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中医体质辨识针灸治疗面神经炎对患者IL-6、IL-17的影响及安全性分析

Influence of TCM Constitution Acupuncture on Facial Neuritis on Patients'IL-6,IL-17 and Safety Analysis
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摘要 目的探讨中医体质辨识针灸治疗面神经炎对患者白介素-6(IL-6)、白介素-17(IL-17)的影响及安全性分析。方法选取2018年1月至2019年5月贵州省人民医院南明堂诊所收治的108例面神经炎患者,按随机数字表法分为观察组与对照组,各54例。对照组实施西医方式治疗,观察组实施中医体质辨识针灸治疗,连续治疗28 d。对比2组临床疗效及不良反应,对比2组治疗前后血清炎性因子。结果观察组临床总有效率98.15%显著高于对照组77.78%(P<0.05);治疗后,2组患者血清IL-6及IL-17均较治疗前降低,观察组低于对照组(P<0.05);2组面部痉挛、面肌抽搐发生率经比较差异无统计学意义(P>0.05)。结论针对面神经炎患者,采用中医体质辨识针灸方式治疗成效显著,可有效降低血清炎性因子,起到抑制免疫炎性损伤的效果,且不良反应少,值得临床全方位推广。 Objective To explore the effect and safety analysis of Chinese medicine constitution identification acupuncture on facial neuritis on patients with IL-6 and IL-17.Methods A total of 108 patients with facial neuritis treated in our hospital from January 2018 to May 2019 were selected and divided into observation group and control group by random number table method,with 54 cases each.The control group was treated with western medicine,and the observation group was treated with acupuncture and moxibustion for TCM constitution recognition for 28 consecutive days.The clinical efficacy and adverse reactions were compared between the two groups,and serum inflammatory factors were compared before and after treatment.Results The total clinical effective rate in the observation group was 98.15%,which was significantly higher than that in the control group 77.78%(P<0.05).After treatment,serum IL-6 and IL-17 in both groups were lower than before treatment,and the observation group was lower than the control group(P<0.05).The incidence of facial spasm and facial muscle twitch in the two groups was not statistically significant(P>0.05).Conclusion For patients with facial neuritis,acupuncture treatment with TCM constitution identification has achieved remarkable results,which can effectively reduce serum inflammatory factors,play a role in suppressing immune inflammatory damage,and fewer adverse reactions,which deserves all-round clinical promotion.
作者 鲁润秋 胡婷 孙启芳 何文 LU Runqiu;HU Ting;SUN Qifang;HE Wen(Nanmingtang Clinic of Guizhou Provincial People's Hospital,Guiyang,Guizhou 550001,China)
出处 《大医生》 2019年第24期108-110,共3页 Doctor
关键词 中医体质辨识 面神经炎 针灸 白介素-6 白介素-17 TCM constitution identification facial neuritis acupuncture interleukin-6 interleukin-17
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