进阶式回旋灸治疗面肌痉挛临床研究  

Clinical Study of Advanced Circular Moxibustion in Treatment of Hemifacial Spasm

作　　者：孙培养[1] 李梦[1] 吴杰[1] 李难[1] 刘辉[1] 纪叶 胡伟 李佩芳[1] SUN Peiyang;LI Meng;WU Jie;LI Nan;LIU Hui;JI Ye;HU Wei;LI Peifang(The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061 China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui 230031,China;Anhui University of Chinese Medicine,Anhui 230012,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061 [2]安徽中医药大学第一附属医院,安徽合肥230031 [3]安徽中医药大学,安徽合肥230012

出　　处：《针灸临床杂志》2023年第2期44-47,共4页Journal of Clinical Acupuncture and Moxibustion

基　　金：第五批全国中医临床优秀人才研修项目,编号:国中医药人教函[2022]1号;安徽省教育厅高校自然科学研究重大项目,编号:KJ2020ZD40;安徽省卫生健康委科研项目,编号:AHWJ2021b042。

摘　　要：目的:对比面肌痉挛(HFS)采用进阶式回旋灸、传统回旋灸疗效的区别。方法:选择面肌痉挛患者,经由随机数字表法分为观察组(行进阶式回旋灸疗法)和对照组(行传统回旋灸疗法),各30例。两组均以翳风、攒竹、四白与合谷为主穴,治疗频次为1次/d,6次/周,总干预2周。两组患者分别于治疗前、治疗2周后运用Cohen Albert分级标准、面部残疾指数量表(FDI)进行评分,比较两组间的疗效差异。结果:在面肌痉挛强度上,与未干预时相比,两组干预后皆呈明显下降表现,差异具有统计学意义(P<0.05),同时与对照组相比,观察组下降更为明显,差异具有统计学意义(P<0.05)。治疗后观察组治愈率43.33%(13/30),优于对照组23.33%(7/30);观察组总有效率93.33%(28/30),优于对照组的70.00%(21/30),差异均有统计学意义(P<0.05)。在FDI分数上,与未干预时比较,干预后两组皆为明显改善,差异均有统计学意义(P<0.05),观察组FDIP评分高于对照组,观察组FDIS评分优于对照组,差异具有统计学意义(P<0.05)。结论:通过进阶式回旋灸除了可使面肌痉挛病人症状减轻,还可提升患者社会生活功能与躯体功能,且疗效上与传统回旋灸相比更具优势,在临床中具有推广价值。Objective:To compare the therapeutic difference between advanced circular moxibustion and traditional circular moxibustion in treatment of hemifacial spasm(HFS).Methods:Patients with HFS were randomly divided into the observation group and the control group,with 30 patients in each group.The observation group was treated with advanced circular moxibustion,whereas the control group was treated with traditional circular moxibustion.Yifeng(SJ17),Zanzhu(BL2),Sibai(ST2)and Hegu(LI4)were the main points chosen in the two groups.The treatment frequency was 1 time/d,6 times/w,and the total intervention was 2w.The scores of Cohen Albert grading scale and facial Disability Index(FDI)scale were compared between before and after two weeks of the intervention in the two groups.The therapeutic differences was compared between the two groups.Results:The intensity of HFS decreased significantly after the intervention in both groups(P<0.05),and the decrease in the observation group was more significant than that in the control group(P<0.05).The cure rate was 43.33%(13/30)and the total effective rate was 93.33%(28/30)in the observation group,which were higher than 23.33%(7/30)and 70.00%(21/30)in the control group respectively(P<0.05).FDI score was significantly improved after two weeks of the intervention compared with that before the intervention in the two groups(P<0.05);FDIP score of the observation group was higher than that of the control group(P<0.05);FDIS score of the observation group was significantly lower than that of the control group(P<0.05).Conclusion:Advanced circular moxibustion can not only reduce the symptoms of the patients with HFS,but also improve their social and physical functions,and it has more advantages than traditional circular moxibustion in terms of curative effect.The therapy is worthy of clinical promotion.

关 键 词：面肌痉挛 进阶式回旋灸 传统回旋灸 艾灸 

分 类 号：R246.6[医药卫生—针灸推拿学]