摘要
目的:观察电针联合重复经颅磁刺激治疗原发性三叉神经痛的临床疗效。方法:120例原发性三叉神经痛患者按随机数字表法分为针磁联合组、电针组、经颅磁组和卡马西平组,各30例,分别给予电针联合重复经颅磁刺激治疗、电针治疗、重复经颅磁刺激治疗和口服卡马西平片治疗,均治疗1疗程。并于治疗前、治疗后、治疗结束后4周、治疗结束后3个月、治疗结束后6个月,分别记录四组患者疼痛视觉模拟评分(VAS)、简要面部疼痛概况量表(BPI-Facial)评分及匹兹堡睡眠质量指数(PSQI)。结果:治疗后及治疗结束后4周、治疗结束后3个月、治疗结束后6个月,4组患者VAS、BPI-Facial(BPI-面部活动评分和BPI-日常生活评分)及PSQI均较治疗前降低(均P<0.05);针磁联合组VAS、BPI-日常生活评分及PSQI均明显低于同期电针组、经颅磁组及卡马西平组(均P<0.05);针磁联合组、电针组、卡马西平组BPI-面部活动评分均低于同期经颅磁组(均P<0.05),而三组之间同期比较,无统计学差异(均P>0.05)。结论:电针联合重复经颅磁刺激治疗原发性三叉神经痛,在改善疼痛、降低疼痛对日常生活影响、提高睡眠质量的短时效应和长时效应上,均优于电针治疗、重复经颅磁刺激治疗及卡马西平治疗;电针联合重复经颅磁刺激治疗、电针治疗及卡马西平治疗在改善疼痛对患者面部活动影响方面,疗效相似。
Objective:To observe the clinical effect of electroacupuncture combined with repeated transcranial magnetic stimulation in the treatment of primary trigeminal nerve.Methods:120 patients with primary trigeminal neuralgia were randomly divided into acupuncture magnetic combination group,electroacupuncture group,transcranial magnetic group and carbamazepine group,with 30 cases in each group.They were treated with electroacupuncture combined with repeated transcranial magnetic stimulation,electroacupuncture,repeated transcranial magnetic stimulation and oral carbamazepine tablets for one course of treatment.Before treatment,after treatment,4 weeks after treatment,3 months after treatment and 6 months after treatment,the scores of visual analogue scale(VAS),brief facial pain profile scale(BPI facial)and Pittsburgh sleep quality index(PSQI)were recorded respectively.Results:After treatment,4 weeks after treatment,3 months after treatment and 6 months after treatment,VAS,BPI facial(BPI facial activity score and BPI daily life score)and PSQI in the four groups were lower than those before treatment(all P<0.05);Vas,BPI-adl score and PSQI in acupuncture magnetic combination group were significantly lower than those in electroacupuncture group,transcranial magnetic group and carbamazepine group(all P<0.05);The BPI facial activity scores of acupuncture magnetic combination group,electroacupuncture group and carbamazepine group were lower than those of transcranial magnetic group(all P<0.05),but there was no significant difference among the three groups(all P>0.05).Conclusion:Electroacupuncture combined with repetitive transcranial magnetic stimulation is superior to electroacupuncture,repetitive transcranial magnetic stimulation and carbamazepine in improving pain,reducing the impact of pain on daily life and improving sleep quality;Electroacupuncture combined with repetitive transcranial magnetic stimulation,electroacupuncture and carbamazepine have similar effects in improving the effect of pain on facial activities.
作者
胡业华
董萍
冯欣欣
李文雯
王超
HU Ye-hua;DONG Ping;FENG Xin-xin;LI Wen-wen;WANG Chao(Department of rehabilitation medicine,Xingtai general hospital,North China Medical and health group,Xingtai 054000,Hebei,China)
出处
《中华老年口腔医学杂志》
2021年第6期325-330,共6页
Chinese Journal of Geriatric Dentistry
关键词
电针
重复经颅磁刺激
原发性三叉神经痛
临床研究
electroacupuncture
repetitive transcranial magnetic stimulation
primary trigeminal neuralgia
clinical research
