温针、电针和闪罐治疗周围面瘫急性期患者的效果对比

The effects of warm acupuncture,electroacupuncture and quick cupping onperipheral facial paralysis in acute stage

目的:研究温针、电针和闪罐治疗周围面瘫急性期患者的效果。方法:根据随机数字表法将2015年10月-2019年3月期间本院接收的周围面瘫急性期患者64例分为四组,将采用强的松治疗的患者纳入对照组,将实施温针灸治疗的患者纳入温针组,电针组实施电针治疗,闪罐组在针刺后加闪罐治疗,每组16例。将四组周围面瘫急性期患者的House-Brockmann(H-B)面神经功能分级、临床疗效、中医症状积分、面部残疾指数(the Facial Disability Index,FDI)进行比对。结果:同其他三组相比,温针组对周围面瘫急性期患者的临床总有效率更高(P<0.05);四组患者治疗后的H-B面神经功能分级低于治疗前,且温针组数据最低,与其他三组相比存在差异性(P<0.05);温针组、电针组、闪罐组治疗后的中医症状积分、FDI评分(社会)低于对照组,FDI评分(躯体)则高于对照组,差异具有统计学意义(P<0.05),且温针组治疗后与其他三组均存在显著差异(P<0.05)。结论:对周围面瘫急性期患者采用温针疗法治疗的效果比电针、闪罐更加优越。

Objective:To study the effect of warm acupuncture,electroacupuncture and quick cupping on peripheral facial paralysis in acute stage.Methods:According to the random number table method,64 patients were divided into four groups,were given prednisone,warm acupuncture,electroacupuncture group and quick cupping plus acupuncture,respectively,16 cases in each group.The H-B facial nerve function classification,clinical efficacy,TCM symptom score and facial disability index in four groups were compared.Results:Compared with the other three groups,the warm acupuncture group showed a best total efficiency(P﹤0.05).The H-B facial nerve function classification in groups were lower than before treatment,and that in the warm acupuncture group was the lowest,with differences compared with the other three groups(P﹤0.05).The TCM symptom scores,FDI scores(social)in the warm acupuncture group,electroacupuncture group,and quick cupping group were lower,and FDI scores(body)is higher than the control group(P﹤0.05),and there is a significant difference between the warm acupuncture group and the other three groups after treatment(P﹤0.05).Conclusion:The effect of warm acupuncture on peripheral facial paralysis in acute phase is superior to electroacupuncture and quick cupping.