针刺四海输注穴治疗顽固性周围性面瘫临床疗效观察  

Clinical observation on acupuncture at infusion points of"four seas"on refractory peripheral facial paralysis

作　　者：方晨晨 胡先峰 沈梅红[1] FANG Chenchen;HU Xianfeng;SHEN Meihong(College of Acupuncture-Moxibustion and Tuina,College of Health Maintenance and Rehabilitation,Nanjing University of Chinese Medicine,Nanjing 210023,Jiangsu Province,China;TCM Hospital of Lu'an City,Lu'an 237001,Anhui Province)

机构地区：[1]南京中医药大学针灸推拿学院·养生康复学院,江苏南京210023 [2]六安市中医院,安徽六安237001

出　　处：《中国针灸》2024年第8期894-898,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察在常规针刺基础上针刺四海输注穴治疗顽固性周围性面瘫的临床疗效。方法:将52例顽固性周围性面瘫患者随机分观察组(26例,脱落2例)和对照组(26例,脱落1例)。观察组在常规针刺(取穴:印堂,患侧阳白、地仓等)基础上予针刺四海输注穴(百会、大椎及双侧上巨虚、下巨虚、足三里);对照组在常规针刺基础上于观察组四海输注穴对应非经非穴点行浅刺。两组均留针30 min,隔日1次,每周治疗3次,连续4周。分别于治疗前后观察两组患者House-Brackmann(H-B)面神经分级和面神经功能评分系统动态观评分,并于治疗后评定两组临床疗效。结果:治疗后,两组患者H-B面神经分级优于治疗前(P<0.05),且观察组优于对照组(P<0.05);两组患者面神经功能评分系统动态观评分较治疗前升高(P<0.05),且观察组高于对照组(P<0.05)。观察组总有效率为91.7%(22/24),对照组总有效率为84.0%(21/25),两组总有效率比较差异无统计学意义(P>0.05);观察组痊愈率为62.5%(15/24),高于对照组的20.0%(5/25,P<0.05)。结论:在常规针刺基础上,针刺四海输注穴可有效治疗顽固性周围性面瘫,改善患者面神经功能,提高痊愈率。Objective To observe the clinical effect of acupuncture at the infusion points of"four seas"for refractory peripheral facial paralysis on the basis of conventional acupuncture.Methods A total of 52 patients with refractory peripheral facial paralysis were randomized into an observation group(26 cases,2 cases dropped out)and a control group(26 cases,1 case dropped out).On the basis of conventional acupuncture(Yintang[GV 24+]and Yangbai[GB 14],Dicang[ST 4]at affected side,etc.),acupuncture at the infusion points of"four seas",i.e.Baihui(GV 20),Dazhui(GV 14)and bilateral Shangjuxu(ST 37),Xiajuxu(ST 39),Zusanli(ST 36),was delivered in the observation group.On the basis of conventional acupuncture,shallow acupuncture was applied at corresponding non-meridian and non-acupoint points of the infusion points of"four seas"in the control group.The needles were maintained for 30 min,the treatment was given once every other day,3 times a week for 4 weeks in the two groups.Before and after treatment,the House-Brackmann(H-B)facial nerve grading and the dynamic view score of the facial nerve function scoring system were observed,and the clinical efficacy was evaluated after treatment in the two groups.Results After treatment,the H-B facial nerve grading was improved compared with that before treatment in the two groups(P<0.05),and the grading in the observation group was superior to that in the control group(P<0.05);the dynamic view scores of the facial nerve function scoring system were increased compared with those before treatment in the two groups(P<0.05),and the score in the observation group was higher than that in the control group(P<0.05).The total effective rate was 91.7%(22/24)in the observation group,and that in the control group was 84.0%(21/25),there was no significant difference in the total effective rate between the two groups(P>0.05).The cure rate was 62.5%(15/24)in the observation group,which was higher than 20.0%(5/25)in the control group(P<0.05).Conclusion On the basis of conventional acupuncture,acupuncture

关 键 词：顽固性周围性面瘫 针刺 四海输注穴 面神经功能 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]