摘要
【目的】观察针刺联合复方地龙片治疗气虚血瘀型周围性面瘫的临床疗效。【方法】将100例气虚血瘀型周围性面瘫患者随机分为观察组和对照组,每组各50例。对照组给予单纯针刺治疗,隔日1次,每周治疗3次,连续治疗4周。观察组在对照组治疗的基础上,给予复方地龙片口服,每次2片,每日3次,饭后服用,连续治疗4周。治疗4周后,观察2组患者治疗前后多伦多分级法(TFGS)评分、面神经功能指数(FNFI)以及患健侧眼裂宽度差的变化情况,并评价2组患者的临床疗效。【结果】(1)治疗后,2组患者的多伦多评分明显改善(P<0.05),且观察组多伦多评分明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的面神经功能指数、患健侧眼裂宽度差均明显改善(P<0.05),且观察组在改善面神经功能指数、患健侧眼裂宽度差方面明显优于对照组,差异均有统计学意义(P<0.05)。(3)观察组总有效率为96.00%(48/50),对照组为76.00%(38/50)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】针刺联合复方地龙片治疗气虚血瘀型周围性面瘫,能够较好地促进面神经功能恢复,改善患者的临床症状,疗效显著。
Objective To explore the clinical efficacy of acupuncture combined with compound Pheretima Tablets for the treatment of peripheral facial paralysis of qi deficiency and blood stasis type. Methods One-hundred patients with peripheral facial paralysis of qi deficiency and blood stasis type were randomly divided into observation group and control group,50 cases in each group. The control group received acupuncture alone,once every other day,3 times a week for 4 continuous weeks. The observation group received oral use of compound Pheretima Tablets based on the treatment of the control group,2 tablets per time,3 times a week,on a full stomach,for 4 continuous weeks. After 4 weeks of treatment,Toronto facial grading system(TFGS)scores,facial nerve function index(FNFI),and poor lateral eyelid width difference were observed in the two groups,and the clinical efficacy was evaluated. Results(1)After treatment,the TFGS scores in the two groups were significantly improved(P<0.05),and the improvement in TFGS scores of the observation group was significantly superior to that of the control group(P<0.05).(2)After treatment,the FNFI and poor lateral eyelid width difference in the two groups were significantly improved(P<0.05),and the improvement in FNFI and poor lateral eyelid width difference of the observation group was significantly superior to that of the control group(P<0.05).(3)The total effective rate was 96.00%(48/50)in the observation group, and 76.00%(38/50)in the control group. The therapeutic effect in the observation group was superior to that in the control group(P<0.05). Conclusion Acupuncture combined with compound Pheretima Tablets is effective for the treatment of peripheral facial paralysis of qi deficiency and blood stasis type,and can promote recovery of facial nerve functions and improve the clinical symptoms of the patients.
作者
冯维琪
丁敏
冯骅
顾丹妮
盛培莲
沙铭
FENG Wei-Qi;DING Min;FENG Hua;GU Dan-Ni;SHENG Pei-Lian;SHA Ming(Wuxi Hospital of Traditional Chinese Medicine,Wuxi 214071 Jiangsu,China)
出处
《广州中医药大学学报》
CAS
2020年第10期1913-1918,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
江苏省中医药科技发展计划项目(编号:YB201942)
江苏省无锡市医学创新团队建设项目(编号:CXTDJS006)。
关键词
复方地龙片
针刺
气虚血瘀
周围性面瘫
临床观察
compound Pheretima Tablets
acupuncture
qi deficiency and blood stasis
peripheral facial paralysis
clinical observation
