针灸治疗面神经麻痹46例临床观察

Acupuncture and Moxibustion Treatment of Facial Nerve Paralysis of 46 Cases of Clinical Observation

[目的]观察针灸治疗面神经麻痹疗效。[方法]将46例门诊及住院患者针灸治疗,侧重症状重一边,针灸手法用深刺、重捻。主穴取患侧攒竹、阳白、太阳、丝竹空、四白、下关、牵正、颧髎、颊车、迎香、人中、地仓、承浆、夹承浆,配以健侧合谷、太冲,患侧外关、中脘、足三里,双侧风池,针刺深度,春夏浅刺、秋冬深刺,手法采用平补平泻,留针30min/次,1次/d。拔针后艾条点燃温灸,再局部按摩。连续治疗10d为1疗程。观测临床症状、不良反应。连续治疗3疗程,疗程间间隔2d,判定疗效。[结果]痊愈38例,显效5例,有效3例,无效0例,总有效率为100.00%。[结论]针灸治疗面神经麻痹效果显著,值得推广。

[ Objective ] To observe the acupuncture and moxibustion treatment of facial nerve paralysis. [ Methods ] the 46 cases of outpatient and inpatient acupuncture treatment, the symptoms on the heavy side, acupuncture and moxibustion methods with deep, heavy twist. Main point of saving bamboo, Yang the white, the sun, te 23, four white, shimonoseki, lead is, zygomatic liao, huccal car, yingxiang, people, to warehouse bearing pulp, pulp, and with the contralateral li4, lr 3, with lateral clearance, chung wan, foot three mile, double side wind pool, according to add and subtract points, selection of acupuncture depth according to the season, spring, summer, shallow, autumn and winter deep stab, technique USES the ping ping xie, 30 min/ retaining needle time, 1/d. Pull out the needle article ai wen jiu, then local massage, make local muscle relaxation, to straighten out meridian purpose. Continuous treatment of 10d to 1 course of treatment. Observation of clinical symptoms and adverse reactions. Interval between consecutive 3 period of treatment, treatment course 2 d, determine the curative effect. [ Results ] 38 cases cured, 5 cases were markedly effective, effective in 3, 0 no effect, the total effective rate was 100.00%. [ Conclusion ] Acupuncture and moxibustion treatment of facial nerve palsy results significantly, is worth promoting.