听宫穴滞针治疗急性期特发性面神经麻痹临床观察  

Needle Sticking at Tinggong(SI19)in the Treatment of Acute Idiopathic Facial Palsy

作　　者：金小钰 刘运珠[2] JIN Xiaoyu;LIU Yunzhu(The First Clinical Medical College,Guangxi University of Chinese Medicine,Guangxi,Nanning 530023,China;Department of Acupuncture and Moxibustion,The First Affiliated Hospital of Guangxi University of Chinese Medicine,Guangxi,Nanning 530023,China)

机构地区：[1]广西中医药大学第一临床医学院,广西南宁530023 [2]广西中医药大学第一附属医院针灸科,广西南宁530023

出　　处：《中国中医药现代远程教育》2024年第24期115-118,共4页Chinese Medicine Modern Distance Education of China

摘　　要：目的比较听宫穴滞针和常规针刺治疗急性特发性面神经麻痹的临床效果。方法将60例符合纳入标准的患者按照随机数字表法均分为两组,每组30例,均予常规西药基础治疗。治疗组于听宫穴施滞针手法,其余腧穴予平补平泻手法;对照组均予常规针刺法。采用House-Brackmann(H-B)面神经功能分级、Portmann面部功能评分评价两组治疗前后临床症状改善情况及临床疗效。结果治疗组总有效率为93.33%(28/30),高于对照组的73.33%(22/30)(P<0.05)。治疗后,两组H-B面神经功能分级、Portmann面部功能评分均较治疗前明显改善,且治疗组明显优于对照组,差异均有统计学意义(P<0.05)。结论听宫穴滞针术治疗急性期特发性面神经麻痹临床效果显著,且优于常规针刺法。Objective To compare the difference in clinical efficacy between needle sticking at Tinggong(SI19)and conventional acu⁃puncture at the acupuncture point for the treatment of acute phase idiopathic facial palsy.Methods A total of 60 patients who met the inclusion criteria were divided into 2 groups according to the random number table method,with 30 cases in each group.Two groups were given conventional Western medicine as basic treatment.In the treatment group,the needle sticking was applied on the Tinggong(SI19),and the rest of the acupuncture points were treated with flat tonic and flat diarrheal techniques.In the control group,conven⁃tional acupuncture was used.At the end of the course of treatment,the H-B grading scale and Portmann facial function scoring were used to evaluate the improvement of patients’clinical symptoms before and after treatment.Results The total effective rate of treat⁃ment group was 93.33%(28/30),which was higher than that of control group(73.33%,22/30)(P<0.05).After treatment,H-B facial nerve function grade and Portmann facial function score in both groups were significantly improved compared with before treatment,the treatment group was significantly better than the control group,and the difference was statistical significance(P<0.05).Conclu⁃sion The needle sticking at Tinggong(SI19)is effective in treating acute idiopathic facial palsy,and can improve clinical symptoms,and the effect of needle sticking is better than conventional acupuncture.

关 键 词：面瘫 特发性面神经麻痹 针刺疗法 滞针术 听宫穴 

分 类 号：R246.6[医药卫生—针灸推拿学]