滞针提拉针刺联合穴位注射治疗顽固性面瘫的临床观察

Clinical Observation of Retaining- needling and Lifting Methods Combined with Acupoint Injection for Refractory Facial Paralysis

目的:观察滞针提拉针刺联合穴位注射治疗顽固性面瘫的临床疗效。方法:将60例顽固性面瘫患者随机分为治疗组和对照组各30例。对照组给予传统针刺治疗,治疗组给予滞针提拉针刺联合穴位注射治疗。两组疗程均为6个疗程(6周)。采用House-Brackmann量表和面部残疾指数(FDI)调查问卷进行疗效评定。结果:治疗组总有效率83.3%,对照组总有效率66.7%,两组比较具有显著性差异(P<0.05)。治疗组治疗后FDI躯体功能评分与对照组比较,差异具有统计学意义(P<0.05)。结论:滞针提拉针刺联合穴位注射治疗顽固性面瘫的临床疗效显著,具有较大的临床应用价值。

Objective： To observe the clinical efficacy of retaining- needling and lifting methods combined with acupoint injection for refractory facial paralysis. Methods： 60 patients with intractable facial paralysis were randomly divided into a treatment group and a control group,and each group had 30 patients. The treatment group was given retaining- needling and lifting methods combined with acupoint injection. The control group was given the traditional acupuncture treatment. Both groups were treated for 6 courses（ 6 weeks）. The therapeutic effects were evaluated by using the House- Brackmann scale（ Regional Score） and Facial Disability Index（ FDI） scale. Results： The total effective rate was 83. 3% in the treatment group,and it was 66. 7% in the control group,and the differences were statistically significant（ P〈0. 05）. The treatment group had a markedly higher FDL scale compared with the control group（ P〈0. 05）. Conclusion： Retaining- needling and lifting methods combined with acupoint injection has a marked effect on refractory facial paralysis.