安神定志针法治疗面肌痉挛临床疗效和安全性评价

Therapeutic Effect and Safety Evaluation of Tranquilizing Acupuncture for Hemifacial Spasm

目的明确安神定志针法治疗面肌痉挛(HFS)临床疗效和安全性。方法将40例HFS患者随机分为治疗组和对照组,每组20例。治疗组给予针刺头三针为主治疗,对照组给予假针刺法(非穴点浅刺)。通过比较试验前后Cohen和Albert面肌痉挛疗效评价标准量表记分的变化情况,评价针刺治疗面肌痉挛的疗效。并于治疗结束后3个月进行随访。通过详细记录不良反应,验证其安全性。结果治疗组总有效率为80.0%,对照组为50.0%,治疗组总有效率明显优于对照组(P<0.05);治疗组患者基本满意度为90.0%,对照组为50.0%。治疗结束后3个月,治疗组总有效率为80.0%,对照组为56.3%;治疗组患者基本满意度为93.3%,对照组为56.3%。说明治疗组有一定中期疗效。结论安神定志针法治疗HFS疗效明显,安全性好。

Objective To determine the clinical effect and safety of tranquilizing acupuncture in treating hemifacial spasm （HFS）. Method Forty HFS patients were randomized into a treatment group and a control group, 20 each. The treatment group was intervened by needling the three head points predominantly, and the control group was intervened by sham acupuncture （acupuncture at non-acupoints superficially）. The therapeutic effects of acupuncture in treating HFS were evaluated by comparing the changes of Cohen and Albert facial spasm scores before and after treatment. A follow-up study was conducted 3 months after treatment. All adverse reactions were recorded carefully to verify the safety. Result The total effective rate was 80.0% in the treatment group versus 50.0% in the control group, and the total effective rate in the treatment group was significantly higher than that in the control group （P〈0.05）. The satisfaction rate was 90.0% in the treatment group versus 50.0% in the control group. 3 months after treatment, the total effective rate was 80.0% in the treatment group versus 56.3% in the control group, indicating that the treatment group has a certain medium-term therapeutic effect. Conclusion Tranquilizing acupuncture produces significant therapeutic effect in treating HFS, with satisfactory safety.