井穴三棱针点刺治疗急性期Bell's面瘫临床观察

Clinical Observation of Pricking Jing-well Points in Treating Acute Bell's Palsy

目的观察井穴三棱针点刺出血治疗急性期Bell’s面瘫的临床疗效。方法选取Bell’s面瘫患者60例,按随机分组原则分为观察组和对照组,每组30例。两组患者入院后均采取Bell’s面瘫常规中西结合治疗方法,观察组结合井穴三棱针点刺出血法,观察两组H-B评分、瞬目反射R波长。结果观察组总有效率为93.0%,对照组总有效率为90.0%,观察组总有效率高于对照组(P<0.05)。两组治疗后H-B评分均明显高于治疗前(P<0.05)。观察组第1疗程、第2疗程结束后H-B评分均明显高于对照组(P<0.05)。两组治疗后瞬目反射R1、R2波长明显高于治疗前(P<0.05);观察组治疗后R1波长均明显高于对照组(P<0.05),而R2波长在第1疗程治疗结束后明显高于对照组(P<0.05),但第2疗程结束后与对照组相当(P>0.05)。结论在Bell’s面瘫治疗过程中加入井穴三棱针点刺放血,可有效提高Bell’s面瘫的治疗效果,促进其面神经功能的恢复。

Objective To observe the clinical efficacy of pricking and bleeding the Jing-well points with three-edge needle in treating acute Bell’s palsy.Method Sixty patients with Bell’s palsy were randomized into an observation group and a control group, 30 in each group. In addition to the regular Chinese and Western medicine treatment for Bell’s palsy, the observation group also received pricking and bleeding treatment with three-edge needle at the Jing-well points. The House-Brackman （H-B） Scale and R wave in blink reflex （BR） were observed.Result The total effective rate was 93.0% in the observation group, significantly higher than 90.0% in the control group （P〈0.05）. The H-B score significantly increased in both groups after intervention （P〈0.05）. The observation group was significantly higher than the control group in comparing H-B score at the end of first and second treatment course （P〈0.05）. The R1 and R2 waves in BR increased markedly after intervention in both groups （P〈0.05）; the observation group was significantly higher than the control group in comparing R1 wave （P〈0.05）, and R2 wave only at the end of the first course （P〈0.05） but not at the end of the second course （P〉0.05）.Conclusion Combining pricking and bleeding the Jing-well points with three-edge needle in the treatment of Bell’s palsy can enhance the therapeutic efficacy and promote the recovery of the facial nerve function.