脾胃学说指导针灸辨治急性期青年贝尔氏面瘫的临床研究

Clinical Study of Acupuncture Guided by Theory of Spleen and Stomach Treating Acute Stage of Youth Bell′s Facial Paralysis

目的观察脾胃学说指导针灸分期辨治急性青年急性贝尔氏面瘫临床效果。方法将急性贝尔氏面瘫患者100例随机分为两组,对照组予以局部取穴和循经远取穴治疗,观察组以"脾胃学说"为指导,局部取穴及分期选穴,观察治疗后临床效果情况。结果对照组的治愈率18.00%,总有效率为80.00%;观察组治愈率58.00%,总有效率为94.00%,两组差异有统计学意义(P<0.05)。两组治疗后在Sunnybrook面神经评定各个等级,残废躯体功能指数评分、残废社会功能指数评分各时期上比较差异有统计学意义(P<0.05)。结论脾胃学说指导针灸分期辨治急性青年急性贝尔氏面瘫临床效果确切。

Objective： To investigate the effect of acupuncture staging guided by theory of spleen and stomach treating acute stage of youth Bell＇s palsy. Methods： 100 cases with Bell＇s palsy were randomly selected and divided into two groups. The control group was treated with topical acupuncture and acupuncture along meridians while the observation group guided by Theory of spleen and stomach was treated with topical acupuncture and staging acupuncture. Clinical effects were observed after treatment. Results： The curative rate and total effective rate in the control group were 18.00% and 80.00% respectively. The curative rate and total effective rate in the observation group were 58.00% and 94.00% respectively. There was a significant difference between the two groups （P〈0.05）. After treatment,there were significant differences at Sunnybrook facial nerve assessment,disability physical function score, disability social function score on each period （P〈 0.05）. Conclusion： Acupuncture staging guided by Theo- ry of spleen and stomach treating Youth Bell＇s facial paralysis achieves satisfactory clinical results.