穴位针刺辅助刺络拔罐治疗周围性面瘫急性期疗效及对H-B分级的影响

发布时间：2018-01-06 21:12

本文关键词：穴位针刺辅助刺络拔罐治疗周围性面瘫急性期疗效及对H-B分级的影响　出处：《中华中医药学刊》2017年10期 　论文类型：期刊论文

【摘要】：目的:研究穴位针刺辅助刺络拔罐治疗周围性面瘫急性期的疗效及对H-B分级的影响。方法:选择2015年1月—2016年12月在医院接受治疗的急性期周围性面瘫患者140例。随机分为针刺组和联合组,每组各70例,针刺组给予针刺治疗,联合组给予针刺联合刺络拔罐治疗。比较两组患者的疗效、H-B分级评分、症状和体征评分及FDI评分。结果:联合组患者的痊愈率为70.00%,高于针刺组(P0.05),联合组患者的总有效率为97.14%,针刺组为91.43%,差异无统计学意义(P0.05)。治疗后两组患者的症状和体征评分均明显下降,联合组患者额纹消失程度、面部表情自然程度、鼻唇沟变浅程度、眼裂闭合程度和口角歪斜程度积分低于针刺组(P0.05)。治疗前两组患者的H-B分级评分相近(P0.05),治疗后2周、治疗后4周及治疗后6周,联合组患者的H-B分级评分低于针刺组(P0.05)。治疗后两组患者的FDI评分均明显改善,联合组患者的FDIS评分低于针刺组,FDIP评分高于针刺组(P0.05)。结论:穴位针刺辅助刺络拔罐治疗可以降低急性期周围性面瘫患者的H-B分级评分,改善患者的症状和FDI评分,疗效较好。
[Abstract]:Objective: To study the curative effect of acupuncture assisted needling and cupping therapy on acute peripheral facial paralysis and influence on H-B classification. Methods: acute period of January 2015 - December 2016 in the hospital for treatment of peripheral facial paralysis patients. 140 cases were randomly divided into acupuncture group and combination group, 70 cases in each group. The acupuncture group was given acupuncture treatment. The combination group was given acupuncture combined with cupping therapy. The efficacy of the two groups were compared, H-B grading, symptoms and signs score and FDI score. Results: the patients in the combination group the cure rate is 70%, higher than the acupuncture group (P0.05), a group of patients with the total effective rate was 97.14%, 91.43% in the acupuncture group, no difference statistical significance (P0.05). After the treatment of two patients with signs and symptoms scores were significantly decreased, the patients disappeared forehead wrinkles, natural facial expression, nasolabial shallow, eyelid closing degree and mouth askew degree Score lower than the acupuncture group (P0.05). Before treatment, two groups of H-B grade patients were similar (P0.05), after 2 weeks of treatment, 4 weeks after treatment and 6 weeks after treatment, group H-B grade patients were lower than those of the acupuncture group (P0.05). After treatment, the FDI score of two groups were significantly improved, combined a group of patients with FDIS score lower than the acupuncture group, FDIP score higher than the acupuncture group (P0.05). Conclusion: Acupuncture assisted cupping treatment can reduce the H-B classification of acute peripheral facial paralysis score, improve the patient's symptoms and the FDI score, curative effect is better.

【作者单位】：青岛市海慈医疗集团针灸科;
【分类号】：R246.6
【正文快照】： 周围性面瘫主要特征为面部表情肌群出现运动功能障碍,患者表现为口眼歪斜,对患者的日常生活及社交造成严重影响[1]。周围性面瘫属常见疾病,各年龄段、各季节均可发病,春夏发病率较高,多发于一侧面部表情肌瘫痪[2]。周围性面瘫的发病机理目前尚不明确,一般认为是血管痉挛导致面

【相似文献】