摘要
目的:比较急性期周围性面瘫巨刺法与常规患侧针刺法的临床疗效差异,为周围性面瘫急性期的针刺治疗提供依据。方法:将40例患者随机分为巨刺组(19例)、患侧组(21例)。两组均予相同基础用药,针刺穴取风池、阳白透鱼腰、睛明、承泣、下关、颊车透地仓、合谷、足三里,巨刺组针刺面部健侧穴位,患侧组针刺面部患侧穴位,每周3次,治疗4周。应用House-Brackmann(H-B)面神经功能评价分级系统于治疗前后对两组患者面神经功能进行评分,并比较两组疗效。结果:两组均能促进面神经功能恢复,巨刺组与患侧组总有效率均为100.0%(P>0.05),巨刺组痊愈率为68.4%(13/19),优于患侧组的47.6%(10/21,P<0.05);巨刺组于治疗第7天、第14天H-B评分优于患侧组(均P<0.05);巨刺组痊愈患者治疗天数明显少于患侧组((23.95±4.30)天vs(29.14±5.43)天,P<0.01)。结论:巨刺法能加速急性期周围性面瘫面神经功能恢复,并明显缩短疗程,疗效优于针刺面部患侧穴。
Objective To compare the differences in clinical efficacy on peripheral facial paralysis at acute stage between the opposing needling technique and routine acupuncture at the affected side so as to provide the evidence on the acupuncture treatment for peripheral facial paralysis at acute stage. Methods Forty patients were rando- mized into an opposing needling technique group （19 cases） and an affected side needling technique group （21 ca- ses）. The basic medication was same in the two groups. The acupoints were Fengchi （GB 20）, Yangbai （GB 14） to Yuyao （EX-HN 4） （penetrating needling method）, Jingming （BL 1）, Chengqi （ST 1）, Xiaguan （ST 7）, Jiache （ST 6） to Dicang （ST 4）, Hegu （LI 4） and Zusanli （ST 36）. In supplementation, in the opposing needling technique group, the acupoints were stimulated on the face of healthy side. In the affected side needling technique group, the acupoints were stimulated on the face of the affected side. The treatment was given three times a week, for 4 weeks. House-Braekmann （H B） facial nerve function assessment was used to evaluate facial nerve function before and after treatment in the patients of the two groups. The efficacy was compared between the two groups. Results The facial nerve function was recovered in the two groups and the total effective rate was 100.0% in the two groups （P〉0.05）. The curative rate was 68.4% （13/19） in the opposing needling technique group and better than 47.6% （10/21） in the affected side needling technique group （P〈0.05）. On the 7th and 14th day, scores of H-B in the opposing needling technique group were better than those in the affected side needling technique group （both P〈0.05）. The curative time in the opposing needling technique group was apparently shorter than that in the affected side needling technique group （（23.95±4.30） days vs （29.14±5.43） days, P〈0.01）. Conclusion The opposing needling technique accelerates the recovery of facial nerve function in peripheral facial paralysis at acute stage and apparently shortens the curative time. The efficacy is better than that in acupuncture on the affect- ed side of the face.
出处
《中国针灸》
CAS
CSCD
北大核心
2015年第1期7-10,共4页
Chinese Acupuncture & Moxibustion
关键词
周围性面瘫(贝尔面瘫)
急性期
针刺疗法
巨刺法
peripheral facial paralysis （Bell＇s palsy）, acute stage
acupuncture therapy
opposing needling technique
作者简介
通信作者：侯文光（1973-）．男，主治医师。研究方向：针灸治疗神经系统疾病。E-mail：houwenguang@l26．com.
