温针灸治疗风寒型急性期周围性面神经麻痹的临床疗效

Clinical Effect of Warm Acupuncture and Moxibustion in the Treatment of Wind-Cold Type Acute Peripheral Facial Paralysis

目的:观察温针灸治疗风寒型急性期周围性面神经麻痹的临床疗效。方法:选取河源市中医院2018年6月至2020年6月期间收治的120例风寒型急性期周围性面神经麻痹患者,随机分为常规针刺组与温针灸组,各60例。常规针刺组取患侧阳白、风池、下关、颧髎、地仓、迎香、太阳,双侧外关、翳风、合谷,予以常规针刺治疗;温针灸组取穴同常规针刺组,在常规针刺治疗的基础上,予以外关、翳风、合谷温针灸治疗,两组治疗频次与周期相同。记录治疗前后两组患者的面部残疾指数(FDI)评分,比较两组患者的临床疗效。结果:治疗前两组患者的FDI评分比较,差异无统计学意义(P>0.05);治疗后温针灸组患者的FDI评分低于常规针刺组,差异具有统计学意义(P<0.05)。温针灸组患者治疗总有效率为98.31%,高于常规针刺组的93.22%,差异具有统计学意义(P<0.05)。结论:温针灸治疗风寒型急性期周围性面神经麻痹疗效优于常规针刺。

Objective To observe the clinical effect of warm acupuncture and moxibustion in the treatment of wind-cold type acute peripheral facial paralysis.Methods 120 patients with wind-cold acute peripheral facial paralysis who were treated in Heyuan Hospital of Traditional Chinese Medicine from June 2018 to June 2020 were randomly divided into routine acupuncture group and warm acupuncture group,with 60 cases in each group.In the routine acupuncture group,Yangbai,Fengchi,Xiaguan,Quanliao,Dicang,Yingxiang,Taiyang,bilateral Waiguan,Yifeng and Hegu were treated with routine acupuncture;The warm acupuncture group was treated with warm acupuncture and moxibustion of Waiguan,Yifeng and Hegu on the basis of conventional acupuncture treatment.The treatment frequency and cycle of the two groups were the same.The facial disability index(FDI)scores of the two groups before and after treatment were recorded,and the clinical efficacy of the two groups was compared.Results There was no significant difference in the scores of FDI between the two groups before treatment(P>0.05);after treatment,the scores of FDI in the warm acupuncture group were lower than those in the conventional acupuncture group,and the differences were statistically significant(P<0.05).The total effective rate of the warm acupuncture group was 98.31%,which was higher than 93.22%of the conventional acupuncture group(P<0.05).Conclusion Warm acupuncture and moxibustion is better than conventional acupuncture in the treatment of acute wind-cold tye acute peripheral facial paralysis.