翳风穴穴位注射甲钴胺治疗急性期面瘫的临床观察

Cl inical Observation on Point Injection at Yifeng on Acute Facial Paralysis

目的观察翳风穴穴位注射甲钴胺治疗急性期面瘫的临床疗效。方法将60例急性期周围性面瘫患者,随机分为对照组和观察组各30例。对照组在神经内科常规药物治疗基础上进行针刺治疗,观察组在对照组治疗基础上加用翳风穴穴位注射甲钴胺注射液。两组患者分别于入组当天及治疗1、2个疗程后进行H-B面神经功能分级评定、面神经功能评分及疗效统计。结果治疗1个疗程和2个疗程后,观察组在H-B面神经功能分级评定、面神经功能评分方面显著优于对照组(P<0.05),观察组总有效率明显高于对照组(P<0.05)。结论面瘫急性期以甲钴胺注射液于翳风穴进行穴位注射能促进患者面神经功能恢复,缩短痊愈时间,提高临床痊愈率。

Objective:To observe the clinical effect of acupoint injection of mecobalamin at Yifeng acupoint on acute facial paralysis.Methods:60 patients were randomly divided into the control group and the observation group,30 cases in each.The control group was treated with acupuncture on the basis of conventional drug therapy in neurology department.The observation group was treated with Yifeng acupoint injection of mecobalamine on that basis.The patients were assessed by H-B facial nerve grading,facial nerve function score and clincal efficacy,respectively on the day of admission and after 1 and 2 treatment courses.Results:The observation group was significantly superior to the control group in terms of H-B facial nerve function grading,facial nerve function score and clinical efficacy,etc after 1 and 2 treatment courses(P<0.05).Conclusion:The acupoint injection of Mecobalamine Injection at Yifeng point during the acute stage of facial paralysis can promote the recovery of facial nerve function,shorten the recovery time and improve the clinical recovery rate of facial paralysis.