摘要
将2017年11月1日至2019年1月30日杭州市中医院针灸科门诊及住院部治疗的110例顽固性面瘫患者,随机分为对照组与观察组(各55例),对照组电针面部局部腧穴,观察组在对照组治疗基础上同时针刺中镇六穴,以上治疗结束取针后火针治疗患侧阳白、颧髎、地仓、夹承浆,火针治疗每周2次,其余治疗每日1次、每周5次,连续治疗4周。于治疗前、后,对两组患者的House-Brackmann(HB)面神经功能分级、Zung氏焦虑自评量表(SAS)进行评价。两组共完成病例104例(各52例),两组内治疗前后HB面神经功能分级及SAS比较,差异均有统计学意义(均P<0.01);治疗后两组间HB面神经功能分级及SAS比较,差异有统计学意义(P<0.05,P<0.01)。提示电针面部局部腧穴结合针刺中镇六穴与火针可有效改善顽固性面瘫患者的面神经功能及焦虑状态。
One hundred and ten patients with obstinate facial palsy were randomly divided into study group and control group with 55 cases in each group. Both groups received electropuncture on face acupoints five times a week, the study group received additional acupuncture on Zhongzhen six acupoints, subsequently fire needles were used for Yangbai (GB 14), Quanliao (SI 18), Dicang (ST 4) and Jiachengjiang (Extra) acupoints twice a week. And the treatment courses lasted for four weeks. The House-Brackmann (HB) scale and Self-Rating Anxiety Scale (SAS) were used for evaluation of facial nerve function and anxiety status before and after treatment, respectively. One hundred and four cases completed the treatment in the two groups. Before treatment there were no significant differences in HB and SAS scores between study and control groups (Z=-0.271, P=0.79;Z=-1.689, P=0.09). After 4 weeks of treatment the HB and SAS scores in both group were significantly improved (Z=-5.652, Z=-5.038, all P<0.01;Z=-6.050, Z=-5.332, all P<0.01);however, there were significant differences in HB scale and SAS scores after treatment between two groups (Z=-2.066, Z=-2.884, all P<0.05). The electric acupuncture on face acupoints plus Zhongzhen six acupoints combined with fire acupuncture can effectively improve facial nerve function and anxiety state in patients with obstinate facial palsy.
作者
陈飞宇
刘小平
陈东林
楚佳梅
包烨华
Chen Feiyu;Liu Xiaoping;Chen Donglin;Chu Jiamei;Bao Yehua(Department of Acupuncture and Moxibustion,Hangzhou Dingqiao Hospital,Hangzhou 310021,China;Department of Acupuncture/Moxibustion and Rehabilitation,Hangzhou TCM Hospital,Hangzhou 310007,China)
出处
《中华全科医师杂志》
2019年第9期865-867,共3页
Chinese Journal of General Practitioners
基金
浙江省中医药科技计划(2017ZA102).
关键词
面神经麻痹
火针
中镇六穴
电针
焦虑
Facial paralysis
Fire needle
Zhongzhen six acupoints
Electroacupuncture
Anxiety
