温和灸翳风穴治疗周围性面瘫灸感与灸效关系的临床观察  

Relationship between Patients' Sensitivity to Moxibustion Stimulation and Clinical Effect in the Treatment of Peripheral Facial Palsy

作　　者：钱海良[1] 付勇[2] 熊俊[2] 张波[2] 谢洪武[2] 陈日新[2] 罗小军[1] 何铝 谢秀俊 

机构地区：[1]江西中医药大学,南昌330006 [2]江西中医药大学附属医院,南昌330006

出　　处：《针刺研究》2013年第6期493-496,501,共5页Acupuncture Research

基　　金：国家重点基础研究发展计划("973"计划;No.2009CB 522902);江西省科技支撑计划(No.20132BBG 70059);2012年江西省研究生创新专项资金项目(No.YC 2012-S 110);2011年江西中医学院研究生创新专项资金项目(No.JZYC 11A01)

摘　　要：目的:观察温和灸翳风穴治疗周围性面瘫出现热敏灸感与非热敏灸感的临床疗效差异。方法:对符合研究标准的43例周围性面瘫患者的翳风穴施以温和灸,每次45min,1次/d,共10d;每次艾灸治疗后予以常规针刺治疗,艾灸10d结束后继续针刺治疗10d。艾灸治疗后,根据热敏灸感出现与否及出现次数将患者分为热敏灸感组和非热敏灸感组,并采用改良Portmann评分标准对两组患者治疗前后临床症状进行评价。结果:两组患者治疗后Portmann评分均较治疗前明显提高(P<0.001),且热敏灸感组治疗后的Portmann评分高于非热敏灸感组(P<0.05);热敏灸感组患者愈显率为85.71%(18/21),非热敏灸感组患者愈显率为54.55%(12/22),两组间比较差异有统计学意义(P<0.05)。结论:艾灸治疗周围性面瘫临床疗效确切;热敏灸感的出现是提高灸疗疗效的关键。Objective To compare the outcome difference between the heat-sensitive and non-sensitive moxibustion stimulation of Yifeng （TE 17） in the treatment of peripheral facial palsy. Methods A total of 43 patients with peripheral facial paralysis were divided into heat-sensitive moxibustien （n = 21） and non-sensitive moxibustion （n = 22） groups in accordance with their reactions to moxa-heat stimulation. Mild moxibustion was applied to bilateral Yifeng （TE 17） for 45 minutes, followed by mild acupuncture stimulation of Cuanzhu （BL 2）, Yangbai （GB 14）, Sibai （ST 2）, Hegu （LI 4）, etc. Moxibustion treatment was con- ducted once daily for 10 days, and acupuncture treatment given once daily for 20 days （with 2 days interval between every 10 days）. Following moxibustion, if the patient felt regional heat penetrating to the deep tissue, extending peripherally, or propaga- ting to other part of the body, or felt mild warm in the stimulated region but warmer in the slightly distant part, or felt mild warm on the skin surface but warmer in the deep tissue, it was considered to be heat-sensitivity. Patients with occurrence of heat-sensitivi- ty being equal to and more than 3 times during the 10 sessions of treatment were assigned to heat-sensitive group, and those with occurrence of heat-sensitivity being equal to or less than 2 times assigned to non-sensitive moxibustion group. According to Port- mann Scale （including movement and resting posture） for the voluntary movement state of the face, forehead, winkles eye clo- sure, open mouth smile, snarl, and pucker; points 0, 1, 2 and 3 indicate no muscular movement, marked asynersis, asynersis and normal, respectively. In the light of resting posture of the eye, the nasolabial fold and mouth corner, 0, 1, and 2 points indi- cate severe, mild dissymmetry and normal, separately. In evaluation of the therapeutic effect, twenty points （at most） indicate cured, 17-19 points marked improvement; 14- 16 points improved, and 13 points failure. Resul

关 键 词：周围性面瘫 温和灸 临床疗效 灸感 

分 类 号：R245.8[医药卫生—针灸推拿学]