揿针联合肌内效贴治疗风痰阻络型卒中面瘫疗效观察  

Efficacy observation of thumb-tack needle for subcutaneous embedding and Ji'neixiao plaster on post-stroke central facial paralysis with syndrome of wind-phlegm blocking collaterals

作　　者：鹿传娇[1] 张儒奇 李石林 李文豪[1] 杨宪章[1] LU Chuan-jiao;ZHANG Ru-qi;LI Shi-lin(Affiliated Hospital of Jining Medical College,Shandong Province,Jining 272029,China)

机构地区：[1]山东省济宁医学院附属医院,济宁272029 [2]山东中医药大学

出　　处：《山西中医》2024年第11期27-29,共3页Shanxi Journal of Traditional Chinese Medicine

基　　金：山东省中医药科技发展计划项目(编号:2019-0472);山东省济宁市重点研究项目(编号:2022YXNS081)。

摘　　要：目的:观察揿针疗法联合肌内效贴治疗脑卒中后面瘫患者的临床疗效。方法:选取符合纳入标准的60例脑卒中后面瘫患者随机分为两组各30例。对照组予常规治疗,治疗组在对照组基础上予揿针联合肌内效贴治疗。两组均连续治疗4周。比较两组临床疗效与治疗前后H-B面神经功能、面部残疾指数。结果:治疗组总有效率为80.00%,优于对照组的63.33%(P﹤0.05)。治疗后,两组H-B面神经功能分级、躯体功能评分、社会功能评分均较治疗前改善(P﹤0.05),且治疗组改善程度优于对照组(P﹤0.05)。结论:揿针疗法联合肌内效贴治疗脑卒中后面瘫疗效明显,能够改善患者面神经功能,恢复其正常躯体功能与社会生活能力。Objective:To observe the clinical efficacy of thumb-tack needle for subcutaneous embedding and Ji'neixiao plaster on post-stroke central facial paralysis(PSCFP).Methods:60 cases of eligible patients with PSCFP were selected and randomly divided into two groups,30 cases in each group.The control group was treated by routine therapy,while the treatment group was treated plus with thumb-tack needle for subcutaneous embedding and Ji'neixiao plaster on the basis of control group.Both groups were treated continuously for 4 weeks.The clinical efficacy,H-B facialnerve function and facial disability index were compared between two groups before and after treatment.Results:The total effective rate of treatment group was 80.00%,which was significantly better than 63.33%of control group(P﹤0.05).In both groups after treatment,H-B facialnerve function grading,somatic function score and social function score were improved compared with pre-treatment(P﹤0.05),and the improvement degree of treatment group was better than that of control group(P﹤0.05).Conclusion:The clinical efficacy of thumb-tack needle for subcutaneous embedding and Ji'neixiao plaster on post-stroke central facial paralysis is significant,which can improve the facial nerve function of patients and restore their normal somatic function and social life ability.

关 键 词：脑卒中 中枢性面瘫 揿针 肌内效贴 针灸疗法 

分 类 号：R745.12[医药卫生—神经病学与精神病学]