直针刺透穴法治疗面神经麻痹临床研究

Clinical Research of Therapy of Facial Paralysis with Point Through Point Subcutaneous Needling

目的:研究直针刺透穴法治疗面神经麻痹的疗效,并与常规针灸方法组进行对比,旨在找出一种相对于常规针灸方法的更简单有效且便于推广的针灸方法。方法:本项目运用随机对照的研究方法,将60例面神经麻痹的患者随机分为治疗组和对照组各30例,两组均给予皮质内固醇、B族维生素治疗及中药涂搽离子导入。Ramsay-Hunt综合征患者给予阿昔洛韦。治疗组运用直针刺透穴法,对照组运用普通针刺法,5天为1疗程,4个疗程后评价疗效。结果:治疗组和对照组评分分别为80±11.34和72±15.32,P<0.05;治疗组和对照组显效、有效、无效及总有效率分别为21、9、0、100%和16、13、1、96.7%,P<0.05。结论:直针刺透穴法治疗面神经麻痹疗效优于普通针刺。

Objective：To find a simpler,easier generalizing and effective therapy by evaluating the therapy of facial paralysis with point through point subcutaneous needling by comparing the therapeutic efficiency with normal acupuncture.Method： 60 cases were assigned into two groups randomly with 30cases in control group and 30 cases in treatment group.All the cases accepted corticosteroid treatment,B vitamin,iontophoresis with traditional Chinese medicinal materials.Cases with Ramsay-Hunt accepted acyclovir.Treatment group accepted the therapy of point through point subcutaneous needling while the control group accepted the normal acupuncture.A course of treatment 5 days.The evaluation is after 4 courses.Result：The score of the treatment group is 80±11.34 while the control group is 72±15.32（P〈0.05）.The excellence,efficiency and inefficiency of treatment group are 21,9 and 0 while the control group are 16,13 and 1.The total effective rate of the treatment group is 100% while the control group is 96.7%.Conclusion： The therapy of point through point subcutaneous needling is better than normal acupuncture.