龙胆泻肝汤与牵正散治疗周围性面瘫初期的疗效比较  

Observation of Londan Xiegan Tang in Treatment of Peripheral Facial Paralysis at the Early Stage

作　　者：龚可[1] 张世俊[2] 毛毅[1] 彭晓虹 嘉士健 曹娣[1] 李观荣 

机构地区：[1]成都市中西医结合医院,四川成都610017 [2]四川省第二中医医院,四川成都610031 [3]成都市名医馆,四川成都610017 [4]成都市新都区中医医院,四川成都610500

出　　处：《现代临床医学》2015年第2期115-116,120,共3页Journal of Modern Clinical Medicine

摘　　要：目的：比较龙胆泻肝汤与牵正散治疗周围性面瘫初期的临床疗效。方法：将80例患周围性面瘫初期（1～3 d）的患者随机分为龙胆泻肝汤组和牵正散组，5 d为1个疗程，2个疗程后观察疗效。观察面部肌肉恢复情况，并以House－Brackmann分级评分标准为观察指标。结果：2组总有效率比较有显著性差异（ P＜0.01），龙胆泻肝汤治疗周围性面瘫初期患者优于牵正散。结论：周围性面瘫初期病因多为湿热阻滞经络所致，治疗应以清利湿热通络的龙胆泻肝汤为主；祛风通络的牵正散应慎重选择。Objective：To investigate the clinic effect of Longdan Xiegan Tang in treatment of prime peripheral facial paralysis.Methods：Eighty patients with 1 -3 day peripheral facial paralysis were randomly assigned to taking Chinese medicineQian Zheng San group and Longdan Xiegan Tang group ,and 5days was a course.All patient were followed up for 10 days;evaluated the recovery of the facial muscle by House -Brackmann score method.Results：There ware significant difference on total efficiency or House -Brackmann score in two groups.Longdan Xiegan Tang group was super than that of Qian Zheng San group in treatment of prime peripheral facial paralysis.Conclusion：The Meridian Block with Hot and Humid is mainly couse of suffering from prime peripheral facial paralysis .Therefore it should be treated with Longdan Xiegan Tang.

关 键 词：周围性面瘫 初期 龙胆泻肝汤 牵正散 

分 类 号：R255.2[医药卫生—中医内科学]