原发性三叉神经痛的中医证侯学及研究及熄风止痛饮干预的临床观察.pdf

现，原发性三叉神经痛发病与心烦易怒（44.2%）、嗜食辛辣（42.5%）等因素相关。 在饮食方面，嗜食辛辣者以胃火上攻证（22.5%）和风火瘀阻证（16.7%）多见。此外， 调研证实患者可同时存在多种诱发因素，其中触及面部诱发者占93.3%，情志刺激、 受风、劳累所占比例分别为35%、43.3%、25%。 2.临床观察： （1）短期临床疗效：治疗第2周、第4周的临床总有效率分别为81.4%、90.7%， 中医症状总有效率分别为 72.1%、95.3%，且随着治疗时间的延长，中医症状积分较 治疗前明显降低，有显著性差异(P＜0.05)。 （2）长期临床疗效：3个月随访与治疗第2周比较，临床疗效和中医症状疗效P 均＜0.05，有显著性差异；3个月随访与治疗第4周比较，临床疗效和中医症状疗效 P均＞0.05，无显著性差异。 结论：原发性三叉神经痛女性发病率稍高于男性，且以中老年发病率为最高。本 病发病与心烦易怒、嗜食辛辣等因素相关，其发生与演变与肝、胃关系密切，病理因 素则主要责之于风、火、瘀，临床证型以风火瘀阻证和胃火上攻证多见。运用熄风止 痛饮治疗风火瘀阻型原发性三叉神经痛的临床观察表明，熄风止痛饮可明显改善患者 面部疼痛的程度和发作频率，提高患者生存质量，临床疗效肯定，值得推广应用。 关键词 原发性三叉神经痛；相关因素；证候研究；熄风止痛饮 Symptomatology study of TCM on Primary trigeminal neuralgia and clinical observation on intervention with XiFengZhiTong decoction Sρeciality: Clinical study on nerve system disease Author: Liu Shuxin Tutor: Pro. Cao Xiaolan Abstracts Objective:This thesis is to analyze the clinical objective data of patients with primary trigeminal neuralgia,study the relevant factors affecting its incidence by the melhod of epidemiology,and treat the patients belonging to syndrome of wind-pathogen invasion with XiFengZhiTong decoction to provide data support for clinical entervention. Methods: 1.Combining clinical experience with relevant references on trigeminal neuralgia,we make Cases Form for clinical observation,and then perform statistical analysis by collecting them from patients,so as to explore the distributing features of this syndrome,as well as its relation with such factors as gender,age,emotion,life style.At last We summarize the relative elements affecting primary trigeminal neuralgia. 2.We treat 43 of the patients belonging to syndrome of wind-fire stasis with XiFengZhiTong decoction for one month, grade their pain degree,seizu