浮针扫散再灌注联合董氏奇穴动气针法治疗面肌痉挛临床观察

Clinical Observation on Treatment of Facial Muscle Spasm with Floating Needle Swing and Reperfusion Combined with Dong′s Qi Activating Acupuncture

目的观察浮针扫散再灌注联合董氏奇穴动气针法治疗面肌痉挛临床疗效。方法选取61例面肌痉挛患者,随机分为观察组30例与对照组31例。对照组采用常规针刺配合浮针扫散再灌注治疗。观察组在对照组基础上配合董氏奇穴动气针法治疗。连续治疗4个疗程后,观察两组患者治疗前后面肌痉挛强度和频度分级、面部残疾指数(FDI)评分、生活质量(QOL)评分变化,比较两组总有效率和复发率。结果1)治疗后,两组患者面肌痉挛强度、频度分级均较治疗前降低(P<0.05),且观察组效果明显优于对照组(P<0.05)。2)治疗后,两组患者面部残疾指数(FDI)和生活质量(QOL)评分均较治疗前改善(P<0.05),且观察组效果明显优于对照组(P<0.05)。3)观察组总有效率、痊显率明显高于对照组,差异有统计学意义(P<0.05)。4)对两组痊愈患者进行1年电话随访,对照组复发率明显高于观察组(P<0.05)。结论浮针扫散再灌注联合董氏奇穴动气针法能明显降低面肌痉挛患者痉挛强度和痉挛频度,减轻患者面部残疾指数,同时改善患者生活质量,远期疗效优势明显。

Objective:To observe the clinical efficacy of Floating Needle Swing reperfusion combined with Dong′s Qi Acupuncture in the treatment of facial spasm.Methods:A total of 61 patients with facial spasm were randomly divided into an observation group of 30 cases and a control group of 31 cases.The control group was treated with routine acupuncture combined with Floating Needle Swing reperfusion.On the basis of the control group,the observation group was treated with Dong′s Qi activating acupuncture at Qi points.After 4 consecutive courses of treatment,the changes in the intensity and frequency of facial spasm,facial disability index(FDI)scores,and quality of life(QOL)scores of the two groups before and after treatment were observed,and the total effective rate and recurrence rate of the two groups were compared.Results:1)After treatment,the intensity and frequency grading of facial spasm in both groups were lower than those before treatment(P<0.05),and the effect of the observation group was significantly better than that of the control group(P<0.05).2)After treatment,the FDI and QOL scores of patients in both groups improved compared to those before treatment(P<0.05),and the effect of the observation group was significantly better than that of the control group(P<0.05).3)The total effec⁃tive rate and recovery rate in the observation group were significantly higher than those in the control group,with a statistically significant difference(P<0.05).4)After treatment,the recovered patients in the two groups were followed by telephone for one year.The recurrence rate in the control group was significantly higher than that in the observation group(P<0.05).Conclusion:The combination of Floating Needle Swing reperfusion and Dong′s Qi activating acupuncture can significantly reduce the intensity and frequency of spasms in patients with facial spasm,reduce the FDI,and improve the QOL of patients.The long-term therapeutic advantage is significant,which is worth promoting and using in clinical practice.