中西医结合治疗急性期Hunt综合征临床效果观察及评价  

Clinical Effect Observation and Evaluation of Combination of Traditional Chinese and Western Medicine on Hunt Syndrome in Acute Stage

作　　者：杨丽[1] 李鑫[1] 刘昌佳 郜静[1] 刘敏肖[1] 李曼[1] 苏心镜[1] 

机构地区：[1]河北北方学院附属第二医院,河北宣化075100

出　　处：《中国中医急症》2016年第7期1372-1374,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：张家口市科学技术研究与发展计划项目(1521071D)

摘　　要：目的观察及评价翳风穴梅花针叩刺放血拔罐联合星状神经节阻滞对急性期Hunt面瘫的临床效果。方法选取急性期Hunt面瘫患者75例,随机分为观察组、对照Ⅰ组、对照Ⅱ组,每组25例。在药物治疗的基础上,观察组采用翳风穴梅花针叩刺联合星状神经节阻滞治疗,对照Ⅰ组为梅花针叩刺放血拔罐治疗,对照Ⅱ组采用星状神经节阻滞治疗。观察3组患者治疗期间局部疱疹消退时间、疼痛程度(VAS评分)及2个疗程治疗完成后的临床效果。结果疱疹消退时间观察组明显短于对照Ⅰ、Ⅱ组(P<0.05)。第一疗程治疗完成后观察组VAS评分观察组显著低于对照Ⅰ、Ⅱ组(P<0.05);观察组临床痊愈率及总有效率均高于对照Ⅰ、Ⅱ组,且差异有统计学意义(P<0.05)。结论翳风穴梅花针叩刺放血拔罐联合星状神经节阻滞治疗急性期Hunt临床疗效确切,无不良反应及其他并发症,临床痊愈率及总有效率均高于单一采用翳风穴梅花针叩刺放血拔罐组和星状神经节阻滞组。Objective： To investigate and evaluate clinical effect of plum-blossom needle cupping bloodletting on Yifeng （S J17） combined with stellate ganglion block on facial paralysis of Hunt in Acute Stage. Methods： 75 patients clinically diagnosed with acute facial paralysis of Hunt were randomly divided into the observation group and control group Ⅰ , control group Ⅱ, 25 cases in each. On the basis of drug treatment, the observation group received plum-blossom needle cupping bloodletting on Yifeng （S J17） combined with SGB,control Ⅰ group plumblossom needle bloodletting cupping therapy,control group Ⅱ SGB treatment. Local herpes regression time and pain degree （VAS score） were observed during treatment,as well as clinical effect after 2 courses of treatment. Results： As for herpes regression time, the observation group was （3.6±1.1）, control group Ⅰ （5.9±2.1）, control group 11 （6.1 ±2.4） ; the difference was statistically significant （P 〈 0.05）. After the first course of treatment, VAS scores of the observation group were significantly lower than those of the control groups （P〈 0.05）. Clinical cure rate and total effective rate of the observation group was higher than those of the control groups, and the difference was statistically significant （P〈 0.05）. Conclusion： Plum-blossom needle cupping bloodletting on Yifeng（SJ17） combined with stellate ganglion block on facial paralysis of Hunt in Acute Stage has a clinical curative effect, no adverse reactions and other complications;the clinical cure rate and total effective rate is higher than the single use of cupping bloodletting on Yifeng（SJ17） or stellate ganglion block.

关 键 词：HUNT综合征 梅花针 穴 翳风 星状神经节阻滞 

分 类 号：R245.3[医药卫生—针灸推拿学]