颈夹脊穴治疗周围性面瘫疗效观察

Therapeutic Observation on Cervical Jiaji Points in Treating Peripheral Facial Paralysis

目的观察颈夹脊穴治疗周围性面瘫的临床疗效。方法将100例周围性面瘫患者随机分为治疗组和对照组,每组50例。两组均选阳白、四白、太阳、地仓、下关、颊车、翳风、合谷,治疗组加用C1-2、C4-7夹脊穴。均采用局部浅刺,留针30 min。每星期3次,10次为1个疗程。结果治疗组痊愈率为74.0%,总有效率为94.0%;对照组痊愈率为52.0%,总有效率为78.0%,经卡方检验,两组痊愈率、总有效率比较差异均有统计学意义(P<0.05)。结论常规针刺加用颈夹脊穴治疗周围性面瘫较常规针刺疗法更具优势,能明显提高疗效。

Objective To observe the clinical effect of cervical Jiaji points （EX-B2） in treating peripheral facial paralysis. Method A hundred patients with peripheral facial paralysis were randomized into a treatment group and a control group, 50 in each group. For both groups, Yangbai （GB14）, Sibai （ST2）, Taiyang （EX-HN5）, Dicang （ST4）, Xiaguan （ST7）, Jiache （ST6）, Yifeng （TEl7）, and Hegu （LI4） were selected; Jiaji （EX-B2） （C1.2 and C4.7） points were additionally used in the treatment group. The selected points were treated with superficial needling with needles retained for 30 min. The treatment was given 3 times a week, and 10 sessions as a treatment course. Result The recovery rate and total effective rate were respectively 74.0% and 94.0% in the treatment group versus 52.0% and 78.0% in the control group. According to Chi-square test, there were significant differences between the two groups in comparing recovery and total effective rates （P〈0.05）. Conclusion Combination of ordinary acupuncture and Jiaji points has a more obvious advantage in treating peripheral facial paralysis than ordinary acupuncture alone, and can significantly enhance the therapeutic effect.