醒脑开窍针法结合头针治疗中风后丘脑痛的临床观察

摘要

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.%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。