Clinical Observation on Restoring Consciousness and Opening the Orifices Needling Combined with Scalp Acupuncture Electrical Stimulation in Treating 40 Cases of Thalamic Pain after Stroke

LU Ming; LUO Lingzhi; MENG Lu

doi:10.13288/j.11-2166/r.2018.10.012

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Clinical Observation on Restoring Consciousness and Opening the Orifices Needling Combined with Scalp Acupuncture Electrical Stimulation in Treating 40 Cases of Thalamic Pain after Stroke

更新时间：2021-11-10

- Clinical Observation on Restoring Consciousness and Opening the Orifices Needling Combined with Scalp Acupuncture Electrical Stimulation in Treating 40 Cases of Thalamic Pain after Stroke
- Journal of Traditional Chinese Medicine Vol. 59, Issue 10, Pages: 861-865(2018)
- 作者机构：
  
  1. 天津中医药大学第一附属医院
  2. 陕西省中医医院
  3. 天津中医药大学
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2018.10.012
  CLC： R277.7
- Published：2018
- 稿件说明：
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[1]路明,罗苓芝,蒙璐.醒脑开窍针法结合头皮针电刺激治疗卒中后丘脑痛40例临床观察[J].中医杂志,2018,59(10):861-865.

LU Ming, LUO Lingzhi, MENG Lu. Clinical Observation on Restoring Consciousness and Opening the Orifices Needling Combined with Scalp Acupuncture Electrical Stimulation in Treating 40 Cases of Thalamic Pain after Stroke[J]. Journal of Traditional Chinese Medicine2018, 59(10): 861-865.
[1]路明,罗苓芝,蒙璐.醒脑开窍针法结合头皮针电刺激治疗卒中后丘脑痛40例临床观察[J].中医杂志,2018,59(10):861-865. DOI： 10.13288/j.11-2166/r.2018.10.012.

LU Ming, LUO Lingzhi, MENG Lu. Clinical Observation on Restoring Consciousness and Opening the Orifices Needling Combined with Scalp Acupuncture Electrical Stimulation in Treating 40 Cases of Thalamic Pain after Stroke[J]. Journal of Traditional Chinese Medicine2018, 59(10): 861-865. DOI： 10.13288/j.11-2166/r.2018.10.012.

摘要

目的观察醒脑开窍针法结合头皮针电刺激治疗卒中后丘脑痛的临床疗效。方法将80例卒中后丘脑痛患者随机分为针刺组和药物组各40例

针刺组采用醒脑开窍针法结合头皮针电刺激治疗

药物组采用口服西药卡马西平片治疗

治疗前和治疗4周后应用简式Mc Gill疼痛问卷（MPQ）评价疼痛程度

应用经颅彩色多普勒（TCD）检测患者椎动脉、基底动脉的血流速度、血管搏动指数、血管阻力指数;治疗后评价临床疗效。结果治疗4周后

两组患者的MPQ各项评分均较治疗前明显降低

针刺组的改善程度优于药物组（P<0.05）;TCD检测结果显示

两组患者治疗后椎动脉、基底动脉的平均血流速度均较治疗前提高

且针刺组治疗后左侧椎动脉平均血流速度与药物组相比差异具有统计学意义（P<0.05）;两组患者治疗后椎动脉、基底动脉的血管搏动指数、血管阻力指数均较治疗前降低

针刺组治疗后基底动脉搏动指数与药物组相比差异具有统计学意义（P<0.05）。治疗后两组临床疗效比较

治疗组优于对照组（P<0.05）。结论醒脑开窍针法结合头皮针电刺激治疗卒中后丘脑痛疗效确切

并可改善椎动脉、基底动脉血液供应

降低外周阻力。

Abstract

Objective To observe the clinical curative effect of post-stroke thalamic pain by using restoring consciousness and opening the orifices needing combined with scalp acupuncture electrical stimulation. Methods Eighty patients with post-stroke thalamic pain were randomly divided into acupuncture group and medication group

with 40 cases in each group. The acupuncture group received restoring consciousness and opening the orifices needing combined with scalp acupuncture electrical stimulation

and medication group took Carbamazepine tablets. Mc Gill pain Questionnaire（ MPQ） was used to assess the pain degree

and transcranial color Dopper（ TCD） was applied to detect blood flow velocity of vertebral artery and basilar artery

vascular pulsatility index

and vascular resistance index before treatment and 4 weeks after treatment. The clinical efficacy after treatment was evaluated. Results After 4 weeks’ treatment

MPQ scores of two groups were significantly reduced compared with before treatment

and the improvement degree of acupuncture group was better than the medication group（ P < 0. 05）. TCD results showed that the average blood flow rate of vertebral artery and basilar artery after treatment was higher than before treatment

and there was a statistically significant difference in average blood flow rate of left vertebral artery in acupuncture group compared with medication group after treatment（ P < 0. 05）. The vascular pulsatility index and vascular resistance index of vertebral artery and basilar artery of two groups were reduced compared with before treatment

and there was a statistically significant difference in vascular pulsatility of acupuncture group compare with medication group after treatment（ P < 0. 05）. After treatment

the treatment group was better than control group in clinical efficacy.Conclusion Restoring consciousness and opening the orifices needing combined with scalp acupuncture electrical stimulation in the treatment of post-stroke thalamic pain has achieved good curative effect

and it can improve the blood supply of vertebral artery and basilar artery and reduce the peripheral resistance.

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