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经络辨证针刺五输穴治疗面肌痉挛临床观察

Acupuncture at the Five-shu Points Based on Meridians and Collaterals Syndrome Differentiation in the Treatment of Hemifacial Spasm
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摘要 目的探讨经络辨证针刺五输穴治疗面肌痉挛(HFS)的临床效果。方法选取41例HFS患者,随机分为对照组20例、治疗组21例。对照组选择常规选穴治疗,治疗组选择经络辨证针刺五输穴治疗,每日1次,连续5 d,10 d为1疗程,连续2个疗程。观察比较两组诊疗前后Cohen痉挛强度评分及Penn痉挛频度评分和临床疗效。结果治疗组的总有效率85.7%(18/21)高于对照组的75.0%(15/20),差异有统计学意义(P<0.05)。治疗组Cohen痉挛强度评分及Penn痉挛频度评分低于对照组(P<0.05)。结论HFS采用经络辨证针刺五输穴疗法较常规选穴疗法更优。 Objective To discuss the clinical curative effect of acupuncture at the five-shu points based on meridian and collaterals syndrome differentiation in treating hemifacial spasm(HFS).Methods A total of 41 patients with(HFS)were randomly divided into control group(20 cases)and treatment group(21 cases).The control group was treated with conventional acupoint selection,and the treatment group was treated with acupuncture at the five-shu points based on meridians and collaterals syndrome differentiation,once a day,for consecutive 5 days,10 days as a course of treatment,for consecutive 2 courses.Cohen spasm intensity score and Penn spasm frequency score were used to observe the score difference and clinical efficacy of patients before and after diagnosis and treatment.Results The total effective rate of the treatment group was 85.7%(18/21),which was higher than that of the control group(75.0%,15/20),and the difference was statistically significant(P<0.05).Cohen spasm intensity score and Penn spasm frequency score in treatment group were lower than those in control group(P<0.05).Conclusion Acupuncture at the five-shu points based on meridians and collaterals syndrome differentiation is better than the conventional point selection therapy.
作者 谢能翔 赖春柏 XIE Nengxiang;LAI Chunbai(Department of Acupuncture Rehabilitation,Ganzhou Hospital of Traditional Chinese Medicine,Jiangxi Province,Ganzhou 341000,China)
出处 《中国中医药现代远程教育》 2024年第23期116-118,共3页 Chinese Medicine Modern Distance Education of China
基金 江西省赣州市科技计划项目【No.GZ2022ZSF315】。
关键词 胞轮振跳 面肌痉挛 经络辨证 五输穴 针刺疗法 twitching of eyelid hemifacial spasm meridians and collaterals syndrome differentiation five-shu points acupuncture
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