双银纠正汤联合针灸治疗风热证周围性面瘫54例  

Shuangyin Jiuzheng Decoction Combined with Acupuncture in Treating 54 Cases with Wind-heat Type Peripheral Facial Paralysis

作　　者：王志华[1] 张光茹[1] 

机构地区：[1]青海省中医院,西宁810000

出　　处：《中国实验方剂学杂志》2015年第19期158-161,共4页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：2014年青海省卫生计生指导性科研项目(2014022)

摘　　要：目的:探讨双银纠正汤联合针刺治疗周围性面瘫(风热证)的临床观察及疗程报道。方法:108例周围性面瘫(风热证)患者随机按数字表分为针灸组和治疗组各54例。针灸组采用针刺穴位治疗,1次/d,每周休息1 d;治疗组在针灸组治疗的基础上采用双银纠正汤内服治疗,1剂/d,分3次口服。两组疗程均为4周。进行治疗前后面部残疾躯体功能指数(FDIP),社会生活功能(FDIS),面神经功能分级(H-B)量表和中医证候评分。结果:治疗组的临床总有效率为90.74%,高于针灸组的75.93%(P<0.05);治疗组临床治愈率50%,针灸组为24.07%,治疗组优于针灸组(P<0.05),治疗后第2周治疗组治愈例数多于针灸组(P<0.05);治疗后治疗组FDIP量表评分高于针灸组(P<0.05),FDIS评分较低于针灸组(P<0.05);治疗后治疗组H-B评分和中医证候评分较均低于针灸组(P<0.05)。结论:与单纯针刺治疗比较,双银纠正汤联合针刺治疗周围性面瘫(风热型)能明显提高临床总有效率和缩短治疗疗程。Objective： To observe the efficacy and treatment course of Shuangyin Jiuzheng decoction combined with acupuncture in the treatment of wind-heat type peripheral facial paralysis. Method： One hundred and eight patients with wind-heat type peripheral facial paralysis were randomly divided into acupuncture group （54 cases） and treatment group （54 cases） according to the number table method. Patients in acupuncture group accepted acupuncture treatment, qd and one day interval every week. The patients in treatment group were additionally given with Shuangyin Jiuzheng decoction based on one acupuncture treatment, 3 times/day, 1 dose/ day taken orally. The treatment course was 4 weeks in both groups. Facial disable index physiology （FDIP） , facial disability index society （FDIS）, house-branckmann （H-B） scale, and traditional Chinese medicine （TCM） syndrome were scored in both groups before and after treatment. Result： The total effective rate in treatment group was 90.74% , higher than 75.93% in acupuncture group （P 〈0.05）. The clinical cure rate was 50% in treatment group, higher than 24.07% in acupuncture group （P 〈 0.05）. The number cured cases in treatment group was higher than that in control group at the 2nd week after treatment （P 〈 0.05）. After treatment, FDIP score in treatment group was higher than that in acupuncture group, with statistical significance between two groups （P 〈 0.05） , and FDIS score in treatment group was lower than that in acupuncture group （P 〈 0.05 ）. Decrease of H-B score and TCM syndrome score in treatment group was more significant than that of acupuncture group （P 〈 0.05）. Conclusion： Compared with acupuncture alone, Shuangyin Jiuzheng decoction combined with acupuncture can obviously improve the total effective rate and shorten the course of treatment in the treatment of wind-heat type peripheral facial paralysis, and deserves clinical application.

关 键 词：周围性面瘫 风热证 双银纠正汤 针刺 

分 类 号：R287[医药卫生—中药学]