针灸临床杂志
針灸臨床雜誌
침구림상잡지
JOURNAL OF CLINICAL ACUPUNCTURE AND MOXIBUSTION
2014年
9期
13-16
,共4页
丘脑痛%醒脑开窍%头皮针%中风
丘腦痛%醒腦開纖%頭皮針%中風
구뇌통%성뇌개규%두피침%중풍
Thalamic pain%Xingnao Kaiqiao acupuncture therapy%Scalp needle%Stroke
目的：观察醒脑开窍针法结合头皮针治疗中风后丘脑痛的临床疗效。方法：应用随机数字表法将丘脑痛患者58人随机分为治疗组和对照组两组，每组各29例，治疗组采用醒脑开窍针法结合头皮针治疗，对照组采用头皮针针刺治疗，治疗前和治疗4周后分别评估1次，以视觉模拟评分法（ VAS）、简式McGill疼痛问卷评分（ MPQ）和临床总有效率作为疗效评估指标，观察临床疗效。结果：4周后治疗组临床痊愈7例，显效14例，有效6例，无效2例，总有效率为93．10％；对照组临床痊愈3例，显效6例，有效12例，无效8例，总有效率为72．41％。总有效率经χ2检验，治疗组明显高于对照组，差异具有统计学意义（P＜0．05）；两组疗效构成比较经非参数两独立样本秩和检验，表明两组治疗效果具有显著性差异（P＜0．05）。结论：醒脑开窍针法与头针联合使用能明显减轻丘脑痛患者的疼痛，提高患者的生活质量，疗效明显优于单纯头皮针针刺治疗。
目的：觀察醒腦開纖針法結閤頭皮針治療中風後丘腦痛的臨床療效。方法：應用隨機數字錶法將丘腦痛患者58人隨機分為治療組和對照組兩組，每組各29例，治療組採用醒腦開纖針法結閤頭皮針治療，對照組採用頭皮針針刺治療，治療前和治療4週後分彆評估1次，以視覺模擬評分法（ VAS）、簡式McGill疼痛問捲評分（ MPQ）和臨床總有效率作為療效評估指標，觀察臨床療效。結果：4週後治療組臨床痊愈7例，顯效14例，有效6例，無效2例，總有效率為93．10％；對照組臨床痊愈3例，顯效6例，有效12例，無效8例，總有效率為72．41％。總有效率經χ2檢驗，治療組明顯高于對照組，差異具有統計學意義（P＜0．05）；兩組療效構成比較經非參數兩獨立樣本秩和檢驗，錶明兩組治療效果具有顯著性差異（P＜0．05）。結論：醒腦開纖針法與頭針聯閤使用能明顯減輕丘腦痛患者的疼痛，提高患者的生活質量，療效明顯優于單純頭皮針針刺治療。
목적：관찰성뇌개규침법결합두피침치료중풍후구뇌통적림상료효。방법：응용수궤수자표법장구뇌통환자58인수궤분위치료조화대조조량조，매조각29례，치료조채용성뇌개규침법결합두피침치료，대조조채용두피침침자치료，치료전화치료4주후분별평고1차，이시각모의평분법（ VAS）、간식McGill동통문권평분（ MPQ）화림상총유효솔작위료효평고지표，관찰림상료효。결과：4주후치료조림상전유7례，현효14례，유효6례，무효2례，총유효솔위93．10％；대조조림상전유3례，현효6례，유효12례，무효8례，총유효솔위72．41％。총유효솔경χ2검험，치료조명현고우대조조，차이구유통계학의의（P＜0．05）；량조료효구성비교경비삼수량독립양본질화검험，표명량조치료효과구유현저성차이（P＜0．05）。결론：성뇌개규침법여두침연합사용능명현감경구뇌통환자적동통，제고환자적생활질량，료효명현우우단순두피침침자치료。
Objective:To observe the clinical effect on thalamic pain after stroke by using Xingnao Kaiqiao acu-puncture and scalp needle therapy.Methods:58 patients with thalamic pain were randomly divided into two group:29 cases received the combined treatment with Xingnao Kaiqiao acupuncture therapy and scalp needle method;29 cases in the control group were by scalp needle therapy.Four weeks after treatment all patients were assessed with the methods of Visual Analogue Score ( VAS) ,McGill Pain Questionnaire( MPQ) and the clinical-ly curative rate as evaluation index of curative effect.Results:After four weeks,of the 29 cases in the treatment group,7 cases were healed;14 cases were markedly better;6 cases were effective;2 cases were invalid .The total effective rate was 93.10%.Of the 29 cases in the control group,3 cases were healed; 6 cases were markedly better;12 cases were effective;8 cases were invalid.The total effective rate was 72.41%.Compared between the two groups,there was a significant difference between the total effective rates (P<0.05) and the effective constitution ( P<0.05 ) .Conclusion:It suggests that the curative effect of combined treatment with Xingnao Kaiqiao acupuncture therapy and scalp needle method is better than that of the scalp needle acupunc-ture for the treatment of thalamic pain .It can significantly reduce the pain and improve the quality of life among patients.
