Objective This article was to explore curative effect and compliance of midnight-noon ebb-flow acupuncture combined with external wash of Caulis Spatholobi for acute facial neuritis. Methods 80 cases were randomly divided into observation group and control group according to a random digits table, 40 cases in each group. On the basis of routine treatment of western medicine, the observation group were given midnight-noon ebb-flow acupuncture combined with Caulis Spatholobi external washing, the control group was treated with conventional acupuncture. The two groups were treated with 7 d for 1 course and lasted for 4 courses. SFGS static symmetry score and SFGS voluntary movement symmetry score were observed before and after therapy, then evaluated clinical effect and compliance. Results The total effective rate and compliance rate of the observation group were 95.00%, 99.06%, which were significantly higher than those of the control group (P<0.05, P<0.01); after the treatment, the SFGS static symmetry score was significantly lower than that of pre-treatment in the same group, the SFGS voluntary movement symmetry score was significantly higher than that of pre-treatment in the same one group (P<0.05), the observation group were remarkably improved better than those of the control group(P<0.05. Conclusion Midnight-noon ebb-flow acupuncture combined with external wash of Caulis Spatholobi could treat acute facial neuritis by reducing neuroinflammation, improving microcirculation, combating viruses and regulating immunity.%目的 探讨子午流注针法配合鸡血藤外洗治疗急性面神经炎的临床疗效与依从性.方法 将80例患者按随机数字表法分为观察组和对照组,每组40例.2组均予西医常规治疗,在此基础上,观察组予子午流注针法配合鸡血藤外洗,对照组予常规针刺.2组均以7 d为1个疗程,治疗4个疗程.观察治疗前后简易面神经功能评价量表(SFGS)静态对称性评分和随意运动对称性评分,并评价临床疗效和依从性.结果 观察组的总有效率及依从率分别为95.00%、99.06%,高于对照组的82.50%、96.56%(P< 0.05,P< 0.01);治疗后2组SFGS静态对称性评分较治疗前下降,SFGS随意运动对称性评分较治疗前上升,观察组的改善优于对照组(P< 0.05). 结论 子午流注针法配合鸡血藤外洗通过减轻神经炎性反应、改善微循环、抗病毒、调节免疫等途径治疗急性面神经炎.
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