循经透刺法联合温针灸治疗周围性面瘫患者的临床研究  

Clinical Study of Penetration Needling along Meridians Combined with Needle-Warming Moxibustion in Treatment of Peripheral Facial Paralysis

作　　者：张红艳 皮亚彬 ZHANG Hongyan;PI Yabin(Bozhou Hospital of Traditional Chinese Medicine,Bozhou 236800,China)

机构地区：[1]亳州市中医院,安徽亳州236800

出　　处：《针灸临床杂志》2024年第4期48-53,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽中医药大学科研基金项目,编号:2021LCBZ07。

摘　　要：目的:观察循经透刺法联合温针灸治疗周围性面瘫的临床疗效。方法:将122例周围性面瘫患者随机分为对照组与联合组,各61例,对照组采用温针灸治疗,联合组于对照组的基础上联合循经透刺法治疗。治疗为5次/周,2周为1个疗程,两组均治疗2个疗程。治疗后,观察比较两组患者治疗前后的周围性面瘫各项症状评分、面神经功能分级(H-B)、面部残疾指数量表(FDI)变化情况,并统计临床治疗效果和不良事件发生情况。结果:治疗后,联合组各项症状评分均低于对照组,差异具有统计学意义(P<0.05);联合组H-B分级优于对照组,差异具有统计学意义(P<0.05);联合组FDI躯体评分高于对照组,FDI社会评分低于对照组,差异具有统计学意义(P<0.05);联合组治疗总有效率高于对照组,差异具有统计学意义(P<0.05);治疗过程中两组均未发生不良事件。结论:循经透刺法联合温针灸治疗周围性面瘫疗效良好,可有效改善面神经功能,缓解面部神经麻痹,值得临床应用推广。Objective:To observe the clinical effect of penetration needling along meridians combined with needle-warming moxibustion in treatment of peripheral facial paralysis.Methods:122 patients with peripheral facial palsy were randomly divided into the control group and the combined group,with 61 cases in each group.The control group was treated with needle-warming moxibustion;on which basis,and the combined group was also treated with penetration needling along meridians.Both groups were treated 5 times a week for 4 weeks.Various symptoms scores of peripheral facial palsy,facial nerve function grading(H-B),Facial Disability Index(FDI),clinical therapeutic effect and occurrence of adverse events were compared between the two groups.Results:After the treatment,the various symptoms scores were lower in the combined group than those in the control group(P<0.05);the H-B grading was better in the combined group than that in the control group(P<0.05);the FDI physical function score was higher in the combined group than that in the control group,whereas the FDI social function score was lower in the combined group than that in the control group(P<0.05).The total effective rate was higher in the combined group than that in the control group(P<0.05).No adverse events occurred in both groups during the treatment.Conclusion:Penetration needling along meridians combined with needle-warming moxibustion has a good efficacy in treatment of peripheral facial paralysis,and it can effectively improve the facial nerve function and relieve the facial nerve paralysis.The therapy is worthy of clinical promotion.

关 键 词：周围性面瘫 循经透刺法 温针灸 

分 类 号：R246[医药卫生—针灸推拿学]