活血祛瘀合泻子法治疗Bell面瘫实证恢复期的疗效观察  

Observation on the curative effect of promoting blood circulation to dispel blood stasis combine with the method of "reducing the son-organ" in the treatment of Bell facial paralysis empirical recovery

作　　者：杨晴 张学玲[1] YANG Qing;ZHANG Xue-Ling(Affiliated Hospital of Weifang Medical University,Weifang Shandong 261031)

机构地区：[1]潍坊医学院附属医院,山东潍坊261031

出　　处：《按摩与康复医学》2018年第18期22-24,共3页Chinese Manipulation and Rehabilitation Medicine

基　　金：山东省潍坊市卫计委中医药科研项目计划;合同编号:2016年(第3类)第004

摘　　要：目的:比较活血祛瘀合泻子法与常规针刺治疗Bell面瘫实证恢复期的疗效差异。方法:选取2016年4月~2017年5月面瘫患者60例随机分为观察组和对照组各30例。观察组采取活血祛瘀合泻子法,即常规针刺加血海、三阴交、二间、厉兑、束骨,对照组采取常规针刺。两组每日治疗1次,7天为一疗程,连续治疗2个疗程。选用House-Brackmann分级标准及Sunnybrook面神经功能评定系统进行分级及评分。结果:治疗后,两组患者的Sunnybrook面神经功能评分均较治疗前显著升高(P<0.05),且观察组治疗后的Sunnybrook面神经功能评分显著高于对照组(P<0.05)。治疗后,两组患者的House-Brackmann分级均较治疗前显著改善(P<0.05),且观察组治疗后的Ⅰ级、Ⅱ级发生率显著高于对照组(P<0.05)。观察组痊愈率显著高于对照组(P<0.05)。结论:活血祛瘀合泻子法在改善Bell面瘫实证恢复期的症状方面优于常规针刺。Objective： To compare the curative effect of promoting blood circulation to dispel blood stasis combine with the method of ＂reducing the son-organ＂ and routine acupuncture on Bellundefineds facial paralysis empirical recovery. Methods： 60 patients with facial paralysis from April 2016 to May 2017 were randomly divided into two groups： observation group（n=30） and control group（n=30）. Observation group take promoting blood circulation to dispel blood stasis combine with the method of ＂reducing the son-organ＂, namely the conventional acupuncture xuehai, sanyinjiao, erjian, lidui, shugu, control group take regular acupuncture. The two groups were treated once a day for 7 days and for 2 consecutive courses. Select House-Brackmann grading standard and Sunnybrook facial nerve function evaluation system for grading and scoring. Results： After treatment, the scores of Sunnybrook facial nerve function in both groups were significantly higher than those before treatment（P〈0.05）, and the scores of Sunnybrook facial nerve function in the observation group were significantly higher than those in the control group（P〈0.05）. After treatment, House-Brackmann grade in both groups was significantly improved than that before treatment（P〈0.05）, and the incidence of grade Ⅰ and Ⅱ in the observation group was significantly higher than that in the control group（P〈0.05）. The cure rate in the observation group was significantly higher than that in the control group（P〈0.05）. Conclusion： promoting blood circulation to dispel blood stasis combine with the method of ＂reducing the son-organ＂ in the improvement of symptoms of Bell palsy empirical recovery is better than that of conventional acupuncture.

关 键 词：BELL面瘫 活血祛瘀法 泻子法 常规针刺 实证恢复期 

分 类 号：R246[医药卫生—针灸推拿学]