缪刺结合刺络拔罐法治疗顽固性面神经麻痹临床研究  

Clinical research on contralateral acupuncture combined with venesection cupping method in treating refractory facial paralysis

作　　者：周亮君 

机构地区：[1]湘潭县中医医院,湖南湘潭411228

出　　处：《中医临床研究》2012年第23期16-18,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨采用缪刺结合刺络拔罐法对顽固性面神经麻痹进行治疗取得的临床效果及对患者的面部影响。方法:将2011年5月～2012年5月期间我院收治的顽固性面神经麻痹患者80例分为两组,各组40例。治疗组采取缪刺结合刺络拔罐法进行治疗,而常规组则采取传统针刺法进行治疗,两组均治疗4个疗程。检测所有患者治疗前和治疗后穴位微循环参数和面部肌电位,并进行统计分析。结果:治疗组与常规组的总有效率分别为90.0%、67.5%,两组比较差异有统计学意义(P<0.05);治疗组40例,在额肌、上唇方肌、下唇方肌无病理电位表现的病例数分别为20例、22例、25例;常规组40例,在额肌、上唇方肌、下唇方肌无病理电位表现的病例数分别为11例、13例、15例;两组比较差异有统计学意义(P<0.05);治疗前比较,两组患者治疗后健侧阳白穴、地仓穴和颊车穴的微循环血流量明显增高,差异有统计学(P<0.05)。与常规组比较,治疗组在治疗后患者健侧阳白穴、地仓穴和颊车穴的微循环血流量增高更加明显,差异具有统计学意义(P<0.05)。结论:缪刺结合刺络拔罐法治疗顽固性面神经麻痹的疗效显著,其机制可能与减少病理电位、改善患者局部微循环损伤状态有关。Objective： To investigate the clinical effect ofcontralateral acupuncture combined with venesection cupping method in treating refractory facial paralysis and the influence to the patients＇ faces. Methods： 80 cases collected from May in 2011 to May in 2012 were divided into two groups, 40 cases in each one. The treatment group was treated by contralateral acupuncture combined with venesection cupping method, while the control group was treated by only traditional acupuncture. Both groups were treated four courses of treatment. The microcirculation parameters and facial muscle potential before and after treatment of all the patients were detected and analyzed. Results： The total effective rate of the treatment group and control group was 90.0% and 67.5%, respectively. There was significant difference between two groups （P〈0.05）. Among the 40 cases in the treatment group, 20 cases, 22 cases and 25 cases had no pathological electric potential in the frontal muscle, quadrate muscle of upper lip and lower lip muscle, respectively. While among the treatment group, 11 cases, 13 cases and 15 cases had no pathological electric potential in the frontal muscle, quadrate muscle of upper lip and lower lip muscle, respectively. There was significant difference between two groups （P〈0.05）. Compared with pretherapy, the microcirculation blood flow in the Yangbai, Dicang and Jiache acupoints of the uninjured side increased obviously after treatment, with significant difference （P〈0.05）. Conclusion： Contralateral acupuncture combined with venesection cupping method had a significant effect. Its mechanism might be connected with reducing pathological electric potential and improving partial microcirculatory injury.

关 键 词：缪刺 刺络拔罐法 顽固性面神经麻痹 临床研究 

分 类 号：R256.46[医药卫生—中医内科学]