头皮针针刺联合体针及中药汤剂治疗贝尔面瘫恢复期疗效观察

Clinical Study on Efficacy of Scalp Acupunction Combing with Body Acupunction and the Chinese Medicine Decoction for Bell's Palsy Recovery Period

目的：探讨头皮针针刺联合体针及中药汤剂治疗贝尔氏面瘫恢复期的临床效果。方法：将本院耳鼻咽喉科2014年1月—2015年3月收治的82例病程在21～90 d恢复期的贝尔氏面瘫患者,按照随机数字表法分为对照组和观察组。对照组患者采用体针结合中药汤剂治疗,观察组患者在对照组治疗基础上加入头皮针,取双侧顶颞前斜线下2/5、双侧颞前线,对治疗3周后患者的House-Brackmann（H-B）面神经分级量表评分进行疗效评价。结果：两组患者治疗前在病情分级分布方面具有可比性。两组贝尔面瘫患者经过针刺治疗后,其H-B积分均较治疗前有所改善,差异有统计学意义（P〈0.05）。观察组前后H-B积分大于对照组,差异有统计学意义（P〈0.05）。两组患者总有效率差异有统计学意义（P〈0.05）,且观察组优于对照组。结论：对贝尔面瘫恢复期患者进行颞前线头皮针针刺联合中西医结合治疗的疗效显著,优于常规体针结合中药汤剂治疗,且操作简便、安全性较好,值得临床应用和推广。

Objective：To investigate the clinical efficiency of scalp acupunction Combing with body acupunction and the Chinese medicine decoction for Bell＇s palsy recovery period,through a clinical studies. Methods：Select 82 patients with Bell＇s palsy from otolaryngology department of our hospital between January 2014 and March 2015,and whose disease course is between 21 days and 90 days. These patients were randomly divided into two groups,the patients of control group had receive the therapies of body acupunction and the Chinese medicine decoction,the patients of treatment group add scalp points compared with the control group,the points located on the first bilateral frontal and temporal former slash under two fifths. The House-Brackmann Global Score is applied to evaluate the facial function before treatment and after 3 weeks. Results：The grading distribution of disease of the treatment group was comparable to the control group. The scores of House-Brackmann are improved after the treatment of the two groups after 3 weeks,and the differences were statistically significant（P〈0.05）. The House-Brackmann Global Score of treatment group was significantly higher than that in control group（P〈0.05）. The treatment of two groups for moderate Bell＇s paralysis,difference were significant（P〈0.05）. Conclusion：The clinical efficiency of scalp acupunction combing with body acupunction and the Chinese medicine decoction for Bell＇s palsy recovery period is significant,and has the advantage of higher curative and convenient for applying,thus beneficial for clinical practice.