摘要
目的比较针刺加风池穴注射腺苷钴胺、针刺加肌注腺苷钴胺和单纯针刺三种方法治疗特发性周围性面神经麻痹疗效的差异,探讨针刺加穴注腺苷钴胺治疗本病的机理。方法将93例患者随机分为三组,每组又分为风寒、风热、风痰三种证型,治疗组32例应用针刺加穴注治疗,对照Ⅰ组30例应用针刺加肌注治疗,对照Ⅱ组31例应用单纯针刺治疗,观察治疗前后各组各证型症状并进行评分。结果治疗后,治疗组在总有效率、症状评分等各方面均优于对照Ⅰ组和对照Ⅱ组(P<0.05或P<0.01)。结论三种治疗方法对于周围性面神经麻痹均有良好疗效,其中针刺加穴注效果最好,针刺加肌注疗效次之。
Objective To compare the efficacies of three methods, acupuncture plus point Fengchi（GB20＋） injection of Cobamamide, acupuncture plus intramuscular injection of Cobamamide and simple acupuncture in treating idiopathic peripheral facial paralysis and explore the mechanism by which acupuncture plus acupuncture point injection of Cobamamide produces a therapeutic effect on this disease. Methods Ninety-three patients were randomly allocated to three groups. Each group was classified into three syndrome types, wind-cold, wind-heat and wind-phlegm. The treatment group of 32 cases received acupuncture plus acupuncture point injection, control group Ⅰ of 30 cases, acupuncture plus intramuscular injection and control group Ⅱ of 31 cases, simple acupuncture. The scores of the symptoms of different syndrome types were counted in each group before and after treatment. Results After treatment, the total efficacy rate was higher and the symptom scores were lower in the treatment group than in control group Ⅰ and in control group Ⅱ （P〈0.05 or P〈0.01）. Conclusion All the three therapeutic methods have a good effect on peripheral facial paralysis. Of them, acupuncture plus acupuncture point injection has the best effect and acupuncture plus intramuscular injection has the next.
出处
《上海针灸杂志》
2009年第7期392-394,共3页
Shanghai Journal of Acupuncture and Moxibustion
关键词
面神经麻痹
水针
针刺
电针
Facial paralysis
Acupuncture point injection
Acupuncture
Electroacupuncture
