项七针为主治疗急性期周围性面瘫临床研究

Clinical Study of Nape Seven Needles in the Treatment of Acute Peripheral Facial Paralysis

目的:观察项七针配合常规穴位针刺、放血拔罐疗法治疗急性期周围性面瘫的临床疗效。方法:将60例急性期周围性面瘫患者随机分为治疗组31例与对照组29例,两组均予相同基础用药,对照组采用常规腧穴针刺配合放血拔罐疗法,治疗组在对照组基础上配合项七针疗法,即风府、天柱、风池和完骨四穴七针,隔天针刺1次,5次为一疗程,每疗程行2～3次放血拔罐,连续治疗两个半疗程,运用House-Brackman(H-B)面神经功能评价系统对两组治疗前后进行评分,并观察临床疗效。结果:两组方法均能改善急性期周围性面瘫症状,治疗总有效率分别为100%、96. 6%,两组比较P> 0. 05;两组痊愈率分别为64. 5%、48. 3%,两组比较P <0. 05;治疗组痊愈患者治疗天数为(19. 55±4. 22)天,少于对照组的(24. 34±5. 34)天(P <0. 01);治疗组H-B评分于第5天、第10天、第15天优于对照组(P <0. 05);治疗组复发率为9. 7%(3/31),低于对照组的27. 6%(8/29),差异有统计学意义(P <0. 05)。结论:项七针配合常规腧穴针刺、放血拔罐疗法可有效缓解急性期周围性面瘫症状,缩短病程,治愈率高,复发率低。

Objective： To observe the clinical effect of nape seven needles combined with needling conventional acupoints and bloodletting cupping for acute peripheral facial paralysis. Methods： 60 cases of acute peripheral facial paralysis were randomly divided into the control group（ n = 29） and the observation group（ n = 31）. The basic medication was applied to the two groups; on which basis,the control group was treated with needling conventional acupoints combined with bloodletting cupping; the observation group was also treated with nape seven needles（ GV16,bilaterl BL10,bilateral GB20,and bilateral GB12） on the treatment basis of the control group. The acupuncture was once every other day,5 times for a course,the bloodletting cupping was two or three times per course; the treatment lasted for two and a half courses. House-Brackman（ H-B） facial nerve function assessment was used to evaluate the curative efficacy before and after the treatment. Results： Both groups could improve the symptoms of acute peripheral facial paralysis; the total effective rate was 100% and 96. 6%,with no statistical difference（ P〉0. 05）; the recovery rate was 64. 5% and 48. 3% respectively,with statistical difference（ P〈0. 05）. The curative time was（ 19. 55 ± 4. 22） days in the observation group,which was shorter than（ 24. 34 ± 5. 34） days in the control group（ P〈0. 01）. In terms of H-B score,it was better in the observation group than that in the control group on the 5th,10th and 15th day（ P〈0. 05）. The recurrence rate was 9. 7%（ 3/31） in the observation group,which was significantly lower than 27. 6%（ 8/29） in the control group（ P〈0. 05）. Conclusion： The therapy of nape seven needles combined with needling conventional acupoints and bloodletting cupping can effectively improve the symptoms of acute peripheral facial paralysis,shorten the course of the disease,with high curing rate and low recurrence rate.