针刺人迎穴为主联合加味牵正汤治疗急性周围性面瘫临床研究  

Clinical Observation on the Treatment of Peripheral Facial Paralysis Treated with Acupuncture at Renying(ST 9) Mainly Cooperated with Modified Qianzheng Decoction

作　　者：郑若琪 韩为 张国庆[3] 张利达 张玲[3] 张君宇[3] 郑仕平[3] Zheng Ruoqi;Han Wei;Zhang Guoqing;Zhang Lida;Zhang Ling;Zhang Junyu;Zheng Shiping(Anhui University of Chinese Medicine,Anhui,Hefei 230033,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]广州医科大学附属脑病医院,广东广州510370 [3]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《中国中医急症》2022年第10期1735-1738,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(81973933);安徽省第十三批115产业创新团队“针药结合防治脑病创新团队”项目(皖人才办[2020]4号);安徽省中央引导地方科技发展专项(2017070802D151);安徽省教育厅高校优秀拔尖人才培育计划(gxbjZD16);安徽省学术和技术带头人及后备人选学术科研项目(2016H098);安徽中医药大学自然科学基金(2020efyzc03)。

摘　　要：目的观察针刺人迎穴为主联合加味牵正汤治疗急性期周围性面瘫(PFP)的疗效。方法将80例急性期PFP患者随机分为两组,均予西医常规治疗,对照组40例针刺常规取穴联合内服加味牵正汤,观察组40例另增加针刺人迎穴治疗。比较两组治疗前后House-Brackmann(H-B)分级、面部残疾指数(FDI)[(躯体功能(FDIp)和社会功能FDIs)]、症状和体征积分的变化。结果观察组总有效率为95.00%,显著优于对照组的82.51%(P<0.05)。治疗后,观察组患者H-B分级、FDIs评分、症状和体征积分均低于对照组(P<0.05),FDIp评分高于对照组(P<0.05)。结论针刺人迎穴为主联合加味牵正汤能有效改善急性期PFP患者的临床症状,提高生活能力。Objective:To observe the clinical efficacy of combining acupuncture at Renying(ST9)plus Modified Qianzheng Decoction(facial paralysis decoction)to treat peripheral facial paralysis.Methods:A total of80 patients with acute peripheral facial paralysis were randomly divided into two groups,40 cases in each group.Both groups were treated with conventional western medicine;the control group was treated with acupuncture points combined with oral modified Qianzheng Decoction,and the observation group was added with acupuncture at Renying(ST9).The changes in facial nerve function(H-B)classification,facial disability index(FDI),symptoms and signs were compared between the two groups before and after treatment.Results:After 4-week treatment,the total effective rate of the observation group was 95.00%,which was higher than 82.51%in the control group(P<0.05).After 4-week treatment,the scores of H-B grades,the facial disability index-social function(FDIS)in the FDI and symptom and sign scores in observation group were dropped significantly compared with the control group(P<0.05).While the facial disability index-physical function(FDIp)in the FDI in the observation group were higher than in the control group(P<0.05).Conclusion:The combination of acupuncture at Renying(ST9)as the main treatment for acute peripheral facial paralysis with the addition of modified Qianzheng Decoction can effectively improve the clinical symptoms and enhance the living ability of patients with acute peripheral facial paralysis.

关 键 词：周围性面瘫 针刺 人迎穴 加味牵正汤 临床观察 

分 类 号：R745.02[医药卫生—神经病学与精神病学]