摘要
目的:观察芒针透刺加灸法联合西药治疗周围性面神经麻痹痰瘀阻络证的临床疗效。方法:将86例周围性面神经麻痹痰瘀阻络证患者按随机数字表法分为对照组和观察组,每组43例。对照组予以醋酸泼尼松片、甲钴胺片、维生素B1片治疗,观察组在对照组基础上予以芒针透刺加灸法治疗,2组均治疗2周。比较2组临床疗效,治疗前后面部残疾指数(FDI)、多伦多面神经分级系统(TFGS)评分,以及免疫球蛋白(Ig)水平,记录不良反应发生率。结果:治疗后,观察组临床疗效总有效率95.35%,高于对照组79.07%(P<0.05)。2组FDI社会功能评分均较治疗前降低(P<0.05),FDI躯体功能、TFGS评分均较治疗前升高(P<0.05);观察组FDI社会功能评分低于对照组(P<0.05),FDI躯体功能、TFGS评分均高于对照组(P<0.05)。2组血清IgM、IgA、IgG水平均较治疗前降低(P<0.05),观察组血清IgM、IgA、IgG水平均低于对照组(P<0.05)。观察组不良反应发生率16.28%,与对照组13.95%比较,差异无统计学意义(P>0.05)。结论:在西药基础上使用芒针透刺加灸法治疗周围性面神经麻痹痰瘀阻络证可增强疗效,调节机体免疫功能,安全性良好。
Objective:To observe the clinical effect of penetrating acupuncture with elongated needle plus moxibustion combined with western medicine for peripheral facial paralysis with phlegm-stasis obstructing the collaterals syndrome.Methods:A total of 86 cases of patients with peripheral facial paralysis with phlegm-stasis obstructing the collaterals syndrome were divided into the control group and the observation group according to the random number table method,with 43 cases in each group.The control group was treated with Prednisone Tablets,Mecobalamin Tablets,and Vitamin B 1 Tablets,and the observation group was additionally treated with penetrating acupuncture with elongated needle plus moxibustion based on the treatment of the control group.Both groups were treated for 2 weeks.Clinical effects were compared between the two groups.The scores of Facial Disability Index(FDI)and Toronto Facial Grading System(TFGS),and immunoglobulin(Ig)levels were compared between the two groups before and after treatment.The incidence of adverse reactions were recorded.Results:After treatment,the total clinical effective rate was 95.35%in the observation group,higher than that of 79.07%in the control group(P<0.05).The scores of social function in FDI in the two groups were decreased(P<0.05),and the scores of physical function in FDI and TFGS were increased(P<0.05);the score of social function in FDI in the observation group was lower than that in the control group(P<0.05),and the scores of physical function in FDI and TFGS in the observation group were higher than those in the control group(P<0.05).The levels of IgM,IgA,and IgG in serum in the two groups were decreased when compared with those before treatment(P<0.05),and the 3 levels in the observation group were lower than those in the control group(P<0.05).The incidence of adverse reactions was 16.28%in the observation group and 13.95%in the control group,there was no significant difference being found in the comparison between the two groups(P>0.05).Conclusion:On the basis of wes
作者
鲁海娟
李成国
LU Haijuan;LI Chengguo(Traditional Chinese Medicine Hospital Changxing,Changxing Zhejiang 313100,China)
出处
《新中医》
CAS
2023年第14期146-150,共5页
New Chinese Medicine
关键词
周围性面神经麻痹
痰瘀阻络证
芒针透刺
灸法
面部残疾指数
多伦多面神经分级系统
免疫功能
Peripheral facial paralysis
Phlegm-stasis obstructing the collaterals syndrome
Penetrating acupuncture with elongated needle
Moxibustion
Facial Disability Index
Toronto Facial Grading System
Immune function
