火针结合巨刺法治疗顽固性面瘫的临床疗效观察

发布时间：2018-01-23 04:13

本文关键词： 火针巨刺法顽固性面瘫　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察火针结合巨刺法治疗顽固性面瘫的临床疗效,从而为顽固性面瘫患者提供更为有效的治疗方法。方法:收集60例符合纳入标准的顽固性面瘫患者,使用区组随机法分为治疗组和对照组。在常规针刺的基础上,治疗组采用火针结合巨刺法治疗,对照组仅采用常规针刺治疗。对量表评价者和统计人员设盲。疗效评价标准采用面神经功能分级2.0(FNGS2.0)和改良Portmann评分法(RPA)。分别于治疗前、治疗2个疗程(8周)后,进行信息采集,整理后录入SPSS 22.0统计软件做出统计学分析,对所得结果进行描述性分析。结果:1.面神经功能分级2.0比较(秩均值):治疗组26.00,对照组35.00。差异具有统计学意义(P0.05)。2.RPA比较(均数±标准差):治疗组13.47±5.818,对照组9.43±5.776。差异具有统计学意义(P0.05)。3.临床疗效比较:治疗组痊愈5例、显效8例、有效1 3例、总有效率86.67%,对照组痊愈2例、显效3例、有效1 8例、总有效率76.67%。差异具有统计学意义(P0.05)。结论:1.在降低顽固性面瘫的面神经功能等级上,火针结合巨刺法优于常规针刺。2.在提高顽固性面瘫的RPA评分上,火针结合巨刺法优于常规针刺。3.火针结合巨刺法的临床疗效优于常规针刺。
[Abstract]:Objective: to observe the clinical effect of fire needle combined with giant puncture in the treatment of intractable facial paralysis, so as to provide a more effective treatment method for the patients with refractory facial paralysis. Methods: 60 patients with refractory facial paralysis who met the inclusion criteria were collected. The treatment group was randomly divided into treatment group and control group. On the basis of routine acupuncture, the treatment group was treated with fire acupuncture combined with giant puncture. In the control group, routine acupuncture treatment was used only, and blindness was established for the evaluators and statisticians of the scale. The curative effect was evaluated by using the facial nerve function grading 2.0 FNGS 2.0) and the modified Portmann scoring method (. RPA. Before treatment. After 2 courses of treatment (8 weeks), the information was collected and recorded into SPSS 22.0 statistical software for statistical analysis. Descriptive analysis of the results. Results: 1. Comparison of facial nerve function score 2.0 (rank mean: treatment group 26.00). The control group was 35.00.The difference was statistically significant (P 0.05). 2. RPA was compared (mean 卤standard deviation: treatment group 13.47 卤5.818). Control group 9.43 卤5.776. The difference was statistically significant (P 0.05). Comparison of clinical efficacy: 5 cases were cured, 8 cases were effective and 13 cases were effective in the treatment group. The total effective rate was 86.67. In the control group, 2 cases were cured, 3 cases were markedly effective and 18 cases were effective. The total effective rate was 76.67. The difference was statistically significant (P 0.05). Conclusion: 1. In reducing the grade of facial nerve function of intractable facial paralysis. Fire needle combined with giant puncture was superior to conventional acupuncture. 2. In improving RPA score of refractory facial paralysis, fire needle combined with giant needle was superior to conventional acupuncture. 3. The clinical effect of fire needle combined with giant puncture was better than that of routine acupuncture.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

【参考文献】