健患侧同调针法治疗急性期周围性面瘫临床观察  

Clinical Observation of Jian Huan Tong Tiao Needling for Peripheral Facial Paralysis in Acute Stage

作　　者：李瑞超[1] 吴雷[2] 

机构地区：[1]北京中医药大学东方学院,廊坊065000 [2]天津中医药大学第二附属医院,天津300150

出　　处：《上海针灸杂志》2017年第2期150-153,共4页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的比较健患侧同治针刺法与单纯针刺患侧法在治疗急性期周围性面瘫的临床疗效差异,为急性期周围性面瘫的针刺治疗提供依据。方法将50例患者随机分为健患同治组(25例)、针刺患侧组(25例)。两组针刺取穴相同,健患同治组针刺双侧腧穴,而针刺患侧组仅选取患侧腧穴进行针刺治疗,隔日1次,治疗4星期。应用House-Brackmann(H-B)面神经功能评价分级系统于治疗前后对两组患者面神经功能进行评分,并比较两组疗效。结果两组均能促进面神经功能恢复,但健患同治组疗效优于针刺患侧组(P<0.05);健患同治组在治疗2星期时H-B评分优于针刺患侧组(P<0.05);健患同治组痊愈后的复发率低于针刺患侧组(P<0.05)。结论健患侧同调针刺法能够加速急性期周围性面瘫面神经功能的恢复,并能有效降低复发率,疗效优于单纯针刺患侧腧穴。Objective To compare the clinical efficacy between Jian Huan Tong Tiao needling （acupuncture at both healthy and affected sides） and acupuncture at the affected side alone in treating peripheral facial paralysis （FP） in acute stage, and to provide evidences for the acupuncture treatment of peripheral FP in acute stage. Method Fifty patients were randomized into a Jian Huan Tong Tiao needling group （25 cases） and an affected side needling group （25 cases）. By selecting the same acupoints, the Jian Huan Tong Tiao needling group received acupuncture at both sides, while the affected side needling group received acupuncture only at the affected side, once every other day, successively for 4 weeks. House-Brackmann （H-B） facial nerve grading system was used to score the facial nerve function before and after the treatment, and the therapeutic efficacies were compared between the two groups. Result The facial nerve function was improved in both groups, while the therapeutic efficacy was superior in the Jian Huan Tong Tiao needling group to that in the affected side needling group （P〈0.05）; after 2-week treatment, the H-B score was higher in the Jian Huan Tong Tiao needling group than in the affected side needling group （P〈0.05）; of the recovered cases, the relapse rate was lower in the Jian Huan Tong Tiao needling group than in the affected side needling group （P〈0.05）. Conclusion Jian Huan Tong Tiao needling can boost the recovery of the facial nerve function in peripheral FP, reduce the relapse rate, and produce a higher therapeutic efficacy than needling the affected side alone.

关 键 词：针刺 面神经麻痹 急性期 健患侧同调 House-Brackmann面神经功能评价 

分 类 号：R246.6[医药卫生—针灸推拿学]