摘要
目的
观察神经傍刺治疗枕神经痛的疗效。
方法
将82 例枕神经痛患者随机分为两组。 治疗组46 例, 采用神经傍刺法, 取上天柱、天牖穴; 对照组36 例, 采用一般针刺法, 取天柱、风池、百会、失眠II、完骨、合谷等。 治疗3∼5 次为1 疗程。 最多治疗3 个疗程, 观察疗效。
结果
近期总有效率治疗组为93.5%, 对照组为69.4%, 两组比较差异有统计学意义(P<0.01)。 远期治愈率治疗组为64.1%, 对照组为43.3%, 两组比较差异有统计学意义(P<0.05)。
结论
神经傍刺法治疗枕神经痛疗效优于一般针刺法。
Abstract
Objective
To observe the clinical efficacy of nerve-near needling for occipital neuralgia.
Methods
Eighty-two subjects were randomly allocated into two groups: treatment group in which 46 cases was treated by nerve-near needling [points Tianzhu (BL 10) and Tianyou (TE 16) were selected], and control group in which 36 cases were treated by conventional acupuncture [points Tianzhu(BL 10), Fengchi(GB 20), Baihui(GV 20), Shimian II (Extra), Wangu (GB 12) and Hegu(LI 4) were selected]. One course of treatment consisted of 3–5 times, and three courses of treatment were given at most before calculating efficacy.
Results
The short-term total effective rate was 93.5% in the treatment group and 69.4% in the control group, with a statistically significant difference between the two groups (P<0.01); the long-term total effective rate was 64.1% in the treatment group and 43.3% in the control group, with a statistically significant difference between the two groups (P<0.05).
Conclusion
Nerve-near needling is better than conventional acupuncture in treating occipital neuralgia.
References
HOU Xi-de. Neurology. Beijing: People’s Medical Publishing House, 1996.
CHEN Hao-zhu. Practical Internal Medicine. 11th Edition. Beijing: People’s Medical Publishing House, 2001.
XU Shao-ding, GE Bao-feng, XU Yin-kan. Practical Orthorpaedics. 3rd Edition. Beijing: People’s Military Medical Press, 2005.
The State Administration of Traditional Chinese Medicine. Criteria of Diagnosis and Therapeutic Effects for TCM Diseases and Syndromes. Nanjing: Nanjing University Press, 1994: 36.
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Additional information
Author: LI Wei-dong (1970–), male, attending doctor
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Li, Wd. Clinical observation of nerve-near needling for occipital neuralgia. J. Acupunct. Tuina. Sci. 7, 91–93 (2009). https://doi.org/10.1007/s11726-009-0091-y
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DOI: https://doi.org/10.1007/s11726-009-0091-y