阳明论治针法治疗面瘫疗效观察(英文)

Therapeutic efficacy observation on needling Yangming method for facial palsy

目的:观察高玉瑃教授"阳明论治针法"治疗周围性面瘫的临床疗效,继承燕赵高氏针灸学术思想。方法:共纳入70例周围性面瘫患者,以随机数字表法随机分为两组,每组35例。治疗组采用"阳明论治针法"治疗,对照组采用传统针刺法治疗,两组均每日治疗1次,每星期治疗6次,共治疗6星期。治疗前后根据House-Brackmann(H-B)面神经功能评价分级、临床疗效和症状体征量化评分进行疗效评价。结果:治疗2星期后,治疗组H-B分级及治愈率均优于对照组(P<0.05)。治疗4星期后,治疗组H-B分级、症状体征评分及治愈率均优于对照组(P<0.05,P<0.01,P<0.05)。治疗6星期后两组各方面比较差异均没有统计学意义(P>0.05)。结论:"阳明论治针法"治疗面瘫较传统针刺法起效快,早期治愈率高,可缩短疗程。

Objective： To observe the clinical efficacy of Prof. Gao Yu-chun＇s needling Yangming method for facial palsy, as well as to inherit and further develop the academic idea.Methods： A total of 70 cases were randomly allocated into a treatment group（n=35） and a control group（n=35）. Cases in the treatment group were treated with needling Yangming method, whereas cases in the control group were treated with traditional acupuncture method. The treatment was done once a day in both groups（6 times a week） for a total of 6 weeks. Then the therapeutic efficacies were evaluated before and after treatment using the House-Brackmann（H-B） scale and scores of signs and symptoms. Results： After 2 weeks of treatment, patients in the treatment group obtained a better H-B score and recovery rate than those in the control group（P〈0.05）. After 4 weeks of treatment, the H-B score, scores of signs and symptoms and recovery rate in the treatment group were better than those in the control group（P〈0.05, P0.01, P〈0.05）. After 6 weeks of treatment, there were no between-group statistical differences in the above aspects（P〉0.05）. Conclusion： Needling Yangming method can obtain a faster effect, a higher early-stage recovery rate and shorter course of treatment than traditional acupuncture method.