颊针结合牵正穴放血治疗顽固性面瘫临床研究  

Clinical Study of Buccal Acupuncture Combined with Prick Bloodletting on Qianzheng Points in Treating Intractable Facial Paralysis

作　　者：杨谦 陈楠 YANG Qian;CHEN Nan(Urumqi Hospital of Traditional Chinese Medicine, Urumqi 830000, China;The Fourth Affiliated Hospital of Traditional Chinese Medicine, Xinjiang Medical University, Urumqi 830000, China)

机构地区：[1]新疆乌鲁木齐市中医医院,新疆乌鲁木齐830000 [2]新疆医科大学附属第四中医医院,新疆乌鲁木齐830000

出　　处：《针灸临床杂志》2021年第11期32-35,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:观察颊针结合点刺放血治疗顽固性面瘫患者的临床疗效。方法:选取2016年6月—2019年6月于新疆乌鲁木齐市中医医院及新疆医科大学附属第四中医医院就诊的90例顽固性面瘫。按随机数字表法分为观察组及对照组,每组各45例,对照组使用西医常规治疗,观察组在对照组基础上加予颊针结合点刺放血治疗。观察两组治疗后的临床症状改善时间及面神经麻痹程度分级评分、面部残疾指数(FDI)量表评分及House-Brackmann分级变化。结果:经相应治疗后,观察组额纹消失、口角歪斜、味觉消失等临床症状改善时间均明显较对照组短;两组患者治疗后的面神经麻痹程度评分、面部残疾指数(FDI)量表评分明显高于治疗前,且观察组明显较对照组高;另外,观察组治疗后的House-Brackmann分级明显较对照组降低,两组比较差异具有统计学意义(P<0.05);观察组治疗后的总有效率为84.44%(38/45),明显高于对照组的66.67%(30/45),两组总有效率比较,差异具有统计学意义(P<0.05)。结论:颊针结合点刺放血可明显改善顽固性面瘫患者的临床症状,恢复面部神经功能,具有良好疗效,值得在临床上推广使用。Objective:To observe the clinical effect of buccal acupuncture combined with prick bloodletting in the treatment of intractable facial paralysis.Methods:90 patients with intractable facial paralysis were randomly divided into the observation group and the control group,with 45 cases in each group.The control group was treated with conventional western treatment;on which basis,the observation group was also treated with buccal acupuncture combined with prick bloodletting.The improvement of clinical symptoms,grading scores of facial nerve palsy,the scores of facial disability index(FDI)scale and the grades of House-Brackmann scale were observed in the two groups after the treatment.Results:After the corresponding treatment,the clinical symptoms of the observation group,such as the disappearance of frontal striations,the distortion of mouth,and the disappearance of tongue and taste,were all improved in a shorter time than those in the control group.The scores of facial nerve paralysis degree and facial disability index(FDI)scale were significantly higher after the treatment than those before the treatment in the two groups;of which the observation group was significantly higher than the control group.The grade of House-Brackmann in the observation group was significantly lower than that of the control group after the treatment(P<0.05).The total effective rate of the observation group was 84.44%(38/45),which was significantly higher than 66.67%(30/45)of the control group(P<0.05).Conclusion:Buccal acupuncture combined with prick bloodletting can obviously improve the clinical symptoms of the patients with intractable facial paralysis and restore facial nerve function.

关 键 词：颊针 牵正穴 点刺放血 顽固性面瘫 面神经功能 

分 类 号：R246.6[医药卫生—针灸推拿学]