透刺法联合麦粒灸治疗周围性难治性面瘫的临床观察

Clinical Observation of Penetrating Needling Therapy Combined with Wheat-Grain Moxibustion in the Treatment of Peripheral Refractory Facial Paralysis

【目的】观察透刺法联合麦粒灸治疗周围性难治性面瘫患者的临床疗效。【方法】将64例周围性难治性面瘫患者随机分为治疗组和对照组,每组各32例。对照组给予电针联合红外线治疗,治疗组给予透刺法联合麦粒灸治疗,1周为1个疗程,连续治疗2个疗程。治疗2周后,评价2组患者的临床疗效,观察2组患者治疗前后House-Brackmann(H-B)面神经功能评分的变化情况,以及Sunnybrook面神经评分的情况。比较2组患者治疗前后汉密尔顿焦虑量表(HAMA)评分的变化情况。【结果】(1)治疗后,2组患者的Sunnybrook面神经评分明显改善(P<0.05),且治疗组在改善Sunnybrook面神经评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的HAMA评分明显改善(P<0.05),且治疗组在改善HAMA评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗组总有效率为87.50%(28/32),对照组为68.75%(22/32)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】透刺法联合麦粒灸治疗周围性难治性面瘫能明显改善患者的临床症状,改善患者面部的肌肉活动和感觉功能,改善患者焦虑与抑郁的状态,临床疗效显著。

Objective To observe the clinical efficacy of penetrating needling combined with wheat-grain moxibustion in treating patients with peripheral refractory facial paralysis(PRFP).Methods Sixty-four patients with PRFP were randomly divided into treatment group and control group,with 32 cases in each group.The control group was treated with electroacupuncture combined with infrared ray,while the treatment group was treated with penetrating needling therapy combined with wheat-grain moxibustion.One week as a course of treatment and lasted for two continuous treatment courses.After 2 weeks of treatment,the clinical efficacy of the two groups was evaluated,and the changes of House-Brackmann(H-B)facial nerve function score and Sunnybrook facial nerve score were observed before and after treatment.The changes of Hamilton Anxiety Scale(HAMA)score were compared between two groups before and after treatment.Results(1)After treatment,the Sunnybrook facial nerve score of the two groups was significantly improved(P<0.05),and the improvement of the treatment group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).(2)After treatment,HAMA score in the two groups was significantly improved(P<0.05),and the improvement of HAMA score in the treatment group was significantly superior to that of the control group,the difference being statistically significant(P<0.05).(3)The total effective rate was 87.50%(28/32)in the treatment group and 68.75%(22/32)in the control group.The therapeutic effect of the treatment group was superior to that of the control group,the difference being statistically significant(P<0.05).Conclusion The combination of penetrating needling therapy and wheat-grain moxibustion exerts significant effect in treating patients with PRFP by improving the clinical symptoms,facial muscle activity,sensory function,and the state of anxiety and depression of patients.