多针透刺法联合揿针治疗急性期贝尔面瘫  

Efficacy of Multiple Acupoint to Acupoint Penetration Needling Combined with Thumbtack Needling in Treating Acute Bell's Palsy

作　　者：白雪 王思琦[1] 李坤钰 齐超 李崖雪[2] BAI Xue;WANG Siqi;LI Kunyu;QI Chao;LI Yaxue(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《中医药信息》2024年第10期39-42,48,共5页Information on Traditional Chinese Medicine

基　　金：黑龙江省自然科学基金项目(H2015033);黑龙江省中医药科研项目(ZHY2020-106)。

摘　　要：目的:观察多针透刺法联合揿针治疗急性期贝尔面瘫的临床疗效。方法:将符合纳入标准的60例急性期贝尔面瘫患者依据随机数字表随机分为对照组和观察组,每组各30例。对照组给予常规西药治疗,观察组给予多针透刺法联合揿针治疗,两组均治疗4周。观察治疗前后两组患者Sunnybrook面神经系统评分、面部残疾指数(FDI)评分、Portmann积分以及SAS焦虑评分变化,并比较临床疗效。结果:治疗后,两组患者患侧Sunnybrook评分(P<0.01)、Portmann评分(P<0.01)、FDI指数升高(P<0.01),SAS焦虑水平降低(P<0.01),且观察组优于对照组。观察组临床总有效率93.3%(28/30)明显高于对照组76.7%(23/30),差异具有统计学意义(P<0.05)。结论:多针透刺法联合揿针治疗急性期贝尔面瘫患者,可有效改善急性期贝尔面瘫患者的临床症状,降低负面情绪,提高生活质量。Objective:To observe the clinical efficacy of multiple acupoint to acupoint penetration needling combined with thumbtack needling in the treatment of acute Bell′s palsy.Methods:Sixty patients with acute Bell′s palsy meeting the inclusion criteria were randomly divided into a control group and an observation group,with 30 patients in each group.The control group received conventional Western medication,while the observation group was treated with multiple acupoint to acupoint penetration needling combined with thumbtack needling for 4 weeks.Changes in Sunnybrook Facial Nerve System scores,Facial Disability Index(FDI)scores,Portmann scores,and SAS anxiety scores were observed before and after treatment in both groups,and clinical efficacy was compared.Results:After treatment,the affected side Sunnybrook scores(P<0.01),Portmann scores(P<0.01),and FDI indices increased(P<0.01),while SAS anxiety levels decreased(P<0.01)in both groups,with the observation group showing significantly better results than the control group.The total clinical effective rate in the observation group was 93.3%(28/30),significantly higher than the control group’s 76.7%(23/30),with a statistically significant difference(P<0.05).Conclusion:Multiple acupoint to acupoint penetration needling combined with thumbtack needling is effective in improving clinical symptoms,reducing negative emotions,and enhancing the quality of life in patients with acute Bell′s palsy.

关 键 词：贝尔面瘫 多针透刺 揿针 负面情绪 面神经 表情肌 

分 类 号：R246.6[医药卫生—针灸推拿学]