浮针透穴结合热敏灸治疗面肌痉挛的临床观察

Clinical Observation on Treatment of Facial Muscle Spasm with Floating Acupuncture Through Acupoints and Heat Sensitive Moxibustion

目的:观察浮针透穴结合热敏灸治疗面肌痉挛的临床疗效。方法:纳入90例合格受试者,随机分为3组:药物组、热敏灸组、浮针透穴结合热敏灸组,各30例。药物组口服卡马西平,每次100mg,每日1次;热敏灸组,首先探查腧穴(翳风、大椎、合谷、太冲)热敏点,然后进行悬灸(依次行回旋、温和、雀啄灸)施灸方法,每日1次;浮针透穴结合热敏灸组,先进行上述热敏灸,然后进行浮针透穴(第1支太阳穴透瞳子髎;第2支牵正透颧髎;第3支颊车透地仓),每日1次;各组均10天为1个疗程,疗程间休息1天,共治疗3个疗程。记录治疗前及治疗后面肌痉挛各项指标,对其进行统计分析。结果:(1)面肌痉挛强度Cohen分级比较,与治疗前比较:治疗后药物组、热敏灸组和浮针透穴结合热敏灸组患者面部肌肉痉挛强度均降低(P<0.05);治疗后比较:热敏灸组与药物组痉挛强度比较差异具有统计学意义(P<0.05);浮针透穴结合热敏灸与热敏灸组痉挛强度比较差异具有统计学意义(P<0.05)。(2)总体疗效比较,治疗后比较:热敏灸组与药物组愈显率和总有效率比较差异具有统计学意义(P<0.05);浮针透穴结合热敏灸组与热敏灸组愈显率和总有效率比较差异具有统计学意义(P<0.05)。结论:(1)热敏灸组治疗后面肌痉挛强度分级优于药物组;浮针透穴结合热敏灸组治疗后面肌痉挛强度分级优于热敏灸组。(2)热敏灸组治疗面肌痉挛的总有效率和愈显率均优于药物组;浮针透穴结合热敏灸组治疗面肌痉挛的总有效率和愈显率优于热敏灸组。

Objective:To observe the clinical effect of floating needle penetrating point combined with heat sensitive moxibustion on facial spasm.Methods:90 qualified subjects were included and randomly divided into 3 groups:medicine group,heat sensitive moxibustion group,floating needle through point combined with heat sensitive moxibustion group,30 cases in each group.medicine group took carbamazepine orally,100 mg/time,once a day;In the heat sensitive moxibustion group,the heat sensitive points(Yifeng,Dazhui,Hegu,Taichong)were first explored,and then the moxibustion method was performed by suspension moxibustion(rotation,gentle moxibustion,finch pecking moxibustion),once a day.In the floating needle penetrating point group combined with thermosensitive moxibustion group,the above mentioned thermosensitive moxibustion was performed first,and then floating needle penetrating point(the first temple penetrating Taiyang and Tongziliao;The second is a positive and permeable QianZheng and Quanliao;The third Jiache and Dicang),once/day;Each group was treated for 10 days,with a break of 1 day between treatments,for a total of 3 courses of treatment.Before and after treatment,the indexes of facial spasm were recorded and analyzed statistically.Results:①After treatment,the intensity of facial muscle spasm was decreased in the medicine group,the heat-sensitive moxibustion group and the acupuncture point-through-point combination with heat-sensitive moxibustion group(P<0.05).There was statistically significant difference in spasticity intensity between the heat-sensitive moxibustion group and the drug group(P<0.05).There was statistically significant difference in spasticity intensity between floating needle penetrating point combined with heat sensitive moxibustion and heat sensitive moxibustion group(P<0.05).②There were statistically significant differences in the rate of healing and total effective rate between the heat-sensitive moxibustion group and the medicine group(P<0.05);There were statistically significant differences in the rate of callus and total effective rate between the floating needle through the point combined with the heat-sensitive moxibustion group and the heat-sensitive moxibustion group(P<0.05).Conclusion:①The intensity of facial spasm in the heat sensitive moxibustion group is better than that in the medicine group.After treatment,the intensity of facial spasm in floating needle penetrating point combined with heat sensitive moxibustion group was better than that in heat sensitive moxibustion group.②The total effective rate and healing rate of heat sensitive moxibustion group in treating hemifacial spasm were better than that of medicine group.The total effective rate and healing rate of floating needle penetrating point combined with heat sensitive moxibustion group were better than that of heat sensitive moxibustion group.