针刺联合一指禅补泻法治疗痰湿阻络型周围性面瘫的临床疗效

Clinical Observation on Acupuncture with Reinforcing-Reducing Method of One Finger Pushing on Treating Peripheral Facial Paralysis with Phlegm-Dampness Syndrome

目的:观察针刺联合不同一指禅补泻法治疗痰湿阻络型周围性面瘫的疗效。方法:将60例痰湿阻络型患者随机分为A、B、C组,每组各20例。3组均在面部针刺的基础上在腹部行一指禅推法治疗,其中A组先以201~250次/min的频率推天枢穴(双)5min行泻法,再以101~150次/min的频率推中脘穴及气海穴各5min行补法;B组先以101~150次/min的频率及201~250次/min的频率推天枢穴(双)各2.5min行平补平泻法,再以同样的方法推中脘穴及气海穴;C组先以101~150次/min的频率推天枢穴5min行补法,再以201~250次/min的频率推中脘穴及气海穴各5min行泻法。结果:3组对痰湿阻络型周围性面瘫均有疗效,总有效率均为100%(P>0.05);3组治疗后面神经功能评分组间比较具有显著性差异,其中2个疗程后A组与B组、A组与C组均有显著性差异(P<0.05),4个疗程后A组与C组、B组与C组均有显著性差异(P<0.05);3组治愈患者的平均治愈天数比较具有显著性差异(P<0.05),A组的平均治愈天数最短,C组的平均治愈天数最长。结论:A组的方法能加快痰湿阻络型周围性面瘫的面神经功能的恢复,明显缩短疗程,疗效更好。

Objective:To observe the effectiveness of acupuncture with different reinforcing-reducing method of one finger pushing on peripheral facial paralysis with phlegm-dampness syndrome.Methods:Sixty patients were divided into three groups(A,B,C),20 cases in each.Three groups were treated by acupuncture with one finger pushing.Group A were stimulated Tianshu(ST25)201-250 times/minute for 5 minutes for reducing method,and stimulated Zhongwan(RN12)and Qihai(RN6)101-150 times/minute for 5 min for reinforcing method.Group B were stimulated Tianshu(ST25)101-150 times/min and 201-250 times/min for 2.5 min for even reinforcing-reducing method,and then stimulated Zhongwan(RN12)and Qihai(RN6)in the same way.Group C were stimulated Tianshu(ST25)101-150 times/min for 5 min for reinforcing method and stimulated Zhongwan(RN12)and Qihai(RN6)201-250 times/min for 5 min for reducing method.Results:The cure rate of three groups was the same(100%).The difference of scores among three groups was significant after the second and the forth course of treatment(P<0.05).The scores of group A was better than those of the other two groups after the second course of treatment(P<0.05).The scores of group A and group B were better than that of group C after the forth course of treatment(P<0.05).The cure time of group A was shorter than that of group B and group C(P<0.05).Conclusion:The method of group A can quicken the recovery of facial nerve function in peripheral facial paralysis with phlegm-dampness syndrome,and reduce the curative time.The efficacy is better.