头穴透刺联合常规针刺治疗脑卒中后丘脑痛的临床观察

Clinical Observation on Scalp Point Penetration Combined with Conventional Acupuncture for the Treatment of Post-Stroke Thalamic Pain

摘要: 目的：观察头穴透刺联合常规针刺治疗脑卒中后丘脑痛的临床疗效。方法：选取2024年10月~2025年10月在黑龙江省中医医院针灸二科收治且符合脑卒中后丘脑痛标准的患者，随机分成观察组和对照组，两组各30例。两组患者连续治疗3周，观察两组治疗前后简化McGill疼痛量表评分，以及HAMD、HAMA评分的情况分析。结果：治疗后，两组简化McGill疼痛量表、HAMD、HAMA的评分均与治疗前相比显著降低(P < 0.05)；总体疗效得到了明显的提升(P < 0.05)。结论：观察头穴透刺联合常规针刺治疗脑卒中后丘脑痛临床效果良好，为临床治疗该病提供了安全可行的非药物方案。

Abstract: Objective: To observe the clinical efficacy of scalp penetration acupuncture combined with conventional acupuncture in the treatment of post-stroke thalamic pain. Methods: Patients who met the criteria for post-stroke thalamic pain and were admitted to the Second Acupuncture and Moxibustion Department of Heilongjiang Provincial Hospital of Traditional Chinese Medicine from October 2024 to October 2025 were selected and randomly divided into an observation group and a control group, with 30 patients in each group. Both groups underwent continuous treatment for 3 weeks. The simplified McGill Pain Scale scores, as well as HAMD and HAMA scores, were observed and analyzed before and after treatment in both groups. Results: After treatment, the simplified McGill Pain Scale, HAMD and HAMA scores in both groups were significantly lower than those before treatment (P < 0.05); the overall efficacy was significantly improved (P < 0.05). Conclusion: Observations indicate that the clinical efficacy of scalp penetration acupuncture combined with conventional acupuncture in treating post-stroke thalamic pain is promising, providing a safe and feasible non-pharmacological approach for clinical management of the condition.