地仓颊车互透提拉针法治疗周围性面瘫队列研究

A Cohort Study on Treatment of Peripheral Facial Paralysis with ST4-to-ST6 Lifting and Pulling Needling

目的:探讨地仓颊车互透提拉针法治疗周围性面瘫临床疗效。方法:将60例患者随机分为对照组与治疗组,每组30例。治疗组地仓、颊车采用互透提拉针法,对照组地仓、颊车采用常规针刺方法;治疗4周,1次/d,5 d/周。观察两组治疗前、后改良波特曼评分标准、House-Brackmann面神经功能分级量表(H-B量表)、面部残疾指数躯体功能评分(FDIP)和面部残疾指数社会功能评分(FDIS)变化。结果:治疗后两组改良波特曼评分比较,差异无统计学意义(P>0.05);治疗后,治疗组H-B量表转为Ⅰ级的数值高于对照组,差异具有统计学意义(P<0.05);治疗后治疗组FDIP评分数值、FDIS评分数值均高于对照组,差异具有统计学意义(P<0.01)。结论:地仓颊车互透提拉针法与传统的针灸疗法治疗周围性面瘫均有较好疗效,且地仓颊车互透提拉针法优于相对传统针刺疗法。

Objective:To explore the Clinical efficacy of Dicang(ST4)-to-Jiache(ST6) lifting and pulling needling in treatment of peripheral facial paralysis.Methods:60 patients were randomly divided into the control group and the treatment group,with 30 patients in each group.In terms of needling ST4 and ST6,the control group was given conventional needling,whereas the treatment group was given ST4-to-ST6 lifting and pulling technique.Both groups were treated once a day,five times per week for four weeks.The scores of Modified Portmann Scoring Standard,House-Brackmann Facial Nerve Function Scale(H-B scale),Facial Disability Index Physical Function(FDIP) and Disability Index Social Function(FDIS) were evaluated after the treatment in the two groups.Results:There were no statistical difference in the score of Modified Portmann Scoring Standard between before and after the treatment in the two groups(P>0.05).The value of the H-B scale changed to grade I was higher in the treatment group than that in the control group after the treatment(P<0.05).The scores of FDIP and FDIS were higher in the treatment group than those in the control group after the treatment(P<0.01).Conclusion:Both ST4-to-ST6 lifting and pulling needling and traditional needling have good therapeutic effect in treatment of peripheral facial paralysis,however,ST4-to-ST6 lifting and pulling needling is better than traditional needling.