热敏灸治疗周围性面瘫(急性期)不同灸量的临床疗效观察

Clinical efficacy observation of heat-sensitive moxibustion with different doses for the acute phase of peripheral facial paralysis

目的:比较热敏灸治疗周围性面瘫(急性期)不同灸量的临床疗效差异。方法:将90例周围性面瘫(急性期)患者随机分为个体化的消敏饱和灸量组(治疗组)、传统固定灸量组(对照A组)和单纯针刺组(对照B组),每组各30例。治疗组以热敏灸感消失为度,对照A组每次每穴灸15min,对照B组采用单纯针刺疗法,3组均治疗2个疗程,10d为1个疗程,两疗程间间隔1d,采用改良Portman评分进行疗效评价。结果:治疗后各组Portman评分较治疗前均显著升高(P<0.01);治疗组与对照A、B组比较,Portman评分均显著升高(P<0.05,P<0.01)。治疗组总有效率为93.33%,对照A、B组总有效率分别为86.67%、83.33%,治疗组总体临床疗效显著优于对照组A、B组(P<0.05,P<0.01)。结论:个体化消敏饱和灸量组治疗周围性面瘫疗效优于传统固定灸量组及单纯针刺组,消敏定量是热敏灸取得最佳疗效的关键因素之一。

Objective:To compare the clinical efficacy of heat-sensitive moxibustion in treating the acute phase of peripheral facial paralysis with different amount of moxibustion.Methods:A total of 90 patients with peripheral facial palsy were randomly divided into a individualized saturated-dose group(treatment group)and a traditional-dose group(control group A)and a acupuncture group(control group B),30 cases per group.Disappearance of heat-sensitive feeling was taken as the sign of treatment time in the treatment group,while the control group A was treated for 15 min each time with each acupuncture point,the control group B with acupuncture therapy.All three groups were treated for 2 courses,10 days as a course of treatment,1 day interval between two courses of treatment.Evaluating the curative effect with modified Portman score.Results:Comparing the Portman scores among groups after treatment,the difference was statistically significant(P<0.01),comparison between treatment group and control group A and B had obvious differences(P<0.05,P<0.01).The total effective rate of treatment group,control group A and B were 93.33%,86.67%,83.33%,repectively.Compared with control group A and B,the difference of total clinical efficacy in the treatment group was statistically significant(P<0.05,P<0.01).Conclusion:With individualized saturated-dose on the treatment of peripheral facial paralysis is better than traditional moxibustion and simple acupuncture.Disappearance of heatsensitive and quantitation is one of the key factors to obtain the best curative effect.