Clinical observation of nerve-near needling for occipital neuralgia

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.