面瘫急性期(风寒证)针灸治疗优化方案的临床研究  

Clinical Study of Acupuncture Optimization on Acute Cold Type Facial Paralysis

作　　者：王海龙 宋永红[2] 成敏锐[2] 王乐荣[2] 

机构地区：[1]山东省济宁市中医研究所,山东济宁272037 [2]山东省济宁市中医院,山东济宁272037

出　　处：《中国中医急症》2017年第2期320-323,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：山东省济宁市中医药科技发展计划项目(ZYY2015010)

摘　　要：目的探讨急性期面瘫(风寒证)针灸最佳治疗方案。方法采用Sunnybrook(多伦多)面神经功能评分及面神经功能恢复时间作为观察指标,48例患者,随机分入16组正交方案中进行治疗,对温针灸、穴位注射、刺络放血、电针四因素进行正交设计,并记录3个疗程后Sunnybrook面神经功能评分及面神经功能恢复至Ⅱ级(H-B标准)的时间。结果经方差分析,在面神经功能评分方面,温针灸、穴位注射、刺络放血、电针与误差项比较,差异均有统计学意义(均P<0.01),温针灸与刺络放血、刺络放血与电针的交互作用比较,差异亦均有统计学意义(均P<0.01)。在面神经功能恢复时间方面,温针灸、刺络放血与误差项比较,差异均有统计学意义(均P<0.01),温针灸与刺络放血的交互作用亦有统计学意义(P<0.01)。结论面瘫急性期(风寒证)的最佳针灸方案为针刺联合温针灸、穴位注射、刺络放血及电针治疗,温针灸与刺络放血在急性期介入治疗可缩短面神经恢复时间。Objective： To discuss acupuncture optimization on acute cold type facial paralysis,so as to guide clinicians to treat acute cold type facial paralysis. Methods： Sunnybrook facial nerve function score and recovery time of facial nerve function were chosen as outcome measures. 48 cases were randomly divided into 16 groups of orthogonal scheme for treatment,and Sunnybrook facial nerve function score was recorded after 3 courses of treatment,as well as the time of facial nerve function recovering to grade Ⅱ（H-B）. Results： In facial nerve function score,the difference of error terms was statistically significant among warm acupuncture moxibustion,acupoint injection,bloodletting and electroacupuncture（P〈0.01）. The difference of the interaction between warm acupuncture moxibustion and bloodletting and the interaction between bloodletting and electroacupuncture was statistically significant（P〈0.01）. In the recovery time of facial nerve,the difference among warm acupuncture moxibustion,bloodletting and error terms was statistically significant（P〈0.01）. the interaction between warm acupuncture moxibustion and bloodletting was statistically significant（P〈0.01）. Conclusion： The best acupuncture on cold type facial paralysis at acute stage is combined with warm acupuncture,acupoint injection,bloodletting and acupuncture treatment. Warm acupuncture and bloodletting therapy in the acute stage can shorten the recovery time of facial nerve.

关 键 词：面瘫急性期 风寒型 优化方案 温针灸 刺络放血 

分 类 号：R246.6[医药卫生—针灸推拿学]