針刺配合閃罐介入周圍性面癱治療110例療效分析

Clinical analysis of 110 cases of peripheral facial paralysis treated by acupuncture combined with flash cupping intervention

目的對比面癱急性期和非急性期中醫針刺介入治療的臨床療效。方法收集2017年1月~2018年12月在鏡湖醫院針灸科就診診斷為周圍性面癱的病例110例,按首次接受針刺治療時的病程分為急性期組和非急性期兩組,急性期組為發病7天以内針刺介入治療病例,非急性期組為發病8~30天針刺介入治療病例,兩組均以針刺及閃罐方法治療,每日治療1次,每週治療6次為一療程,連續治療3療程後,比較兩組病例的痊癒率。結果急性期組痊癒35例,顯效30例,有效9例,非急性期組痊癒11例,顯效14例,有效9例,兩組患者的療效在統計學上有顯著差異。結論周圍性面癱在急性期進行針刺配合閃罐介入治療的療效優於非急性期。

Objective To compare the clinical effect of acupuncture interventional therapy in acute phase and non-acute phase of facial paralysis.Methods A total of 110 cases of peripheral facial paralysis diagnosed in the Acupuncture Department of KiangWu Hospital from January 2017 to December 2018 were collected.According to the course of the first acupuncture treatment,they were divided into two groups:acute phase and non-acute phase.The acute phase group included acupuncture interventional treatment cases within 7 days of onset,and the non-acute phase group included acupuncture interventional treatment cases within 8 to 30 days of onset.Both groups were treated with acupuncture and flash cupping methods,once a day,6 times a week as a course of treatment.After 3 consecutive courses of treatment,the recovery rates of the two groups were compared.Results In the acute phase group,35 cases were cured,30 cases were markedly effective,9 cases were effective,and the total effective rate was 100%.In the non-acute phase group,11 cases were cured,14 cases were markedly effective,9 cases were effective,and the total effective rate was 94.44%.The recovery rate and apparent efficiency were significantly better than those in the non-acute phase group,which was statistically significant.Conclusion The curative effect of acupuncture combined with flash cup intervention in the acute phase of peripheral facial paralysis is better than that in the non-acute phase.