益气通络针刺法治疗眼睑痉挛疗效观察

Efficacy observation of acupuncture method of tonifying-qi and dredging-meridian for blepharospasm

目的:比较益气通络针刺法与常规针刺法的疗效差异。方法:将70例眼睑痉挛患者随机分为观察组和对照组,每组35例,均取攒竹、鱼尾透鱼腰、新明1、四白、印堂为主穴。观察组采用益气通络针刺法,即选用能获强烈气至病所针感的针刺手法结合脉冲电刺激;对照组予以常规针刺法。两组患者均隔日治疗1次,10次为一疗程,连续治疗3个疗程。比较两组患者治疗前后眼睑痉挛程度,评定其临床疗效,并于半年后随访观察其复发率。结果:观察组愈显率77.1%(27/35),优于对照组的51.4%(18/35,P<0.05);两组愈显患者6个月后随访,观察组复发率20.0%(4/20),低于对照组的54.5%(6/11,P<0.05)。结论:益气通络针刺法能有效改善眼睑痉挛程度,其近、远期疗效明显优于常规针刺法。

Objective To compare differences of therapeutic effect between acupuncture method of tonifying-qi and dredging-meridian and conventional acupuncture method. Methods Seventy cases of blepharospasm were ran- domly divided into an observation group and a control group, 35 cases in each one. Cuanzhu （BL 2）, Yuwei （Ex- tra） through Yuyao （EX-HN 4）, Xinming 1 （Extra）, Sibai （ST 2） and Yintang （GV 29） were selected as main acupoints. The acupuncture method of tonifying-qi and dredging-meridian was applied in the observation group, which was an acupuncture manipulation that could achieve strong needling sensation of qi arrival combined with electric-impulse stimulation. The conventional acupuncture method was applied in the control group. The treat- ment was given once every other day, 10 times as a session for continuous three sessions in both groups. The se- verity of blepharospasm was compared before and after treatment in two groups and clinical therapeutic effect was assessed. Follow-up visit was performed after half a year to observe the recurrence rate. Results The cured and markedly effective rate was 77.1% （27/35） in the observation group, which was superior to 51.4 % （18/35） in the control group （P〈0.05）. Among cured and markedly effective patients in both groups, the recurrence rate was 20.0%（4/20） in the observation group, which was inferior to 54.5%（6/11） in the control group （P〈0.05） in the follow-up visit. Conclusion The acupuncture method of tonifying-qi and dredging-meridian could effectively improve severity of blepharospasm, which has superior short-term and long-term effects to conventional acupunc- ture method.