齐刺、扬刺治疗面肌痉挛疗效观察  

Therapeutic Observation of Triple Needling plus Centro-square Needling for Hemifacial Spasm

作　　者：孙钰[1] 张文[1] 

机构地区：[1]淮北市中医医院,淮北235000

出　　处：《上海针灸杂志》2015年第3期205-207,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察齐刺、扬刺治疗面肌痉挛的临床疗效。方法将6 8例面肌痉挛患者随机分为治疗组和对照组,每组3 4例。治疗组采用扬刺局部阿是穴和齐刺患侧翳风穴治疗,对照组采用常规针刺治疗。两组均每日治疗1次,1 0次为1个疗程,共治疗3个疗程。两组分别在治疗前后进行面神经痉挛程度Cohen Albert分级评定,并比较两组临床疗效。结果两组治疗后痉挛强度分级比较,差异具有统计学意义(P<0.0 5)。治疗组显著改善率为8 8.2%,对照组为5 0.0%,两组比较差异有统计学意义(P<0.0 5)。结论齐刺、扬刺是一种治疗面肌痉挛的有效方法 ,具有取穴少、疗效高、针对性强、易于操作等优点。Objective To observe the clinical efficacy of triple needling and centro-square needling in treating hemifacial spasm. Method Sixty-eight patients with facial spasm were randomized into a treatment group and a control group, 34 in each group. The treatment group was intervened by centro-square needling at topical Ashi points and triple needling at Yifeng （TE 17） on the affected side; the control group was intervened by regular acupuncture. The two groups were treated once a day, 10 times as a treatment Course, for 3 courses in total. Cohen Albert grading scale was adopted to evaluate the spasm intensity before and after the intervention, and the clinical efficacies were then compared. Result After intervention, there was a significant difference in comparing the spasm intensity between the two groups （P〈0.05）. The significant improvement rate was 88.2% in the treatment group versus 50.0% in the control group, and the difference was statistically significant （P〈 0.05）. Conclusion Triple needling plus centro-square needling is an effective method in treating hemifacial spasm. This method uses less points, but it produces a high efficacy, strong pertinence, and is easy-to-operate.

关 键 词：针刺疗法 齐刺 扬刺 面肌痉挛 穴 阿是 穴 翳风 

分 类 号：R246.6[医药卫生—针灸推拿学]