巨刺法治疗急性周围性面瘫的临床研究

Clinical Observation on the Treatment of Acute Peripheral Facial Paralysis by Giant Thorn

目的比较巨刺法与患侧针刺治疗急性期周围性面瘫的临床疗效差异,为临床治疗急性期周围性面瘫提供新的思路和参考依据。方法采用随机对照设计,将84例急性期周围性面瘫患者随机分为观察组与对照组各42例,观察组选取健侧腧穴完骨、天牖、翳风、听会,双侧合谷、阳陵泉、太冲。对照组针刺患侧完骨、天牖、翳风、听会穴,其余穴位同观察组。每周连续治疗5次,治疗4周。观察两组患者治疗前后面神经功能分级(H-B)、面部残疾指数以及症状和体征积分,并进行疗效分析。结果治疗后,两组H-B评分、FDIS以及症状和体征积分较治疗前均下降,FDIP较治疗前升高(均P <0.05),且观察组的各指数明显优于对照组(均P <0.05);治疗后,两组均有较好疗效,总有效率均为100%,差异比较无统计学意义(P> 0.05);观察组痊愈率为71.43%,明显高于对照组45.23%(P <0.05)。结论巨刺法治疗急性期周围性面瘫疗效明显优于患侧针刺,值得进一步研究。

Objective:To compare the clinical efficacy of opposing needling technique and acupuncture on the affected side in the treatment of acute peripheral facial paralysis,so as to provide a new idea and reference basis for the clinical treatment of acute peripheral facial paralysis. Methods:Using randomized controlled design,84 cases were randomly divided into observation group and control group. The observation group was treated with acupuncture at acupoints Guangu,Tianrong,Yifeng,hearing,bilateral Hegu,Yanglingquan and Taichong. The control group was treated with acupuncture at the corresponding pseudo-acupoints such as Guangu,Tianrong,Yifeng,Hearing and so on,while the other acupoints were treated with the observation group. 5 consecutive treatments per week for 4 weeks. Home-Brackmann(H-B),facial disability index and score of symptoms and signs were observed before and after treatment in the two groups,and the curative effect was analyzed. Results:After treatment,the H-B scores,FDIS and score of symptoms and signs of the two groups decreased compared with those before treatment,while FDIP of the two groups in creased compared with those before treatment(all P < 0.05),and the above indexes of the observation group was significantly better than that of the control group(P < 0.05). After treatment,the total effective rate of the two groups was 100%.There was no significant difference(P > 0.05).The recovery rate of the observation group was 71.43%,which was significantly better than that of the control group(45.23%). Conclusion:The curative effect of giant acupuncture on acute peripheral facial paralysis is better than that of acupuncture on the affected side,which is worthy of clinical reference.