摘要
目的观察火针联合中药治疗面肌痉挛的临床疗效。方法选取2016年10月至2018年6月天津中医药大学第二附属医院针灸脑病门诊收治的面肌痉挛患者共40例。按照随机数字表法分为治疗组和对照组,每组20例。治疗组采用火针联合中药治疗,对照组采用口服卡马西平治疗。治疗后,采用秩和检验比较2组患者痉挛强度差异,采用χ~2检验比较2组患者临床疗效差异。结果治疗后2组患者痉挛强度比较,差异具有统计学意义(Z=2. 01,P <0. 05)。对照组治愈2例,显效4例,有效6例,无效8例,总有效率60%(12/20);治疗组治愈11例,显效5例,有效2例,无效2例,总有效率90%(18/20)。2组总有效率比较,差异具有统计学意义(χ~2=4. 8,P <0. 05)。结论火针与中药联合治疗面肌痉挛能够有效改善面肌痉挛的强度,有效改善临床疗效。
Objective To observe the clinical efficacy of fire needle combined with Chinese medicine in the treatment of hemifacial spasm.Methods A total of 40 patients with hemifacial spasm from the acupuncture and moxibustion clinic of the second affiliated hospital of Tianjin university of traditional Chinese medicine from October 2016 to June 2018 were selected. They were randomly divided into treatment group and control group according to the number, 20 cases in each group. The treatment group was treated with fire needle combined with traditional Chinese medicine, and the control group was treated with oral carbamazepine . After treatment, the difference in spasm intensity between the two groups was compared by rank sum test, and the difference of clinical efficacy between the two groups was compared by χ ^2 test.Results After treatment, the difference in spasm intensity between the two groups was statistically significant （Z=2.01, P 〈0.05）. The control group was cured in 2 cases, markedly effective in 4 cases, effective in 6 cases, and ineffective in 8 cases . The total effective rate was 60% （12/20）. The treatment group was cured in 11 cases, markedly effective in 5 cases, effective in 2 cases, ineffective in 2 cases, and total effective rate. 90% （18/20）. The total effective rate of the two groups was compared, and the difference was statistically significant （ χ ^2=4.8, P 〈0.05）.ConclusionCombination of fire needle and traditional Chinese medicin in the treatment of hemifacial spasm can effectively improve the intensity of hemifacial spasm and improve the clinical efficacy.
作者
孙师静
李斌
张连城
Sun Shijing;Li Bin;Zhang Liancheng(Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301636,China;The 3rd Department of Acupuncture and Moxibustion Encephalopathy,The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China)
出处
《中华针灸电子杂志》
2018年第4期151-153,共3页
Chinese Journal of Acupuncture and Moxibustion（Electronic Edition）
关键词
火针疗法
中草药
痉挛
Fire-needle therapy
Drugs
Chinese herbal
Spasm
