头部电针透穴治疗面肌痉挛临床观察

Clinical observation on point-through-point therapy of scalp electroacupuncture for treatment of facial spasm

目的:寻找提高治疗面肌痉挛临床疗效的最佳方法。方法:选择面肌痉挛患者120例,随机分为电针透穴组40例、电针对照组40例、药物对照组40例。电针透穴组取头部百会透曲鬓、神庭透颔厌、头维透悬厘、本神透率谷,电针对照组取百会、阳白、地仓、颊车、翳风、合谷、太冲、三阴交,两组均每日1次,共治疗30天;药物对照组采用卡马西平0.1g,每日2次,共口服30天。从面肌痉挛强度分级和频度分级以及肌电电生理变化等方面判断其疗效。结果:电针透穴组能明显降低面肌痉挛的强度和频度,与其他两对照组比较差异有非常显著性意义(P<0.01);对电生理指标影响,电针透穴组与其他两对照组比较差异亦有显著性意义(P<0.05)。结论:头部电针透穴治疗面肌痉挛能提高疗效,是目前治疗本病较佳的疗法。

Objective To search for the best method of increasing clinical therapeutic effect of facial spasm. Methods One hundred and twenty cases of facial spasm were selected and divided randomly into a scalp pointthrough-point electroaeupuncture group （EA treatment group）, an electroacupuncture control group （EA control group） and a earbamazepine control group, 40 cases in each group. Baihui （GV 20）-through-Qubin （GB 7）, Shenring （GV 24）-through-Hanyan （GB 4）, Touwei （ST 8）-through-Xuanli （GB 6）, Benshen （GB 13）-through-Shuaigu （GB 8） were selected in the EA treatment group, and Baihui （GV 20）, Yangbai （GB 14）, Dicang （ST 4）, Jiache （ST 6）, Yifeng （TE 17）, Hegu （LI 4）, Taichong （LR 3） and Sanyinjiao （SP 6） were selected in the EA control group, and the EA treatment was given once each day, for 30 days. The carbamazepine control group were treated with carbamazepine 0.1 g, twice each day, for 30 days. Their therapeutic effects were evaluated by changes of grading of facial spasm strength and frequency, and myoelectric activity. Results The strength and frequency of facial spasm significantly decreased in the EA treatment group with very significant differences as compared with other two groups （P〈0. 01）, and there was a significant difference in the electrophysiologic indexes as the EA treatment group compared with other two groups （P〈0. 05）. ConcLusion Scalp point-through-point electroacupuncture can increase therapeutic effect on facial spasm and it is a better therapy for this disease.