摘要
[目的]观察扽针治疗顽固性面瘫疗效。[方法]使用随机平行对照方法,将46例门诊患者按就诊顺序编号简单随机分为两组。对照组23例主穴：患侧丝竹空、颧髎、翳风、风池、牵正、颊车、地仓、双侧太冲、合谷。配穴：眉毛不能上抬取阳白、头临泣;鼻唇沟变浅取迎香;下眼睑闭合不全取四白;人中沟变浅取人中。斜刺或平刺0.8~1.5寸。常规针刺,得气后适度深刺增强针感,以耐受为度。治疗组23例主穴：患侧丝竹空、颧髎、牵正（在面颊部,耳垂前0.5~1寸处）、翳风、风池、双侧太冲、合谷,用1.5~2寸28号不锈钢毫针针刺以上穴位,平补平泻,得气基础上适度深刺增强针感。扽针法,取3寸28号不锈钢毫针由颊车向地仓方向透刺2~2.5寸,同一方向捻转针柄直至不动,形成人为滞针,然后手持针柄向耳后方向小幅度牵拉数次,使患者局部产生酸胀感为度;配穴同对照组。治疗40d为1疗程。观测临床症状、面神经功能评分、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈17例,显效3例,有效2例,无效1例,总有效率95.65%;对照组痊愈8例,显效8例,有效4例,无效3例,总有效率86.95%;治疗组疗效优于对照组（P〈0.05）。[结论]扽针治疗顽固性面瘫,疗效满意,无严重不良反应,值得推广。
[Objective] To observe Den acupuncture treatment of intractable facial paralysis. [Method] random parallel control method, 46 cases of outpatient treatment order numbers simple randomized into two groups. The control group of 23 patients the main point： ipsilateral empty string and wind Quanliao, Yifeng, the wind pool, Qianzheng, buccal ear, to warehouse, bilateral Taichong, gu. Points： eyebrow elevation can not take Yang Bai, head Lintong; shallow nasolabial take Yingxiang; under ]agophthalmos take four white; shallow philtrum take people. Obliquely or flat spines 0.8 to 1.5 inches. Conventional acupuncture, may air moderately deep puncture needle enhanced sense to tolerate the degree. Treatment group of 23 patients the main point： ipsilateral empty string and wind Quanliao, Qianzheng （in the cheek, before lobe at 0.5 to 1 inch）, Yifeng, the wind pool, bilateral Taichong, gu, 1.5 to 2 inches 28 gauge stainless steel needle acupuncture points or more, reinforcing-reducing, get gas on the basis of moderately deep puncture needle to enhance sense. Den needle, take three 28-inch stainless steel needle direction by a buccal car warehouse radially through barbed 2 to 2.5 inch, twisting in the same direction until it does not move the needle shaft to form artificial Needle, and then holding the needle handle minor ear direction stretch several times, so that patients with locally generated a sense of soreness for the degree; distribution points with the control group. 40 d for a course of treatment. Observing clinical symptoms and adverse reactions. One course of treatment, to determine efficacy. [Results] treatment group cured 17 cases, effective in 3 cases, 2 cases, 1 case, the total efficiency of 95.65%; the control group recovered in 8 cases, 4 cases were markedly effective in 4 cases, 7 cases, the total efficiency of 69.57%; treatment group than the control group （P〈0.05）. [Conclusion] Den acupuncture treatment of intractable facial paralysis, results were satisfactory, no serious adverse reactions
出处
《实用中医内科杂志》
2016年第9期18-20,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
顽固性面瘫
急性期
后遗症期
拖针
络病
针刺
面神经功能评分
中医药治疗
随机平行对照研究
intractable facial paralysis
the acute phase
sequelae
Den acupuncture
Luobing（络病）
acupuncture
Facial nerve function score
traditional Chinese medicine treatment
randomized controlledstudy
