针刺配合热砭锥疗法治疗恢复期周围性面瘫的临床观察

Clinical Observation of Thermal- Bian- cone Combined with Acupuncture for Peripheral Facial Paralysis

目的:观察针刺配合热砭锥疗法治疗恢复期周围性面瘫的临床疗效。方法:将60例恢复期周围性面瘫患者按就诊顺序随机分为治疗组和对照组,每组各30例。对照组采用常规针刺治疗,治疗组在常规针刺基础上,加用热砭锥手法治疗,10天1个疗程,共观察2个疗程。使用House-Brackmann量表及日本神经研究会提议的"40分法"对患者治疗前后面神经麻痹程度进行判定评分。结果:2个疗程后,对照组愈显率为86.7%,治疗组愈显率为93.3%,两者差异无统计学意义(P>0.05)。两组患者"40分法"的各项评分均较治疗前增高(P<0.05);第1疗程结束后,治疗组在吹哨、蹙额、示齿、口呈一字等4个项目分值差高于对照组(P<0.05),余各项目差异无统计学意义(P>0.05)。结论:与常规针刺治疗比较,针刺配合热砭锥疗法对恢复期周围性面瘫的症状治愈率更高,对临床症状特别是吹哨、蹙额、示齿、口呈一字等,改善更为明显。

Objective：To observe the clinical effect on curing peripheral facial paralysis in convalescence with thermal-Bian-cone combined with acupuncture therapy .Methods：60 patients with peripheral facial paralysis in convalescence were randomly divided into treatment group （ n=30 , thermal-Bian-cone combined with ac-upuncture group ） and control group （ n=30 , acupuncture group ） .Observation period was two treatment cour-ses （20 days） in each group.Observations included curative effect and the main symptoms before and after treatment , by using the House-Brackmann scale and the “40-point method”.Results：The obvious effective rate of the treatment group （93.3%） had no significant difference in the data of the control group （86.6%） af-ter the treatment （ P〉0 .05 ） .All scores of“40-point method” of two groups were all improved compared with that before treatment （ P〈0 .05 ） .Except for the scores of whistling , forehead lifting , grinning and zipping mouth were higher than those in the control group （ P〈0 .05 ） , and other scores of “40-point method” had no statistical significance （ P〉0 .05 ） .Conclusion：Both of thermal-Bian-cone therapy combined with acupunc-ture and acupuncture can treat the peripheral facial paralysis in convalescence , however , the obviously effective rate of the former was higher than the latter ,especially in some clinical symptoms like whistling , forehead lift-ing, grinning and zipping mouth .