针药并用治疗缺血性中风后丘脑痛的临床观察

The clinical observation of acupuncture combined with herbs to treat thalamic pain after ischemic stroke

关键词:  缺血性中风  疼痛  丘脑  头针  华佗夹脊刺  中药

Key words:  ischemic stroke  pain  thalmus  scalp-acupuncture  huatuo cervical paravertebral needling  traditional Chinese medicine

摘要:

[目的] 比较针药并用法与西药卡马西平治疗缺血性中风后丘脑痛的临床疗效。[方法] 采用随机对照试验设计，将84例患者根据随机数字表法分为两组，治疗组采用头针、华佗夹脊穴盘龙刺、中药汤剂，对照组采用口服卡马西平，治疗28 d后应用疼痛视觉模拟评分法（VAS）进行疗效评价。[结果] 治疗组总有效率为92.9%，对照组为81.0%.经统计学处理，治疗后组间VAS评分 降低程度比较，治疗组明显的优级（P<0.05）.[结论] 针药并用治疗缺血性中风后丘脑痛疗效优于单纯口服卡马西平疗法，值得临床推广。

Abstract:

[Objective] To compare the clinical effect of acupuncture combined with herbs with west medicine carbamazepine to treat thalamic pain after ischemic stroke. [Methods] To apply the randomized controlled trial design and separate the 84 cases of patients to two groups according to the random number table. The treatment group applied the acupuncture, huatuo cervical paravertebral needling, traditional Chinese medicine, while the control group adopted to take the carbamazepine orally. The clinical therapeutic effect assessment was made after 28 days of treatment through the Visualanaloguescale. [Results] The total effect of the treatment grouop was 92.9%, while the control group was 81.0%. After the statistic treatment, the two groups exist the significant difference(P<0.05). [Conclusion] To treat the thalamic pain after ischemic stroke, the therapeutic effect of acupuncture combined with herbs is better than merely take carbamazepine, thus it is worthy of clinical promotion.