针刺配合刺络拔罐治疗周围性面瘫76例

Acupuncture Combined with Pricking Blood Therapy for Treatment of 76 Cases of Peripheral Facial Paralysis

目的:对比单纯针刺治疗与急性期加刺络放血,配合拔罐疗法治疗周围性面瘫的疗效。方法:将76例周围性面瘫急性期患者,按就诊顺序随机分为治疗组(38例)和对照组(38例)。两组均本着急性期着重远端取穴,针刺面部穴采用浅刺法,留针时间短,禁止加电针;后期着重局部取穴留针时间长的原则,施以相同的取穴。但治疗组于急性期加取大椎、肺俞(双侧)穴刺络放血,配合拔罐治疗,每日1次,连续使用7天。结果:观察组和对照组的有效率分别为92.1%和100%,临床治愈率分别为50%和71.1%,组间差别具有统计学意义(P<0.05)。结论:周围性面瘫急性期针刺同时加大椎、肺俞(双侧)穴刺络放血,配合拔罐治疗的疗效优于单纯针刺治疗。

Objective：To observe therapeutic effects of simple acupuncture and acupuncture combined with pricking blood therapy for treatment of peripheral facial paralysis. Methods：Seventy-six cases were randomly divided into a treatment group （ n = 38） and a control group（ n = 38）. The two groups were treated by shallow puncture treatment emphasized on distal acu-points with short retaining-needle time and no electro-acupuncture in sever stage; by deep puncture treatment emphasized on local acu-points with long retaining-needle time in recovery stage. Pricking blood therapy on Dazhui and Feishu（ two sides） acupoints were selected once a day in treatment group for 7 days. Results：The effective rate was 92. 1% in the control group and 100% in the treatment group,The cured rate was 50% in the former and 71. 1% in the latter with a significant difference between the two groups （ P 0. 05）. Conclusion：Acupuncture combined with pricking blood therapy on Dazhui and Feishu acupoints has a better therapeutic effect than simple acupuncture for treatment of peripheral facial paralysis.