摘要
目的:观察与常规针刺相比,在听宫和翳风两穴上施行温针灸法治疗难治性面瘫的临床疗效。方法:随机把50例难治性面瘫患者分为治疗组和对照组各25例。对照组采用常规针刺治疗;治疗组在对照组治疗方案的基础上在听宫、翳风两穴上施用温针灸法。5次/1疗程,2组均在治疗3个疗程结束后评估疗效,并观察治疗前、后Toronto评分、FDI(躯体)评分变化。结果:治疗3个疗程后,治疗组总有效率为96.0%;对照组总有效率为68%。总有效率比较差异具有统计学意义(P<0.05)。2组患者治疗后Toronto评分、FDI(躯体)评分均较治疗前有所上升,差异具有统计学意义(P<0.05)。且治疗组Toronto评分、FDI(躯体)评分与对照组相比上升明显,差异具有显著的统计学意义(P<0.01)。结论:温针灸听宫、翳风穴治疗难治性周围性面瘫具有非常显著的疗效,可以为临床上治疗难治性面瘫提供很好的借鉴作用。
Objective:To observe the clinical efficacy of warming acupuncture on Tinggong and Yifeng point on the treatment of refractory facial paralysis at the two points of hearing palace and hurricane compared with conventional acupuncture.Methods:50 patients with refractory facial paralysis were randomly divided into treatment group and control group,25 cases each.The control group was treated with conventional acupuncture.On the basis of the treatment plan of the control group,the treatment group applied warming acupuncture on Tinggong and Yifeng point.Five times/1 course,both groups were evaluated for efficacy after the end of 3 courses of treatment,and the changes of Toronto score and FDI(body)score before and after treatment were observed.Results:After 3 courses of treatment,the total effective rate of the treatment group was 92%.The total effective rate of the control group was 68%.The total effective rate difference was statistically significant(P<0.05).After treatment,the Toronto score and FDI(body)scores of the two groups were higher than those before treatment,and the difference was statistically significant(P<0.05).The Toronto score and FDI(body)score of the treatment group increased significantly compared with the control group,and the difference was statistically significant(P<0.01).Conclusion:warming acupuncture on Tinggong and Yifeng point treating refractory peripheral facial paralysis has a very significant effect,which can provide a good reference for clinical treatment of refractory facial paralysis.
作者
王双艳
唐友斌
袁爱红
张高震
WANG Shuangyan;TANG Youbin;YUAN Aihong;ZHANG Gaozhen(Anhui University of Chinese Medicine,Anhui Hefei 230038,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)
出处
《中医药临床杂志》
2019年第11期2145-2148,共4页
Clinical Journal of Traditional Chinese Medicine
基金
安徽省国际科技合作计划项目(1604b060202020)
杨骏全国名老中医药专家传承工作室:2016-2018年安徽高校科研创新平台团队(2015TD033)
关键词
难治性面瘫
温针灸
听宫
翳风
Refractory facial paralysis
Warming acupuncture
Tinggong point
Yifeng point
