不同针法针刺翳风穴为主分期治疗周围性面瘫疗效观察

摘要

目的 观察不同针法针刺翳风穴为主分期治疗周围性面瘫的临床疗效.方法 将102例周围性面瘫患者随机分为治疗组和对照组,每组51例.治疗组以翳风穴为主穴,急性期采用扬刺法治疗,静止期采用齐刺法治疗,恢复期采用傍针刺法治疗;对照组采用常规针刺治疗.两组均每日治疗1次,5 d为1个疗程.治疗3个疗程后,观察两组治疗前后HB评分及合并有疼痛患者VAS评分的变化情况,并比较两组临床疗效.结果 治疗组总有效率和痊愈率分别为100.0％和82.3％,对照组分别为86.3％和60.8％,两组比较差异均有统计学意义(P<0.05).两组治疗1、2、3个疗程后HB评分与同组治疗前比较,差异均具有统计学意义(P<0.05).治疗组治疗1、2、3个疗程后HB评分与对照组比较,差异均具有统计学意义(P<0.05).两组合并有头面部疼痛患者治疗1、2、3个疗程后VAS评分与同组治疗前比较,差异均具有统计学意义(P<0.05).治疗组合并有头面部疼痛患者治疗1、2、3个疗程后VAS评分与对照组比较,差异均具有统计学意义(P<0.05).结论 不同针法针刺翳风穴为主分期治疗周围性面瘫疗效确切.%Objective To observe the clinical efficacy of stage-based treatment of peripheral facial paralysis with Yifeng (TE 17) selected as the major point treated by different acupuncture methods.Method A total of 102 patients with peripheral facial paralysis were randomized into a treatment group and a control group, 51 cases each. The treatment group was intervened by selecting Yifeng (TE 17) as the major point, treated with centro-square needling in the acute stage, triple needling in the resting stage, and proximal needling in the remission stage; the control group was intervened by ordinary acupuncture. The two groups were treated once a day, 5 d as a course of treatment. Before and after 3 treatment courses, the House Brackmann (HB) facial nerve grading scale and Visual Analogue Scale (VAS) in those patients complicated with pain were observed, and the clinical efficacies were compared.Result The total effective rate and recovery rate were respectively 100.0％ and 82.3％ in the treatment group versus 86.3％ and 60.8％ in the control group, and the between-group differences were statistically significant (P<0.05). The HB scores were significantly changed respectively after 1, 2 and 3 treatment courses in the two groups compared with the pre-treatment scores (P<0.05). The HB scores in the treatment group were significantly different from those in the control group respectively after 1, 2 and 3 treatment courses (P<0.05). The patients complicated with facial pain or headache presented significant differences in VAS score respectively after 1, 2 and 3 treatment courses in the two groups (P<0.05). In comparing the VAS score in the patients complicated with facial pain or headache, there were significant differences between the two groups respectively after 1, 2 and 3 treatment courses (P<0.05).Conclusion Stage- based treatment with Yifeng (TE 17) selected as the major point treated with different acupuncture methods can produce valid efficacy in treating peripheral facial paralysis.