穴位注射法结合透刺治疗贝尔面瘫临床疗效观察  

Effective observation on treating Bell palsy by acupoint injection plus penetration acupuncture

作　　者：李思晴 李永清 李黎[1] 蒋学余 Li Siqing

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]岳阳市中医医院,湖南岳阳414000

出　　处：《中医临床研究》2019年第4期19-23,共5页Clinical Journal Of Chinese Medicine

摘　　要：目的:观察听会穴注射结合透刺治疗贝尔面瘫临床疗效观察。方法:将84例贝尔面瘫患者随机分成治疗组和对照组,其中治疗组为听会穴注射结合透刺组、对照组为常规针刺组,两组均在治疗20 d后比较疗效、治疗前后各时段RPA平分变化及治疗后H-B分级,两组治疗后面神经电图。结果:两组在治疗2个疗程后,治疗组总有效率为95.24%,对照组总有效率为71.43%,两组疗效对比差异有统计学意义(P <0.05)。两组治疗前后RPA评分变化经t检验,两组各时时段分与前一时点相比均有显著提高,差异有统计学意义(P <0.05);同组及两组分别在治疗第10天比较差异有统计学意义(P <0. 05),第20天治疗组与对照组比较,差异具有统计学意义(P <0.05);两组EMG在治疗后比较潜伏期及波幅,差异具有统计学意义(P <0.05)。结论:说明两种治疗方法均可有效改善患者面神经功能恢复,但听会穴注射结合透刺治疗贝尔面瘫临床疗效更优于常规针刺治疗。Objective: To observe clinical efficacy of Tinghui acupoint (听会穴) injection plus penetration acupuncture on Bell palsy. Methods: 84 cases were divided into two groups. The control group was given conventional acupuncture;and the treatment group was given Tinghui acupoint injection plus penetration acupuncture, for 20 days. Results: After 2 courses of treatment, the total efficiency was 95.24% in the treatment group and 71.43% in the control group (P<0.05). The RPA scores in two groups were increased continuously in each period (P<0.05). On the 10th day of treatment, the difference between the groups was statistically significant (P<0.05). On day 20, there was a significant difference between the treatment group and the control group (P<0.05). After treatment, there were significant differences in EMG between the groups (P<0.05). Conclusion: The Tinghui acupoint injection plus penetration acupuncture on Bell palsy shows a better effect.

关 键 词：贝尔氏面瘫 透刺 听会穴 

分 类 号：R745.12[医药卫生—神经病学与精神病学]