针刺联合强的松治疗茎乳孔处急性面瘫的疗效评价  

Therapeutic Evaluation on Acupuncture Combined with Prednisone on Acute Facial Paralysis at Stylomastoid Foramen

作　　者：安宝珍[1] 周忠琴[2] An Baozhen;Zhou Zhongqin(The Affiliated Hospital of Shandong University of TCM,Shandong,Jinan 250011,China)

机构地区：[1]山东中医药大学附属医院,山东济南250011 [2]大连医科大学,辽宁大连116044

出　　处：《中国中医急症》2020年第6期1002-1003,1014,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：山东省中医药科技发展计划项目(2017-078)。

摘　　要：目的探讨针刺治疗急性面瘫是否必须联用激素这一问题,为治疗急性面瘫提供新的参考。方法将60例茎乳孔处急性面瘫患者随机分为观察组与对照组各30例。对照组于瘫痪侧面部针刺治疗,观察组在对照组基础上联合服用标准体质量用量的强的松,两组治疗疗程分别为2周和4周,然后根据面瘫的治疗标准和FNGS2.0评定治疗效果。结果治疗2周,两组有效率均为100.00%,观察组治愈率为76.67%,对照组治愈率为66.67%,两组比较差异无统计学意义(P>0.05)。治疗后两组FNGS2.0评分分级例数比较无明显差异(P>0.05)。治疗4周,观察组治愈率为90.00%,对照组的治愈率为93.33%,两组治愈率比较差异无统计学意义(P>0.05);两组FNGS2.0评分分级例数比较,差异无统计学意义(P>0.05)。结论治疗茎乳孔处急性面瘫没必要服用强的松。面瘫患者是否服用强的松治疗急性面瘫,要因其疾病病位和病情而定。Objective:To explore whether acupuncture should be combined with hormone in the treatment of acute facial paralysis,so as to provide a new reference for it.Methods:60 patients were randomly divided into the trial group and the control group,30 cases in each.The control group accepted acupuncture on the side of paralysis,and on that basis,the trial group accepted oral Prednisone according to standard weight.The treatment courses were 2 weeks and 4 weeks respectively.The therapeutic effect was evaluated according to the treatment standard and FNGS2.0.Results:After 2 weeks of treatment,the effective rate of the two groups was 100%,the cure rate of the experimental group 76.67%,and that of the control group 66.67%.There was no significant difference between the two groups(P<0.05).After treatment,there was no significant difference in the number of grading cases in FNGS2.0 scores between two groups(P>0.05).Conclusion:It is unnecessary to take Prednisone in the treatment of acute facial paralysis at stylomastoid foramen.It depends on the disease location and condition whether the patients take Prednisone.

关 键 词：急性面瘫 针刺 强的松 临床疗效 

分 类 号：R745.12[医药卫生—神经病学与精神病学]