针刺结合管灸治疗顽固性面瘫的临床观察  

Clinical Study on Treating Intractable Facial Paralysis by Tube Moxibustion combined with Acupuncture Treatment

作　　者：熊中豪 宋娜[1] 周熙[1] 田丰玮 苟春雁 XIONG Zhong-hao;SONG Na;ZHOU Xi;TIAN Feng-wei;GOU Chun-yan(Chongqing Traditional Chinese Medicine Hospital,Chongqing 400021,China)

机构地区：[1]重庆市中医院,重庆400021

出　　处：《中医药导报》2021年第11期113-116,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：重庆市科卫联合中医药科技项目(ZY201802029);重庆市科卫联合中医药技术创新与技术发展项目(2021ZY3571)。

摘　　要：目的:观察针刺结合管灸治疗顽固性面瘫的临床疗效。方法:将符合纳入标准的100例顽固性面瘫患者(2个月≤病程≤1年)随机分为治疗组和对照组各50例,两组患者均常规针刺患侧阳白、太阳、迎香、地仓、下关、颊车、翳风,以及健侧合谷,治疗组患者在常规针刺后将管灸器插入患侧外耳道1 cm,点燃艾绒,充分燃烧20 min。对照组患者予患侧阳白、下关、地仓、颊车隔姜灸,每穴灸3壮。两组均每日治疗1次,每周治疗5次,连续治疗4周。在治疗前后采集House-Brackmann评分量表,并统计面瘫合并症。结果:治疗组总有效率为91.30%(42/46),对照组总有效率为68.09%(32/47),治疗组高于对照组,差异有统计学意义(P<0.05);治疗组新发面瘫合并症(面肌联动、面肌痉挛、面肌倒错、鳄鱼泪)发生率(10.87%,5/46)低于对照组(40.43%,21/47),差异有统计学意义(P<0.05)。结论:针刺结合管灸可改善顽固性面瘫症状,降低后遗症发生率,提高临床疗效。Objective: To observe the clinical efficacy of treating intractable facial paralysis by tube moxibustion combined with acupuncture treatment. Methods: Totally 100 cases who met the inclusion criteria were randomly divided into treatment group(50 cases) and control group(50 cases). Both groups were treated with acupuncture treatment on accupoints of Yangbai(GB14), Taiyang(EX-HN5), Yingxiang(LI20), Dicang(ST4), Xiaguan(ST7), Jiache(ST6), Yifeng(SJ17) of affected side, Hegu(LI4) of unaffected side. On the basis of acupuncture treatment, treatment group was given tube moxibustion therapy, inserting the ipsilateral external auditory canal about 1 cm and waiting for burning out, 20 minutes each time. Control group was treated by ginger moxibustion on accupoints of Yangbai(GB14), Xiaguan(ST7), Dicang(ST4), Jiache(ST6). Treatment for both groups were once a day, 5 times a week, continuously for 4 weeks. House-Brakmann facial nerve functional index was collected pretherapy and post-treatment, complications of facial paralysis were counted post-treatment. Results:The effective rate of treatment group(91.30%, 42/46) was higher than that of control group(68.09%, 32/47), the difference was statistical significant(P<0.05). Treatment group had less complications(10.87%, 5/46) than control group(40.43%, 21/47), the difference was statistical significant(P<0.05). Conclusion: Tube moxibustion combined with acupuncture treatment can improve the symptoms of intractable facial paralysis, reduce the sequela and promote clinical efficacy.

关 键 词：顽固性面瘫 针刺 管灸 针灸 后遗症 临床疗效 

分 类 号：R246.6[医药卫生—针灸推拿学]