针刺配合推拿手法治疗周围性面瘫的临床观察

目的:观察针刺配合推拿治疗周围性面瘫的临床效果。方法:138例面瘫患者随机分为针刺推拿组、针刺组、推拿组,每组46例,分别采用针刺加推拿、单纯针刺、单纯推拿治疗。治疗观察2个疗程后,评定疗效。结果:针刺推拿组有效率97.8%,针刺组有效率86.9%,推拿组有效率84.4%。针刺推拿组疗效明显优于其他两组。结论:针刺配合推拿治疗周围性面瘫疗效显著。

针刺透穴合电针二联治疗周围性面瘫临床观察

目的:探讨针刺透穴合电针治疗周围性面瘫的效果。方法:将70例患者随机分组,治疗组40例采用针刺透穴合电针治疗,对照组30例单用毫针刺治疗。结果:2组均在治疗3个疗程后统计:治疗组治愈28例,显效7例,好转4例,总有效率为97.50%。对照组治愈14例,显效9例,好转4例,总有效率为90.00%。两组治疗效果有显著性差异(P<0.05)。并且在同样治愈的病例中,组间差异非常显著(P<0.01),治疗组施治天数明显少于对照组。结论:针刺透穴合电针二联疗法治疗周围性面瘫有较好疗效。

针刺推拿治疗面瘫症60例

目的:观察针刺推拿治疗面瘫症的疗效。方法:针刺风池、翳风、合谷,推拿用揉法、滚法,必要时给与激素及抗生素。结果:总有效率100%。提示:针刺可疏风散寒,疏通经络;推拿运行气血,改善血液循环;配合激素及抗生素抗炎、减轻水肿。

针药结合和单一针刺疗法治疗周围性面瘫的疗效对比观察

＂面瘫＂即面神经麻痹,在中医学文献中称作＂口眼斜＂,也称＂口僻＂,是指以口眼向一侧歪斜为主症的病变。手足三阳经均上行头面,当病邪阻滞面部经络,尤其是手太阳和足阳明经脉受阻,可导致面瘫的发生。古人认为本病是由风邪所致,历代文献均将其归入风门,概称为＂中风＂。现代医学称之为贝尔（bell）氏麻痹与亨特（hunt）综合征[1]。

针刺配合中药离子导入治疗周围性面瘫临床观察

目的:探讨针刺配合中药离子导入治疗周围性面瘫的临床疗效。方法:治疗组运用针刺加中药离子导入治疗周围性面瘫57例,并与对照组单纯针刺治疗28例进行对比观察。结果:治疗组的痊愈率为89.5%,对照组为64.3%,治疗组疗效明显优于对照组(P<0.01)。结论:针刺配合中药离子导入治疗周围性面瘫起效快,疗效高。

针灸配合理疗治疗周围性面瘫55例

目的:研究针刺加理疗的综合物理治疗对周围性面瘫患者治疗的作用。方法:110例周围性面瘫患者随机分为2组,针刺加理疗组急性期给予针刺和超短波治疗,恢复期采用针刺、超短波及调制中频治疗。对照组则不采用针刺治疗,其他治疗相同。结果:针刺加理疗组明显优于对照组。结论:针刺加理疗的综合物理治疗更有利于面神经运动功能恢复。

电针、闪罐联合加味牵正散治疗周围性面瘫38例

目的:观察电针、闪罐联合加味牵正散治疗周围性面瘫的临床疗效。方法:将76例周围性面瘫患者采用随机数字表法随机分为治疗组和对照组。两组均避免吹风,可戴口罩、眼罩,避免感染,禁食辛辣刺激食物,不熬夜,清淡饮食,每日可用温热毛巾敷面部15~20min。对照组38例给予注射用头孢哌酮舒巴坦钠4g加入90g/L氯化钠注射液250mL中,静脉滴注,1次/d;乙酰谷酰胺注射液500mg加入500g/L葡萄糖注射液250mL中,静脉滴注,1次/d;地塞米松注射液10mg加入500g/L葡萄糖注射液250mL中,静脉滴注,1次/d;甲巯咪唑片,20mg/次,3次/d,口服;维生素B1片,200mg/次,3次/d,口服;甲钴胺片,500mg/次,3次/d,口服。治疗组38例给予电针、闪罐联合加味牵正散(全蝎、蜈蚣、白附子、僵蚕、黄芪、防风、荆芥、鸡血藤、赤芍、川芎),1d1剂,水煎,早晚各1次,温服。两组均以10~15d为1个疗程,共治疗2个疗程。结果:治疗组治愈15例,好转14例,有效7例,无效2例,有效率为94.73%;对照组治愈7例,好转14例,有效9例,无效8例,有效率为78.94%。两组对比,差别有统计意义(P<0.05)。结论:电针、闪罐联合加味牵正散治疗周围性面瘫有较好疗效。

