巨刺针法结合梅花针叩刺翳风、完骨穴治疗周围性面瘫临床研究

Clinical Study of Opposing Needling Combined with Plum-Blossom Needle Tapping TE17 and GB 12 in the Treatment of Peripheraly Facial Paralysis

目的:观察巨刺针法结合梅花针叩刺翳风、完骨穴治疗周围性面瘫的临床疗效。方法:60例周围性面瘫患者随机分为观察组(30例)与对照组(30例)。两组都予以药物基础治疗,对照组在药物治疗基础上予以常规针刺患侧治疗,观察组在药物治疗的基础上予以巨刺健侧穴位结合梅花针叩刺双侧翳风、完骨穴。两组均每日治疗1次,每周治疗5 d后休息2 d,共治疗4周。分别对两组患者治疗前后House—Brackmann(H-B)面神经功能分级量表、面部残疾指数量表(躯体功能评分FDIP和社会功能评分FDIS)和Portmann简易评分量表进行评分,并评价临床疗效。结果:治疗后两组患者H-B面神经功能分级均优于治疗前(P<0.05),且治疗后观察组优于对照组(P<0.05);治疗后两组FDIP、FDIS、Portmann简易评分量表均优于治疗前(均P<0.01),且治疗后两组FDIP、FDIS评分组间比较,差异具有统计学意义(均P<0.01);治疗后两组Portmann简易评分量表组间比较,差异具有显著统计学意义(P<0.01);观察组的总有效率为90.00%(27/30),对照组总有效率76.33%(23/30),观察组总有效率明显高于对照组。半年内随访,观察组复发率13.63%(3/22),对照组复发率40.00%(10/25),观察组复发率低于对照组。结论:巨刺针法结合梅花针叩刺翳风、完骨穴治疗周围性面瘫疗效确切,且能改善患者躯体功能和社会功能、缓解临床症状、降低复发率、提高生活质量。

Objective:To observe the clinical efficacy of opposing needling combined with plum-blossom needle tapping Yifeng(TE17)and Wangu(GB12)in treating peripheraly facial paralysis.Methods:60 patients with peripheral facial paralysis were randomly divided into the observation group(n=30)and the control group(n=30).On the basis of basic medication,the control group was treated with conventional acupuncture on the affected side,and the observation group was treated with opposing needling on the unaffected side combined with plum-blossom needle tapping bilateral TE17 and GB12.Both groups received treatment once a day and rested for 2 days after 5 days of treatment per week.After four weeks of treatment,the scores of House-Brackmann(H-B)facial nerve function grading scale,facial disability index scale(body function score FDIP and social function score FDIS)and Portmann simple scoring scale were observed before and after the treatment in the two groups,and the clinical efficacy was evaluated and compared between the two groups.Results:After the treatment,the scores of H-B facial nerve function grading scale were improved in both groups(P<0.05),of which the improvements were more significant in the observation group(P<0.05).The scores of FDIP,FDIS and Portmann simple rating scale were also improved in the two groups after the treatment(P<0.01),there were statistical differences in FDIP and FDIS(P<0.01),as well as in Portmann simple scoring scale(P<0.01)between the two groups.The total effective rate was 90.00%(27/30)in the observation group,which was significantly higher than 76.33%(23/30)in the control group(P<0.05).The recurrence rate was 13.63%(3/22)in the observation group,which was lower than 40.00%(10/25)in the control group(P<0.05).Conclusion:Opposing needling combined with plum-blossom needle tapping TE17 and GB12 is effective in treating peripheral facial paralysis,it can improve patients'physical and social functions,alleviate clinical symptoms,reduce the recurrence rate and improve the quality of life.