相当(P0.05);两组症状量化积分总疗效比较,无显著性差异,疗效相当(P0.05);治疗组在消除兼证的疗效上明显优于对照组(P0.05)。结论:针刺加自拟汤药治疗血瘀型TN疗效确切、安全,且在消除不寐、情绪抑郁或烦躁不安等兼证方面优于卡马西平。

关 键 词:针药结合  血瘀型原发性三叉神经痛  临床观察  症状等级量化标准

Acupuncture Combined and Chinese Medicine to Treat 47 Cases of Primary Trigeminal Neuralgia
CAI Guo-feng,ZHANG Dian-quan,LI Qi,SUN Bo,ZHUANG Zhe,ZHAO Hui. Acupuncture Combined and Chinese Medicine to Treat 47 Cases of Primary Trigeminal Neuralgia[J]. Journal of Clinical Acupuncture and Moxibustion, 2010, 26(5)
Authors:CAI Guo-feng  ZHANG Dian-quan  LI Qi  SUN Bo  ZHUANG Zhe  ZHAO Hui
Affiliation:CAI Guo-feng1,ZHANG Dian-quan2,LI Qi3,SUN Bo4,ZHUANG Zhe4,ZHAO Hui1(1.Second Hospital Affiliated Heilongjiang University of Chinese Medicine,Harbin 150001,China,2.Shenzhen Guanlan People's Hospital,Shenzhen 518110,3.Department of Medicine of North China Coal Medical College,Tangshan 0630000,4.Graduate School of Heilongjiang University of Chinese Medicine,Harbin 150040,China)
Abstract:Objective:By comparing the observation of acupuncture and Chinese medicine blood stasis syndrome of primary trigeminal neuralgia(TN) evaluate the feasibility and effectiveness,designed to blood TN looking for a effective,safe,durable and less side effects clinical treatment model.Methods:96 cases met the inclusion criteria TN patients were randomly divided into treatment and control groups,according to doctor order entry.The treatment group received acupuncture,traditional Chinese medicine combined with tre...
Keywords:Combining acupuncture and Chinese medicine  Blood of primary trigeminal neuralgia  Clinical observation  Symptom level quantitative criteria  
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