穴位贴敷配合针刺治疗特发性面神经麻痹临床研究

发布时间：2018-03-19 00:23

本文选题：穴位贴敷　切入点：针刺　出处：《广州中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：观察穴位贴敷配合针刺治疗特发性面神经麻痹疗效在此基础上初步探讨其可能的作用机理,探索治疗本病更为效捷之方法。方法：将符合纳入标准的60例特发性面神经麻痹患者按随机数字表随机分为30例穴位贴敷+针刺治疗组和30例对照组。治疗组采用穴位贴敷加针刺,其中穴位贴敷取穴：患侧太阳、颊车、翳风、迎香、牵正、阳白、地仓、颧醪,针刺取穴：患侧太阳、阳白、牵正、颊车、人中、地仓、颧毼、迎香、承浆,及四关穴(合谷、太冲),对照组针刺选穴同治疗组。两组患者均每2天行1次治疗,3次/周*4周。治疗2组均采用H-B评分评价量表和残疾指数(FDI)调查问卷评分后评价疗效。结果：两组患者治疗前基线资料比较,经统计学分析具有可比性(P0.05)。治疗后两组疗效比较：疗程结束后穴位贴敷配合针刺治疗组：痊愈16例,显效13例,有效1例,无效0例,愈显率96.67%；单纯针刺对照组：痊愈7例,显效9例,有效13例,无效1例,愈显率53.33%。两组疗效比较,差异有统计学意义(P0.05)。两组治疗前后H-B评分比较：两组患者的H-B评分均较治疗前显著下降。治疗组治疗前后组内比较差异有统计学意义(P0.01)；对照组治疗前后组内比较差异有统计学意义(P0.05)。治疗组与对照组治疗后评分比较,差异有统计学意义(P0.05)。提示两组均能使H-B评分下降。但治疗组降低H-B评分幅度大于对照组。两组治疗前后残疾指数(FDI)评分比较：两组FDI躯体功能、社会功能组内治疗前后相比较差异有统计学意义(P0.01)。组间比较差异有统计学意义(P0.01)。治疗组改善FDI躯体、社会功能方面优于对照组。结论：本研究提供方案可显著改善面神经功能,疗效优于单纯针刺并具有治愈率高、治疗所需时间短的优势,可作为临床本病治疗上具普遍推广意义的方案之一
[Abstract]:Objective: to observe the therapeutic effect of acupoint application combined with acupuncture in the treatment of idiopathic facial paralysis. Methods: 60 patients with idiopathic facial paralysis who met the inclusion criteria were randomly divided into 30 acupuncture group and 30 control group according to the random digital table. The treatment group was divided into two groups: the control group (n = 30), and the control group (n = 30), which were randomly divided into two groups: acupuncture group (n = 30) and control group (n = 30). With acupoint application plus acupuncture, One of the points applied to the point: the affected side of the sun, buccal car, Yifeng, Yingxiang, Yaozheng, Yangbai, ground warehouse, zygomatic-mash, acupuncture point: the affected side of the sun, Yangbai, Daozheng, buccal car, in person, Yakura, Zygomatica, Yingxiang, Chengji, and Siguan (Hegu, The treatment group was treated every 2 days for 3 times a week for 4 weeks. Both groups were evaluated with H-B scale and disability index (FDI) questionnaire. Results:. Baseline data before treatment were compared between the two groups. Comparison of therapeutic effects between the two groups after treatment: 16 cases were cured, 13 cases were effective, 1 case was effective, 0 case was ineffective, and 96.677.The control group was cured 7 cases. There were 9 cases of remarkable effect, 13 cases of effective and 1 case of ineffective. The effective rate was 53.33. The curative effect was compared between the two groups. Before and after treatment, the H-B scores of the two groups were significantly lower than those before and after treatment. The differences between the treatment group and the control group were statistically significant before and after treatment (P 0.01), while those in the control group before and after treatment were significantly lower than those before and after treatment. The difference was statistically significant (P 0.05). The scores of the treatment group and the control group were compared after treatment. The difference was statistically significant (P 0.05). It suggested that both groups could decrease H-B score, but the range of H-B score in the treatment group was larger than that in the control group. Comparison of disability index before and after treatment between the two groups: somatic function of FDI in the two groups, The difference of social function group before and after treatment was statistically significant (P 0.01). The treatment group improved the body of FDI, and the social function was better than that of the control group. Conclusion: this study can significantly improve the facial nerve function. The curative effect is better than simple acupuncture and has the advantage of high cure rate and short time for treatment. It can be used as one of the general and popularized schemes in the treatment of this disease.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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