梅花针叩刺拔罐治疗面瘫急性期临床观察

Clinical observation on plum-blossom needle therapy combined with cupping for treatment of acute facial paralysis

目的:观察梅花针叩刺拔罐在面瘫急性期的作用。方法:将急性期内就诊的患者随机分为治疗组和对照组各32例,两组除予相同的西药治疗外,在急性期内治疗组采用患侧面部、耳后乳突周围、颈项部酸痛处梅花针叩刺拔罐后TDP照射局部,对照组则只在患侧面部、耳后乳突周围采用TDP照射。进入稳定期和恢复期后两组均采用患侧针刺治疗,疗程相同并进行比较。结果:治疗组痊愈率81.2%,对照组痊愈率68.7%,两组间差异具有显著性意义(P<0.05);两组痊愈病例疗程比较差异有非常显著性意义(P<0.01)。结论:急性期患侧梅花针叩刺拔罐有助于面神经功能恢复,明显提高痊愈率,缩短疗程。

Objective To observe clinical therapeutic effect of plum blossom needle therapy combined with cupping at the affected side on acute facial paralysis. Methods The such patients were randomly divided into a treatment group and a control group, 32 cases in each group. The patients of the two groups were treated with the same western medicines, and at the acute stage, the treatment group were treated by tapping the affected face, the surroundings of retroanricular mastoid, the region with aching pain in the neck side with plum-blossom needle and cup ping, and then local radiation by TDP, and the control group were treated by TDP radiation at the same area. In the stationary phase and restoration stage, the two groups were treated by body acupuncture at the affected side with a same therapeutic course. Results The cured rate was 81.2% in the treatment group and 68.7% in the control group with a significant difference between the two groups （P 〈 0.05）, and there was a significant difference between the two groups in therapeutic course for cure （P〈0.01）. Conclusion Plum-blossom needle therapy combined with cupping at the affected side can help restore functions of facial nerves, and obviously increase the cured rate and shorten the therapeutic course for acute facial paralysis.