针刺结合自拟清热通络方治疗风热型周围性面瘫的临床研究

Clinical study of acupuncture combined with self-designed prescription for clearing heat and regulating collaterals in treating wind-heat type peripheral facial paralysis

目的探讨针刺结合自拟清热通络方治疗风热型周围性面瘫的临床应用效果。方法选取2017年4月~2018年12月河北省三河市医院门诊及住院收治的风热型周围性面瘫患者120例,运用随机数字表法将其分为观察组和对照组,每组各60例。观察组采用针刺结合自拟清热通络方治疗,对照组采用西医常规疗法治疗,两组均以治疗10d为1个疗程,共治疗2个疗程。采用面神经功能评价系统、面神经临床简易评分法、面神经徒手肌力检查法判断疗效。记录治疗期间临床发生的不良事件,并进行统计分析。结果治疗后两组面神经功能评分指标较治疗前降低(P<0.01),且观察组低于对照组(P<0.05);治疗后两组肌力级别指标较治疗前升高(P<0.01),且观察组高于对照组(P<0.05);治疗后两组简易评分指标较治疗前升高(P<0.01),且观察组高于对照组(P<0.05);观察组患者有效率明显高于对照组,差异有统计学意义(P<0.05)。结论针刺结合自拟清热通络方治疗风热型周围性面瘫效果显著,能够有效改善患者面部功能,提高生活质量,且安全性好,可在临床推广。

Objective To explore the clinical application effect of acupuncture combined with self-designed prescription for clearing heat and regulating collaterals in treating wind-heat type peripheral facial paralysis.Methods From April 2017 to December 2018,120 patients with wind-heat peripheral facial paralysis in Sanhe City Hospital of Hebei Province were selected.They were divided into observation group and control group by random number table method,with 60 cases in each group.The observation group was treated with acupuncture combined with self-designed prescription for clearing heat and regulating collaterals,while the control group was treated with conventional Western medicine.Both groups were treated with 1 course of treatment for 10 days,with 2 courses of treatment.Facial nerve function evaluation system,facial nerve simple clinical scoring method and facial nerve muscle strength test were used to evaluate the efficacy.Adverse events occurred during treatment were recorded and analyzed statistically.Results After treatment,the scores of facial nerve function in the two groups were lower than before treatment(P<0.01),and the observation group was lower than that in the control group(P<0.01).After treatment,the index of muscle strength level in the two groups was increased compared with that before treatment(P<0.01),the observation group was higher than that of the control group(P<0.05).After treatment,the simple scoring index of the two groups was increased compared with that before treatment(P<0.01),the observation group was higher than that of control group(P<0.05).The effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with self-designed heat-clearing and collateral-activating prescription has a significant effect in treating wind-heat type peripheral facial paralysis,which can effectively improve patients′facial functions and improve their quality of life,and has a good safety,which can be popularized in clinical practice.