温针灸配合中药治疗眼肌型重症肌无力临床观察  

Clinical Observation of Warm Needling plus Herbal Medicine for Ocular Myasthenia Gravis

作　　者：盛昭园[1] 陈钢[1] 胡智海[1] 应汝炯[1] 俞淼青 李庚和[1] 

机构地区：[1]上海市中西医结合医院,上海200082

出　　处：《上海针灸杂志》2015年第6期540-542,共3页Shanghai Journal of Acupuncture and Moxibustion

基　　金：上海市优秀青年中医临床人才培养项目(ZYSNXD011-RCXLXX-20110011);上海市虹口区卫生局科研项目(虹卫1204-20)

摘　　要：目的比较温针灸和溴吡斯的明治疗眼肌型重症肌无力患者的疗效差异,寻找最佳治疗方法。方法 70例眼肌型重症肌无力患者,随机分为温针灸治疗组及常规西药溴吡斯的明对照组,每组35例,两组同时服用强力益气汤剂。观察6星期,随访3个月。分别选择重症肌无力临床绝对评分法和相对评分法评分、脾气虚型中医证候量表对两种治疗方法的疗效进行量化比较及疗效评定。结果温针灸配合中药治疗眼肌型重症肌无力总有效率为85.7%,高于对照组。结论温针灸配合中药治疗眼肌型重症肌无力疗效确切。Objective To compare the therapeutic efficacy between warm needling and Pyridostigmine bromide in treating ocular myasthenia gravis, for seeking the optimal treatment method. Method Seventy patients with ocular myasthenia gravis were randomized into a treatment group intervened by warm needling and control group intervened by Pyridostingmine bromide, 35 in each group; meanwhile, fortified Yi Qi Tang decoction was given to both groups. The observation lasted 6 weeks and a 3-month follow-up was conducted. The clinical absolute and relative scoring system for myasthenia gravis, and the Chinese medicine syndrome scale for spleen-qi deficiency were adopted for quantitative comparison and efficacy evaluation. Result The total effective rate was 85.7% in the treatment group, higher than that in the control group. Conclusion Warm needling plus herbal medicine is effective in treating ocular myasthenia gravis.

关 键 词：重症肌无力 温针疗法 针药并用 

分 类 号：R246.6[医药卫生—针灸推拿学]