摘要
目的:探讨温针灸翳风穴为主配合头针治疗卒中后面瘫的疗效及对生活质量的影响。方法:选取2017年10月—2018年10月来我院就诊的卒中后面瘫患者104例,采用随机数字表法分为两组,各52例。对照组患者给予头针治疗,治疗组患者在对照组基础上给予温针灸翳风穴治疗。观察两组患者临床疗效、HB评分、SIS评分和安全性分析。结果:经过治疗后,治疗组总有效率明显较高(P<0.05);经过治疗4周、8周后,两组患者HB评分显著升高,治疗8周后HB评分显著高于治疗4周后(P<0.05),并且治疗组患者HB评分显著高于对照组(P<0.05);经过治疗4周、8周后,两组患者SIS评分显著升高,治疗8周后SIS评分显著高于治疗4周后(P<0.05),并且治疗组患者SIS评分显著高于对照组(P<0.05);两组患者口眼斜、恶风发热、面部感觉异常、口渴心烦等症状进行评分显著低于治疗前(P<0.05);并且治疗降低程度较大(P<0.05)。结论:采用温针灸翳风穴为主配合头针治疗卒中后面瘫,具有较好的临床疗效,能够改善患者生活质量,值得在临床上推广应用。
Objective:To investigate the effect of needle-warming moxibustion on SJ17 combined with sclap acupuncture in the treatment of post-stroke facial paralysis and its influence to the quality of life(QOL)of the patients.Methods:104 patients with post-stroke facial paralysis were randomly divided into the control group(n=52)and the treatment group(n=52).The control group was treated with scalp acupuncture;on which basis the treatment group was also treated with needle-warming moxibustion on SJ17.The clinical efficacy,HB scores,SIS scores and safety analysis were compared between the two groups after the treatment.Results:The effective rate of the treatment group was significantly higher than that of the control group(P<0.05).HB scores were significantly increased in the two groups after 4w and 8w of treatment,and HB scores after 8 weeks of treatment were significantly higher than those after 4 weeks of treatment(P<0.05);HB scores were higher in the treatment group than those in the control group after 4w and 8w of the treatment(P<0.05).SIS scores were significantly increased in the two groups after 4w and 8w of treatment,and SIS scores after 8 weeks of treatment were significantly higher than those after 4 weeks of treatment(P<0.05);SIS scores were higher in the treatment group than those in the control group after 4w and 8w of the treatment(P<0.05).The scores of symptoms,such as facial paralysis,aversion to wind,fever,abnormal facial feeling,thirsty and vexation,were significantly decreased after the treatment than those before the treatment in the two groups(P<0.05);the decreases in the treatment group were more significant(P<0.05).Conclusion:Needle-warming moxibustion on SJ17 combined with scalp acupuncture has a good clinical effect on post-stroke facial paralysis,the therapy can improve the QOL of the patients,which is worthy of clinical application.
作者
李玉娥
屈勇
LI Yu’e;QU Yong(The Second People's Hospital of Yichang City,The Second People's Hospital of Three Gorges University,Yichang 443000,China)
出处
《针灸临床杂志》
2020年第4期49-52,共4页
Journal of Clinical Acupuncture and Moxibustion
关键词
温针灸
翳风
头针
卒中
面瘫
生活质量
Needle-warming moxibustion
SJ17
Scalp acupuncture
Stroke
Facial paralysis
Quality of life
