马钱子散穴位贴敷治疗周围性面瘫的临床观察  

Clinical Observation of Acupoint Application with Maqianzi Powder for Treatment of Peripheral Facial Paralysis

作　　者：杨夷君 郭锡全[2] YANG Yi-Jun;GUO Xi-Quan(Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;School of Continuing Education,Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]广州中医药大学继续教育学院,广东广州510006

出　　处：《广州中医药大学学报》2021年第9期1906-1911,共6页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察马钱子散穴位贴敷治疗周围性面瘫的临床疗效。【方法】将66例周围性面瘫患者随机分为观察组和对照组,每组各33例,2组患者均给予甲钴胺片口服,观察组给予马钱子散穴位贴敷治疗,对照组给予常规针刺治疗,10 d为1个疗程,连续治疗2个疗程。治疗2个疗程后,评价2组患者的临床疗效,观察2组患者治疗前后改良Portmann简易评分的变化情况,以及面部残疾指数(FDI)量表评分的变化情况,FDI评分包括躯体功能指数量表(FDIP)和社会生活功能量表(FDIS)评分。【结果】(1)研究过程中,观察组失访1例,对照组失访1例、中止1例。最终观察组32例、对照组31例纳入疗效统计。(2)治疗后,2组患者的Portmann简易评分均明显提升,差异有统计学意义(P<0.01)。治疗后,观察组患者的Portmann简易评分,与对照组比较,差异无统计学意义(P>0.05)。(3)治疗后,2组患者的FDIP及FDIS评分均明显改善,与治疗前比较,差异均有统计学意义(P<0.01)。治疗后,观察组FDIP及FDIS评分,与对照组比较,差异无统计学意义(P>0.05)。(4)观察组总有效率为90.63%(29/32),对照组总有效率为96.77%(30/31),观察组与对照组疗效相当,差异无统计学意义(P>0.05)。(5)2组患者治疗前后肝、肾功能均未见明显异常,2组患者治疗期间均未出现明显不良反应,2组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】马钱子散穴位贴敷治疗周围性面瘫,能明显改善患者的临床症状,且操作简单,经济成本低,可作为常规针刺的有效替代疗法,具有一定的临床应用价值。Objective To observe the clinical efficacy of acupoint application with Maqianzi Powder for treatment of peripheral facial paralysis(PFP). Methods Sixty-six patients of PFP were randomly divided into the observation group and the control group,33 cases in each group. Both groups were given oral use of mecobalamin tablets,while the observation group was given acupoint application with Maqianzi Powder and that of the control group was given conventional acupoint treatment,10 days as a course and the treatment lasting for two consecutive courses.After two courses,the clinical efficacy of the two groups were evaluated,the changes of modified Portmann simple score,facial disability index(FDI)including physical function index(FDIP)and social activity function scale(FDIS)in the two groups were observed before and after treatment. Results(1)During the study,there was one case lost to follow-up in the observation group and one case fell-off in the control group. Finally,32 cases in the observation group and 31 cases in the control group were included in the curative effect statistics.(2)After treatment, the Portmann simple score of patients in the two groups was significantly improved, the difference being statistically significant(P<0.01). After treatment,there was no significant difference in Portmann simple score between the observation group and the control group(P>0.05).(3)After treatment,the FDIP and FDIS score of patients in the two groups were significantly improved, and the differences was statistically significant compared to those before treatment(P<0.01). After treatment,there was no significant difference in FDIP and FDIS scores between the observation group and the control group(P>0.05).(4)The total effective rate was 90.63%(29/32)in the observation group,and 96.77%(30/31)in the control group,there being no significant difference in therapeutic effect in the two groups(P>0.05).(5)There was no significant abnormality in liver and renal function in the two groups before and after treatment,and no obvious adver

关 键 词：穴位贴敷 马钱子散 周围性面瘫 Portmann简易评分 面部残疾指数 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]