龙砂开阖六气针法治疗急性期周围性面瘫的效果

Effect of Longsha Kaihe Liuqi acupuncture in the treatment of acute peripheral facial paralysis

目的 探讨龙砂开阖六气针法治疗周围性面瘫的临床效果。方法 选取2020年1月至2021年11月在安徽省芜湖市中医医院针灸科门诊和住院部收治的60例急性期周围性面瘫患者,采用随机数字表法将其分为对照组和治疗组,每组各30例。在西药治疗的基础上,对照组加用常规针刺,治疗组加用龙砂开阖六气针法。连续治疗15 d后,比较两组治疗前后H-B面神经功能分级、杨氏面神经麻痹程度分级,评估其临床疗效。结果 两组临床疗效比较,差异无统计学意义(P> 0.05)。治疗后,两组H-B面神经功能分级较治疗前降低(P <0.05),但两组H-B面神经功能分级比较,差异无统计学意义(P> 0.05)。治疗后,两组杨氏面神经麻痹程度分级较治疗前降低(P <0.05),但两组杨氏面神经麻痹程度分级比较,差异无统计学意义(P> 0.05)。结论 龙砂开阖六气针法能明显改善周围性面瘫患者的临床症状,且取穴少,操作简单,可替代常规针刺,适宜临床推广。

Objective To explore the clinical effect of Longsha Kaihe Liuqi acupuncture in the treatment of peripheral facial paralysis. Methods A total of 60 patients with acute peripheral facial paralysis admitted to the outpatient and inpatient departments of the Department of Acupuncture and Moxibustion in Wuhu Hospital of Traditional Chinese Medicine from January 2020 to November 2021 were selected, they were divided into control group and treatment group by random number table method, with 30 cases in each group. On the basis of western medicine treatment, the control group was treated with conventional acupuncture, the treatment group were treated with Longsha Kaihe Liuqi acupuncture.After 15 d of continuous treatment, H-B facial nerve function grade, and Yang’s facial nerve paralysis grade of the two groups before and after treatment were compared and analyzed, and their clinical efficacy were evaluated. Results There was no significant difference in clinical efficacy between the two groups(P > 0.05). After treatment, the H-B facial nerve function grade in both groups were lower than those before treatment(P < 0.05), but there was no statistical significance in the H-B facial nerve function grade of the two groups(P > 0.05). After treatment, the grade of Yang’s facial nerve paralysis in both groups were lower than those before treatment(P < 0.05), but there was no statistical significance in the grade of Yang’s facial nerve palsysis between the two groups(P > 0.05). Conclusion Longsha Kaihe Liuqi acupuncture can significantly improve the clinical symptoms of patients with peripheral facial paralysis, with few points and simple operation, it can replace conventional acupuncture, and it is suitable for clinical promotion.