摘要
目的:比较分期疗法与常规疗法治疗面神经炎的疗效。方法:190例面神经炎患者按1∶1∶1∶1的比例随机分为4组,分期针刺组48例按急性期、静止期及恢复期采用不同的针刺方法;针刺对照组48例患者常规针刺治疗;分期中药组47例按急性期、静止期及恢复期在牵正散的基础上急性期患者加防风、羌活、桂枝、茯苓、黄芪及大青叶,静止期加黄芩、菊花、夏枯草、白芷、鸡血藤,恢复期加赤芍、当归、丹参,加减用药;中药对照组47例只服用牵正散。治疗6周后,比较4组患者的疗效及面神经功能积分。结果:治疗6周后,从临床疗效比较,总有效率4组间差异无显著性意义,而临床治愈率分期针刺组为83.3%,明显优于针刺对照组75%(P<0.01),分期中药组治愈率为83%,优于中药对照组72.3%(P<0.01),分期针刺组、分期中药组两组临床治愈率无统计学差异(P>0.05)。4组患者面神经语言功能、运动功能及综合功能评分与治疗前比较均有提高(P<0.05),总积分分期针刺组>针刺对照组(P<0.05),分期中药组>中药对照组(P<0.05)。结论:分期疗法能显著改善面神经炎患者的预后。
Objective： To compare the effects of the treatment on facial neuritis in different periods through different methods. Methods： Divide 190 patients diagnosed as facial neuritis into four groups based on 1∶ 1∶ 1∶ 1 ratio. 48 cases in staging acupuncture group were treated by different acupuncture techniques during the period of acute stage stationary stage and recovery stage. In the acupuncture control group 48 patients were with conventional acupuncture treatment. 47 cases in staging of traditional Chinese medicine group received different herbs during the different stages on the basis of the powders for treating face- distortion. In traditional Chinese medicine control group 47 patients were just given the powders for treating face- distortion. Results： After 6 weeks＇ treatment,in the staging acupuncture group the clinically curative rate was 83. 3%,which was obviously superior to that of the control group with 75%（ P 0. 01）. In the staging of traditional Chinese medicine group the clinically curative rate was 83%,which was obviously superior to that of the control group with 72. 3%（ P 0. 01）,but in the total effective rate,the four groups had no statistical difference. The degree of relieving facial nerve paralysis after treatment in four groups was significantly higher than that before treatment（ P 0. 05）. Furthermore,compared with the control group,the facial nerve motor function,language function and comprehensive function of the treatment groups were improved（ P 0. 05）. Conclusion： The therapy based on stages can significantly improve the prognosis of patients with facial neuritis.
出处
《针灸临床杂志》
2016年第6期10-12,共3页
Journal of Clinical Acupuncture and Moxibustion
关键词
分期疗法
针刺
中药
面神经炎
Staging therapy
Acupuncture
Chinese medicine
Facial neuritis
