针刺配合刺络拔罐治疗风热型周围性面瘫的效果  

Effect of acupuncture cooperate with pricking and cupping therapy on wind-heat type peripheral facial paralysis

作　　者：刘海永 王然 金光明 闫晋升 LIU Haiyong;WANG Ran;JIN Guangming;YAN Jinsheng(Department of Traditional Chinese Medicine,Sanhe City Hospital,Hebei Province,Sanhe 065200,China;Department of Traditional Chinese Medicine,Yanda Hospital,Hebei Province,Sanhe 065201,China)

机构地区：[1]河北省三河市医院中医科,河北三河065200 [2]燕达医院中医科,河北三河065201

出　　处：《中国医药导报》2019年第28期151-153,161,共4页China Medical Herald

基　　金：河北省中医药管理局科研计划项目（2018541）

摘　　要：目的探讨针刺结合刺络拔罐治疗风热型周围性面瘫的临床应用效果。方法选取2017年4月~2018年12月河北省三河市医院和燕达医院门诊及住院收治的风热型周围性面瘫患者200例作为研究对象,根据治疗方法不同将其分成两组,观察组100例采用针刺结合刺络拔罐治疗,对照组100例采用西医常规疗法治疗,两组均以10 d为1个疗程,共治疗2个疗程。以周围性面神经炎治疗成绩评分表(Portmann评分)评估患者面神经功能,记录面瘫明显改善耗时,比较临床疗效、复发率以及临床疗效满意度。结果观察组面瘫明显改善所用时间明显短于对照组,而Portmann评分明显高于对照组,差异均有统计学意义(均P<0.05);观察组复发率低于对照组,有效率明显高于对照组,差异均有统计学意义(均P<0.05);观察组满意度明显高于对照组,差异有统计学意义(P<0.05)。结论针刺配合刺络拔罐治疗风热型周围性面瘫操作简便,效果显著,安全性好,可在临床推广。Objective To explore the clinical application effect of acupuncture combined with pricking and cupping in the treatment of wind-heat type peripheral facial paralysis.Methods Two hundred patients with wind-heat type peripheral facial paralysis admitted to the out-patient and in-patient treatment of Sanhe City Hospital and Yanda Hospital in Hebei Province from April 2017 to December 2018 were selected as subjects.According to different treatment methods,they were divided into two groups.One hundred patients in the observation group were treated with acupuncture combined with pricking and cupping,while 100 patients in the control group were treated with conventional western medicine.In both groups,10 days was one course of treatment,with a total of 2 courses of treatment.The facial nerve function of the patients was evaluated with the score table of the treatment of peripheral facial neuritis(Portmann scale),and the time consumption of the improvement of facial paralysis was recorded.Clinical efficacy,recurrence rate and clinical efficacy satisfaction were compared.Results The treatment time of facial paralysis in the observation group was significantly shorter than that in the control group,while the Portmann score was significantly higher than that in the control group,the differences were statistically significant(all P<0.05).The recurrence rate of the observation group was lower than that of the control group,and the effective rate was significantly higher than that of the control group,the differences were statistically significant(all P<0.05).The satisfaction of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with pricking and cupping to treat wind-heat type peripheral facial paralysis is simple,effective and safe,which can be popularized in clinic.

关 键 词：针刺 刺络拔罐 穴位治疗 风热型周围性面瘫 临床观察 

分 类 号：R246.6[医药卫生—针灸推拿学]