摘要
目的观察加味牵正散与热敏灸联合应用在周围性面瘫患者中的临床疗效。方法将收治的60例周围性面瘫患者按1∶1的比例随机分为2组。对照组30例给予泼尼松片,1次30 mg,1 d 1次,连服1周后开始减量,1 0d内减量至5 mg/d;甲钴胺注射液0.5 mg,肌肉注射,1 d 1次;针刺(患侧攒竹、阳白、地仓、颊车、迎香、四白、牵正、承浆、翳风、对侧合谷),0.35 mm×40 mm不锈钢毫针,直刺或平刺入穴位1寸左右,留针20~30 min,行针1次,1次/d。观察组30例在对照组治疗基础上给予加味牵正散(白附子3 g,僵蚕10 g,全蝎3 g,白芍10 g,防风6 g,地龙10 g,甘草3 g);翳风、下关、牵正、地仓、颊车、阳白、太阳等穴热敏灸。2组均以10 d为1个疗程,共治疗3个疗程。结果观察组愈显率87%(26/30),对照组愈显率47%(14/30),差异明显,P<0.05,观察组疗效明显优于对照组。结论加味牵正散联合热敏灸治疗周围性面瘫疗效肯定,可供临床工作者参考运用。
Objective To observe the clinical efficacy of modified Qianzheng powder and heat-sensitive moxibustion on peripheralfacial paralysis. Methods 60 patients with peripheral facial paralysis admitted to our hospital were randomly divided into two groupsaccording to the ratio of 1：1. In the control group, 30 patients were given prednisone tablets once at 30 mg and once at 1 d. After oneweek of continuous administration, the dosage was reduced to 5mg/d within 10 days. Mecobalamin injection 0.5m g, muscle injection,1d1 time; Acupuncture （save bamboo, Yang side white, to warehouse, buccal car, yingxiang, four white, lead is, pulp, yifeng, to theside of the valley） , 0.35 mm x 40 mm stainless steel needle, stab or flat Pierce point 1 inch or so, retaining needle 20 ~ 30 min, rowneedle, 1 / d. In the observation group, 30 patients were given modified Qianzheng powder （white aconite 3g, stiff silkworm 10g,scorpion 3g, white peony 10g, wind-proof 6g, diplodocus 10g, licorice 3g） on the basis of treatment in the control group. Heat-sensitive moxibustion in yifeng, xiaguan, qianzheng, tiancang, cheekcar, yangbai, sun and other points was carried out. Both groupsreceived 10 days as one course of treatment, witha total of 3 courses of treatment. Results The healing rate of the observation groupwas 87%, and that of the control group was 47%. The difference was significant （P〈 0.05） . The curative effect of the observationgroup was better than that of the control group. Conclusion The curative effect of modified Qianzheng powder combined with heatsensitive moxibustion on peripheral facial paralysis is positive, which can be used as reference for clinical workers.
作者
杨志伟
付淑兰
刘娟
YANG Zhiwei;FU Shulan;LIU Juan(Rehabilitation Department,Gaoan People＇s Hospital,Jiangxi Province,Gaoan 330800,China)
出处
《中国中医药现代远程教育》
2018年第21期97-99,共3页
Chinese Medicine Modern Distance Education of China
关键词
牵正散
热敏灸
周围性面瘫
中西医结合疗法
中风
中经络
Qianzheng powder
heat sensitive moxibustion
peripheral facial paralysis
therapy of integrated medicine
stroke
apoplexy involving both collateral and meridian
