摘要
目的:探讨经筋刺法治疗Hunt面瘫患者在面神经功能、身心功能方面的临床疗效。方法:将80例Hunt面瘫患者随机分为针刺组、西药组,每组40例。针刺组给予经筋刺法,1次/d,每次留针30 min,10 d为1个疗程,共治疗3个疗程。西药组给予醋酸泼尼松,30 mg/d,每日1次,连用5 d减至10 mg/d,再连续服用7 d后停用;阿昔洛韦颗粒0.2 g/次,5次/d,连用7 d;肌肉注射维生素B12 0.5 mg、维生素B1 0.1 g,1次/d,10 d后改为口服维生素B1 10 mg/次,3次/d。观察治疗前后中医症状体征积分、面部残疾指数(FDI)量表,观察House-Brackman(H-B)面神经功能分级并进行临床疗效评价。结果:与治疗前比较,西药组治疗后中医症状体征中鼻唇沟深浅、耸鼻运动、口角歪斜、食物滞留、耳后或乳突部疼痛积分显著降低(P<0.05),针刺组治疗后各项中医症状体征积分均显著降低(P<0.05);与西药组比较,针刺组治疗后各项中医症状体征积分均显著降低(P<0.05)。与治疗前比较,两组治疗后FDIP(躯体功能)积分、FDIS(社会生活功能)积分均显著升高(P<0.01);且针刺组治疗后FDIP、FDIS积分显著高于西药组(P<0.01)。针刺组总有效率为97.5%(39/40),西药组总有效率为72.5%(29/40),针刺组临床疗效显著优于西药组(P<0.01)。结论:经筋刺法能够更好地促进患者面神经及躯体、社会心理状态的恢复,改善Hunt面瘫患者面神经功能和身心功能,具有很好的临床疗效。
Objective To observe the clinical effectiveness of Jingjin(muscle region) needling in the treatment of Hunt facial paralysis(HFP). Methods A total of 80 HFP patients were randomly divided into acupuncture and medication groups(n=40 cases/group). Jingjin needling was applied to Yangbai(GB14) to Shangxing(GV23), Touwei(ST8), Cuanzhu(BL2), Sizhukong(TE23,penetrative needling), Dicang(ST4) to Jiache(ST6, penetrative needling), Yingxiang(LI20) and Xiaguan(ST7), Hegu(LI4), Yifeng(TE17), Yuyao(EX-HN 4), and Shenmai(BL62), with the needles retained for 30 min. The treatment was conducted once daily, with 10 consecutive days being a therapeutic course, and 3 courses altogether. Patients of the medication group received oral administration of Prednisone acetate(12 days), Acyclovir(7 days), intramuscular injection of Vitamin B12 and Vitamin B1(10 days), then, oral administration of Vitamin B1, successively. The therapeutic effect was assessed by using House-Brackman(H-B) facial function grading system(grade I to VI), traditional Chinese medicine(TCM) sign and symptom score, and facial disability index(FDI) scale including FDI physical function(FDIP, food and water swallowing, speaking-pronouncing, dryness or tearing, and mouth-opening) and FDI social function(FDIS, self-rating anxiety/depression scales), separately.Results After the treatment, the TCM symptom and sign scores for depth of nasolabial groove, nose shrugging, lower lip asymmetry, food retention and post-auricular pain were significantly lower in the medication group(P<0.05).After the treatment, the TCM symptom and sign scores for frontal muscle movement, eyelid opening and closing, depth of nasolabial groove, nose shrugging, lower lip asymmetry, cheek blowing, food retention, latissimus cervicalis contraction, taste disorder, hearing hypersensitivity, tears and discomfort and post-auricular pain were significantly lower in the acupuncture group(P<0.05).Comparison between two groups showed that the TCM symptom and sign scores for frontal muscle movement, eyelid
作者
徐立伟
宋春侠
权兴苗
刘玉兰
吴松柏
XU Li-wei;SONG Chun-xia;QUAN Xing-miao;LIU Yu-lan;WU Song-bai(Department of Traditional Chinese Medicine,Affiliated Hospital of Chengde Medical College,Chengde 067000,Hebei Province,China)
出处
《针刺研究》
CAS
CSCD
北大核心
2020年第4期330-333,F0003,共5页
Acupuncture Research
基金
承德市科学技术研究与发展计划项目(No.201801A033)。
关键词
经筋刺法
Hunt面瘫
面神经功能
身心功能
中医症状体征
Jingjin needling
Hunt facial paralysis
Facial nerve function
Psychosomatic function
Traditional Chinese medicine signs and symptoms
