针刺辅助神经阻滞治疗枕大神经痛临床研究

目的:探讨针刺辅助神经阻滞对枕大神经痛患者临床疗效的影响.方法:78例确诊为枕大神经痛的患者随机分为对照组和治疗组各39例,对照组予普瑞巴林胶囊口服和行枕大神经阻滞治疗;治疗组:辅助针刺疗法余基本治疗同对照组.治疗后对比两组患者的疗效及不良反应,并对所有患者治疗前后疼痛分级以及睡眠质量进行比较.结果:经治疗后,对照组患...

Effect of acupuncture assisted neuralgia in the treatment of patients with occipital neuralgia

Objective:To investigate the effects of acupuncture assisted neuralgia in patients with occipital neuralgia.Methods:78 cases of patients diagnosed with occipital neuralgia were randomized divided into control group(39 cases)and treatment group(39 cases).Treatment group:auxiliary acupuncture therapy and basic treatment were the same as control group.The efficacy and adverse reactions and sleep quality of the two groups were compared after treatment.Results:After treatment,the total effective rate of the control group was 72.9%,the total effective rate of the treatment group was 100.0%,the total effective rate of the treatment group was significantly higher than the control group(P<0.05).In terms of pain assessment,PRI,VAS and PPI were comparable between the two groups(P>0.05).After treatment,PRI,PPI and VAS were more improved in the treatment group than in the control group(all P<0.05).After treatment,the comparison of recurrence rate within half a year between the two groups showed that the treatment group(2.70%)was significantly lower than the control group(21.62%)(P<0.05).After treatment,there are significantly improvements in sleep quality and sleep disorders between the treatment group and control group and the quality of sleep in the treatment group was more important(P<0.05).Conclusion:Acupuncture assisted nerve block for treatment of occipital great neuralgia is more effective than single nerve block,and can reduce the long-term recurrence rate and improve the quality of sleep,the reason why is to esplore more effective methods of treatment and therapeutic mechansims.