面瘫针灸治疗概况

目的:介绍近年来针灸治疗面瘫的状况。方法:从辨证、针灸治疗等方面对近年来针灸治疗面瘫的文献报道做一综述。结论:本病的愈合与病程及病情轻重有明显的关系。另外患者的机能状态、针灸时机、针刺手法等对本病的治疗也有很大的关系。

挂钩针配合中药治疗面瘫42例

目的:观察挂钩针配合中药治疗面瘫的疗效。方法:取地仓、颊车、阳白等穴,配合中药牵正散加味内服。结果:总有效率97.6%。提示:本方法具有祛风通络,调和气血的作用。

辨证取穴配合激光照射治疗周围性面瘫100例疗效观察

目的:观察辨证论治取穴针刺配合激光照射治疗周围性面瘫的临床疗效,从而为周围性面瘫的临床治疗提供依据。方法:将200例面瘫患者随机分为治疗组和对照组各100例,治疗组在针刺取穴时辨寒热并施以补泻手法,针后激光照射,每日1次,10次为1个疗程。对照组不辨寒热不施补泻手法,针后配合神经营养药Vit12针剂500ug肌注,每日1次。结果:治疗组总有效率98%,对照组总有效率88%,两组疗效有显著差异(P<0.05)。结论:辨证论治取穴针刺并激光照射治疗周围性面瘫优于一般针刺和神经营养治疗。

80 CASES OF PERIPHERAL FACIAL PARALYSIS TREATED BY ACUPUNCTURE WITH VIBRATING SHALLOW INSERTION

Eighty cases of peripheral facial paralysis were treated by acupuncture with vibrating shallow insertion. The total effective rate was 98.75% and cure rate 88.75%. There was no significant difference in therapeutic effect as compared with the conventional electroacupuncture method (P > 0.5), suggesting that shallow puncture by vibratings can also yield satisfactory therapeutic results.

COMPARATIVE STUDY ON THE THERAPEUTIC EFFECT OF ACUPUNCTURE AND WESTERN MEDICINES FOR TREATMENT OF PERIPHERAL FACIAL PALSY

Subjective: To observe the therapeutic effect of acupuncture in treatment of acute peripheral facial paralysis. Methods: A total of 80 cases of facial palsy were randomly divided into acupuncture group (n=50) and Western medicine (control) group (n=30). In acupuncture group, Cuanzhu (BL 2), Sibai (ST 2), Yangbai (GB 14), etc. were punctured, combined with TDP radiation, cupping or administration of Chinese medicinal herbs according to the concrete situations. Acupuncture treatment was given once daily, with 6 days being a therapeutic course, continuously for 4 courses. In control group, patients were treated with intravenous injection of “energy mixture”, dexamethasone, compound Danshen injectio, etc.. Results: After treatment, in acupuncture group, of the 50 cases, 48 were cured and 2 had improvement, with the effective rate being 100%; among them, 12 cases were cured in 7 days, 23 cured in 8～14 days, 10 cured in 15～21 days and 3 cured in 22～28 days. In control group, of the 30 cases, 19 were cured, 8 had improvement and 3 had no apparent changes, with the effective rate being 90%. Of the 19 cured cases, 5 were cured within 8～14 days, 10 cured in 15～21 days and 4 cured in 22～28 days. Conclusion: In treatment of acute periphery facial palsy, acupuncture is obviously superior to Western medicines in the therapeutic effect and cure duration.

METHODOLOGICAL EVALUATION ON CLINICAL RESEARCH LITERATURE OF ACUPUNCTURE TREATMENT OF FACIAL PARALYSIS

Objective: To try to give an objective evaluation on the clinical research situation about acupuncture treatment of facial paralysis in the past 50 years and try to provide a possible evidence for clinical practice. Methods: All papers are searched and assessed according to the international standards and clinical epidemiology. Results: There is no systematic review (SR) on acupuncture treatment of facial palsy in a total of 1021 articles enlisted in the present paper. Comparing with the quantity of the descriptive studies and expert opinions (constituting 84.84%), that of the randomized controlled trials (RCTs) and clinical controlled trials (CCTs) is smaller (constituting 15.16%), besides, the quality of RCTs and CCTs is unsatisfactory. Conclusion: At present, the quantity and quality of studies with RCTs about acupuncture treatment of facial paralysis can’t meet the need of clinical practice, and in order to improve the therapeutic effect, a higher quality of RCTs and SR is required.

Acupuncture Treatment of Facial Paralysis Caused by Craniocerebral Trauma in 50 Cases

Cooperating with doctors in the Department of Brain Surgery, the author have treated 50 cases of facial paralysis caused by craniocerebral trauma in recent 3 years. The results are reported as follows.

Clinical Observation on Treatment of Acquired Paralytic Strabismus by Acupuncture Plus Oral Administration of Chinese Herbs

From June 1996 to June 2002, the author treated 38 cases of acquired paralytic strabismus by acupuncture plus oral administration of Zheng Rong Tang (正容汤), with another 38 cases of acquired paralytic strabismus treated only with oral administration of Chinese herbs as the controls. The results are reported as follows.