盛氏面三针治疗难治性面瘫的临床观察

发布时间：2018-03-09 08:08

本文选题：难治性面瘫　切入点：盛氏面三针　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察盛氏面三针对于难治性面瘫的治疗结果不同点的比较；比较对于难治性面瘫患者来说,盛氏面三针与普通针刺治疗之间的差异；探讨针灸对于难治性面瘫疗效的作用机理,为揭示临床上针灸治疗难治性面瘫提供理论依据。方法：本研究拟纳入62例和难治性面瘫诊断标准相符的患者,将这些所有患者随机分为治疗组、对照组两组,每组人数平均分配,对于治疗组,采用治疗方法为盛灿若教授所创立的盛氏面三针这一针灸手法;对于对照组患者,则是采取教科书记载的常规针刺取穴及手法治疗。在每组进行试验之前都对于每组患者的基本情况进行一个基线的比较(性别、年龄、病程)。具体治疗疗程为每周5次,6周为一疗程。3个疗程后观察疗效。在试验进行完毕后,对于二组患者治疗前后几个疗效观察指标,并最后进行相关的疗效评估。结果：1.在面神经功能计分分级、面神经功能计分总分以及(H-B)分级量表评分方面,治疗前两组的基线比较具有可比性(P0.05)；治疗后面神经功能计分分级、面神经功能计分总分以及(H-B)分级量表评分的比较均具有显著性差异(P0.05),且治疗组优于对照组。2.治疗组的总有效率为93.3%；对照组的总有效率为76%；在总有效率方面,治疗组是占优的。结论：1.盛氏“面三针”针法治疗难治性面瘫能明显改善患者临床症状,且疗效优于普通针刺。2.本研究采取的盛氏“面三针”针法治疗难治性面瘫是一种安全、有效的治疗方法；总体疗效好。
[Abstract]:Objective: to observe the difference of the treatment results between Sheng's face and the patients with refractory facial paralysis, and to compare the difference between Sheng's face three needles and the common acupuncture treatment for the patients with refractory facial paralysis. To explore the mechanism of acupuncture and moxibustion on the curative effect of refractory facial paralysis and to provide theoretical basis for clinical application of acupuncture and moxibustion in the treatment of refractory facial paralysis. Methods: 62 patients with refractory facial paralysis were included in this study. All the patients were randomly divided into treatment group and control group, with equal distribution of the number of people in each group. For the treatment group, the treatment method was the acupuncture and moxibustion technique of Sheng's face, which was founded by Professor Sheng Canruo, and for the patients in the control group, A baseline comparison of the basic conditions of each group (gender, age, age) was made before each group was tested. Course of disease. The specific course of treatment was 5 times a week for 6 weeks as a course of treatment. After 3 courses of treatment, the therapeutic effect was observed. After the trial was completed, several therapeutic effects were observed before and after treatment in the two groups. Results: 1. In terms of the score of facial nerve function, the total score of facial nerve function and the score of H-B-scale, the baseline comparison between the two groups before treatment was comparable (P 0.05). The total score of facial nerve function and the score of H-B-scale were significantly different, and the treatment group was superior to the control group. The total effective rate of the treatment group was 93. 3%; the total effective rate of the control group was 76; the total effective rate of the treatment group was 76; the total effective rate of the treatment group was 93. 3%; the total effective rate of the control group was 76. Conclusion: Sheng's "facial three-needle" acupuncture method can obviously improve the clinical symptoms of patients with refractory facial paralysis, and the curative effect is better than that of common acupuncture .2.The Shengshi "facial three-needle" acupuncture method adopted in this study is a safe method for the treatment of refractory facial paralysis. Effective treatment; the overall effect is good.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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