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穴位按摩结合贴敷治疗三叉神经痛的疗效观察及其对血液动力学的影响
作者姓名:曾嵘  吕燕  徐武  常青
作者单位:南京大学医学院附属南京鼓楼医院神经外科, 江苏 南京 210008,南京大学医学院附属南京鼓楼医院神经外科, 江苏 南京 210008,南京大学医学院附属南京鼓楼医院神经外科, 江苏 南京 210008,南京大学医学院附属南京鼓楼医院神经外科, 江苏 南京 210008
基金项目:南京市科学技术进步奖(2015J0037)。
摘    要:目的 研究穴位按摩结合贴敷治疗三叉神经痛的临床疗效及其对血液动力学的影响。方法 纳入120例三叉神经痛患者作为研究对象,随机抽签分为两组,各60例。对照组给予常规治疗,并进行手法穴位按摩;观察组在对照组基础上进行穴位贴敷。比较两组临床疗效、安全性及血液动力学变化周围血管阻力指数(SVRI)、心输出量(CO)及血液粘度]情况。结果 对照组2例因依从性差被剔除,两组总有效率差异无统计学意义(P>0.05);观察组显效率优于对照组(P<0.01)。两组治疗后SVRI和血浆粘度较治疗前均显著降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组不良反应发生率显著低于对照组,差异有统计学意义(P<0.05)。结论 穴位按摩结合贴敷用于三叉神经痛能显著提高治疗效果,改善血流动力学,且具有较高的安全性。

关 键 词:穴位按摩  贴敷  三叉神经痛  血液动力学  疗效
收稿时间:2017/10/27 0:00:00

Effect of Acupoints Massage Combined with Application Method on Trigeminal Neuralgia and Its Influence on Hemodynamics
Authors:ZENG Rong  LYU Yan  XU Wu and CHANG Qing
Institution:Department of Neurosurgery, Nanjing Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu 210008, China,Department of Neurosurgery, Nanjing Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu 210008, China,Department of Neurosurgery, Nanjing Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu 210008, China and Department of Neurosurgery, Nanjing Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu 210008, China
Abstract:Objective To study the effect of acupoints massage combined with application method on trigeminal neuralgia and its influence on hemodynamics.Methods 120 patients with trigeminal neuralgia were randomly divided into two groups,60 cases in each group.The control group was given conventional treatment and manual points massage,the observation group was treated with acupoint sticking on the basis of the control group.The clinical efficacy,safety and hemodynamic changessystemic vascular resistance index (SVRI),cardiac output (CO),blood viscosity]were compared between the two groups.Results 2 cases were excluded with poor compliance in the control group.There was no significant difference in the total effective rate between the two groups (P>0.05).The obvious efficiency and overall curative effect of the observation group were better than those of the control group (P<0.01).The SVRI and blood viscosity at the end of treatment in the two groups were significantly lower than before treatment,and the observation group was lower than the control group,the differences were statistically significant (P<0.05).The incidence of adverse reactions in the observation group were significantly lower than that in the control group (P<0.05).Conclusion The effect of acupoints massage combined with application method in treating trigeminal neuralgia is significant.The therapy can improve hemodynamics,and it has high safety.
Keywords:acupoints massage  application method  trigeminal neuralgia  hemodynamics  curative effect
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