灵龟八法治疗周围性面瘫的临床观察

发布时间：2018-02-01 03:26

  本文关键词： 灵龟八法 周围性面瘫 临床观察　出处：《广西中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本课题通过观察灵龟八法结合常规针刺治疗周围性面瘫的临床疗效及安全性,为针灸疗法治疗本病提供一种疗效确切、操作安全的治疗方案。方法:选取符合纳入标准的周围性面瘫急性期患者60例为研究对象,采用完全随机对照的方法,按1:1比例随机分为治疗组、对照组各30例,治疗组采用灵龟八法结合常规针刺治疗,对照组采用常规针刺治疗。两组均以10次为1疗程,共治疗2个疗程后评定疗效。疗效评定标准参照House-Brackmann(H-B)面神经功能评价分级系统及《周围性面神经麻痹的中西医结合评定及疗效标准》拟定,观察并记录治疗组与对照组痊愈者治疗天数及两组治疗前后的面神经功能分级、面神经麻痹程度分级评分和面部残疾指数(FDI)评分的变化情况,并观察年龄(40岁,≥40岁)因素对预后的影响。所得数据采用SPSS21.0软件进行统计学分析处理。同时随时记录不良事件,并及时正确妥善处理,对不良事件是否与针刺治疗相关进行评价。结果:1、本实验共完成60例治疗,治疗组和对照组均无病例脱落。治疗2个疗程后,治疗组的愈显率为86.87%,总有效率为96.67%;对照组的愈显率为63.33%,总有效率为90.00%,两组总有效率比较无明显差异(P0.05),无统计学意义;但愈显率及临床疗效比较均有统计学意义(P0.05)。2、两组治疗前后H-B面神经功能分级、面神经麻痹程度评分及FDI评分比较,差异均有统计学意义(P0.01)。3、治疗后,两组间进行H-B面神经功能分级、面神经麻痹程度评分及躯体功能(FDIP)评分比较,差异有统计学意义(PO.05);而社会功能(FDIS)评分两组间比较无统计学意义(P0.05)。4、两组痊愈患者治疗所用总时间比较有显著性差异(PO.05)。5、治疗2个疗程后,40岁年龄段患者和≥40岁年龄段患者之间疗效比较,差异有统计学意义(P0.05)。6、在安全性评价方面未发现本研究两种治疗方法存在不安全问题。结论:灵龟八法结合常规针刺与常规针刺早期介入治疗周围性面瘫均有效,都可以改善周围性面瘫患者的面神经功能、躯体及社会生活功能;且灵龟八法结合常规针刺组疗效优于常规针剌组,并可以缩短疗程。年龄对周围性面瘫疗效有一定影响,年龄轻者疗效优于年龄大者。结果表明:灵龟八法按时开穴结合常规针刺早期介入治疗周围性面瘫具有见效快捷与疗效显著的特点,安全性好,适宜在临床推广使用。
[Abstract]:Objective: to observe the clinical efficacy and safety of Linggui eight method combined with routine acupuncture in the treatment of peripheral facial paralysis, and to provide a definite curative effect for acupuncture therapy. Methods: 60 patients with peripheral facial paralysis in acute phase were selected as the study objects, and were randomly divided into treatment group according to the ratio of 1: 1 by the method of complete randomized control. The control group (30 cases) was treated with Linggui eight method combined with routine acupuncture, and the control group was treated with routine acupuncture. Both groups were treated with 10 times as a course of treatment. The curative effect was evaluated after two courses of treatment. House-Brackmannus H-B- was referred to the criteria for evaluation of curative effect. The evaluation and grading system of facial nerve function and the standard of evaluation and curative effect of integrated traditional Chinese and western medicine for peripheral facial paralysis were drawn up. To observe and record the treatment days of the cured patients in the treatment group and the control group, and the changes of facial nerve function, facial paralysis and facial disability index (FDI) score before and after treatment in both groups. The influence of the age of 40 years and 鈮，

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