摘要
目的:观察在常规疗法基础上加用梅花针刺法联合小续命汤加味治疗风寒阻络型周围性面瘫的效果。方法:纳入82例周围性面瘫患者,依据随机数字表法分为对照组和观察组各41例。2组均予常规治疗措施,包括药物治疗和康复训练,观察组加予梅花针刺法联合小续命汤加味治疗。2组均连续治疗2周。于治疗前及治疗2周后评定2组患者的面部残疾指数(FDI)评分[面部残疾躯体功能(FDIP)评分和社会生活功能(FDIS)评分]、面神经功能评分[House-Brackmann(H-B)面神经功能分级量表评分、Portmann简易评分],观察患者的不良反应发生情况,比较2组的临床疗效。结果:治疗2周后,观察组临床疗效总有效率高于对照组(P<0.05)。2组FDIP评分均较治疗前增加,FDIS评分均较治疗前减少,差异均有统计学意义(P<0.01);观察组FDIP评分高于对照组,FDIS评分低于对照组,差异均有统计学意义(P<0.05)。2组H-B评分及Portmann简易评分均较治疗前升高(P<0.01),观察组2项评分值均高于对照组(P<0.01)。治疗过程中,2组均未出现不良反应情况。结论:在常规疗法基础上加用梅花针刺法联合小续命汤加味治疗风寒阻络型周围性面瘫效果显著,能有效缓解患者的症状体征,促进面神经功能的恢复,提高疗效。
Objective:To observe the effect of acupuncture method of plum-blossom needle combined with modified Xiaoxuming tang based on routine treatment for peripheral facial paralysis of wind-cold obstructing the collaterals type.Methods:A total of 82 cases of patients with peripheral facial paralysis were divided into the control group and the observation group according to the random number table method,with 41 cases in each group.Both groups were given measures of routine treatment including medication and rehabilitation training,and the observation group was treated with acupuncture method of plum-blossom needle combined with modified Xiaoxuming tang.Both groups were treated for two weeks.Before treatment and after two-week treatment,the scores of Facial Disability Index(FDI)including Facial Disability Index-Physical(FDIP)score and Facial Disability Index-Social(FDIS)score,and facial nerve function including HouseBrackmann Scale(H-B)score and modified portmann score in the two groups were evaluated.The incidences of adverse reactions were observed.The clinical effects in the two groups were compared.Results:After two-week treatment,the total effective rate of clinical effects in the observation group was higher than that in the control group(P<0.05).The FDIP scores in the two groups were increased when compared with those before treatment,and the FDIS scores were decreased,differences being significant(P<0.01);the FDIP score in the observation group was higher than that in the control group,and FDIS score was lower,differences being significant(P<0.05).The scores of H-B and modified Portmann scores in the two groups were increased when compared with those before treatment(P<0.01),and the scores in the observation group were higher than those in the control group(P<0.01).During treatment,there was no adverse reaction in the two groups.Conclusion:Based on routine treatment,the application of acupuncture method of plum-blossom needle combined with modified Xiaoxuming tang has a significant effect in treating peripheral f
出处
《新中医》
CAS
2022年第10期168-172,共5页
New Chinese Medicine
关键词
周围性面瘫
风寒阻络证
梅花针
小续命汤
面神经功能
Peripheral facial paralysis
Wind-cold obstructing the collaterals syndrome
Plum-blossom needle
Xiaoxuming tang
Facial nerve function
