自拟清热通络方联合针灸治疗风热型周围性面瘫的临床研究

摘要

目的 分析自拟清热通络方联合针灸治疗风热型周围性面瘫的临床效果.方法 选择2015年8月～2017年3月就诊于河北省三河市中医医院和三河市医院的风热型周围性面瘫患者86例.按随机数字表法将其分为治疗组和对照组,每组各43例.治疗组给予自拟清热通络方联合针灸治疗,对照组给予常规针灸治疗.治疗30 d后,比较两组的治疗效果、House-Brackmann(H-B)面神经功能评分、躯体功能(FDIP)评分、社会生活功能(FDIS)评分和不良反应情况.结果 治疗后,治疗组的总有效率明显高于对照组,差异有统计学意义(P＜0.05).治疗后,两组的H-B面神经功能评分均低于治疗前,且治疗组的评分低于对照组,差异有统计学意义(P＜0.05).治疗后,两组患者的FDIP、FDIS评分均高于治疗前,且治疗组的评分均高于对照组,差异有统计学意义(P＜0.05).治疗期间,两组均未见明显不良反应.结论 自拟清热通络方联合针灸治疗风热型周围性面瘫效果优于常规针灸治疗,可有效改善患者躯体功能,提其高生活质量,安全性好,值得临床推广应用.%Objective To study the effect of self-made Qingre Tongluo Decoction combined with acupuncture in the treatment of peripheral facial paralysis due to wind-heat.Methods 86 patients with peripheral facial paralysis due to wind-heat who were treated in Sanhe Traditional Chinese Medicine Hospital and Sanhe Hospital from August 2015 to March 2017 were selected.They were divided into treatment group and control group by random number table,with 43 cases in each groups.The treatment group was treated by the self-made Qingre Tongluo Decoction combined with acupuncture,while the control group was treated by routine acupuncture treatment.They were treated for 30 days.The treatment effect,the scores of House-Brackmann (H-B) facial nerve function,physical function (FDIP) and social function (FDIS),as well as adverse reactions of two groups were compared.Results After treatment,the total efficiency of the treatment group was significantly higher than that in the control group,with statistically significant difference (P ＜0.05).After treatment,the H-B facial nerve function score of two groups were lower than those before treatment,and the H-B facial nerve function score of the treatment group was lower than that of the control group,with statistically significant difference (P ＜ 0.05).After treatment,the scores of FDIP and FDIS in the two groups were higher than those before treatment,besides the scores of FDIP and FDIS in the treatment group were significantly higher than those in the control group,with statistically significant difference (P ＜ 0.05).There was no serious adverse reaction between the two groups.Conclusion It is effective and safe to treat peripheral facial paralysis due to wind-heat by self-made Qingre Tongluo Decoction combined with acupuncture,which can effectively improve the patient's physical function and the quality of life.Therefore it is worthy of clinical application.