热敏灸治疗周围性面瘫恢复期施灸时间与疗效的观察

发布时间：2018-03-22 03:07

本文选题：周围性面瘫恢复期　切入点：腧穴热敏化　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过实验观察不同的施灸时间治疗周围性面瘫恢复期病患的临床上疗效的差异,来探讨热敏灸疗法的灸量与临床疗效之间的关系,并为相关医护人员提供实验数据。方法:将从新疆维吾尔自治区中医医院针灸科门诊和病房所选取符合纳入标准的周围性面瘫恢复期患者93例按照随机方法分为三组。治疗组(32例)采用针刺配合热敏灸疗法,对照1组(31例)给予针刺配合传统悬灸疗法、对照2组(30例)针刺配合温针灸治疗。其治疗方法中三组取穴均为一致,三组针刺结束后均采取对翳风穴施行温和悬灸,其施灸时间分别为:(1)、治疗组:施灸时间为每次翳风穴的灸感消失(上限在60分钟,下限在30分钟以内);(2)、对照1组:施灸时间为20分钟/次;(3)、治疗2组:取翳风穴施行温针灸,施灸时间为20分钟/次。三组治疗10日为1疗程,共治疗2个疗程,2个疗程之间休息5日。治疗前及治疗结束后均通过运用House-Brackmann面神经分级及FDI面部残疾指数评分进行疗效评价。结果:93例患者中人(治疗1组2人、对照1组1人)治疗过程中脱失,治疗结束三组各30例纳入统计。(1)、总体疗效:以上三种疗法疗效都好,其中治疗组疗效较优于对照1组级对照2组,三组之间临床疗效差异有统计学意义(P0.05)。(2)、治疗前及治疗结束后都运用House-Brackmann面神经分级与FDIP躯体功能评分比较,治疗组的疗效优于对照1组及对照2组,三组差异有统计学意义(P0.05),而其中FDIS社会生活功能评分比较三组之间差异没有统计学意义(P0.05)。(3)在治疗过程中三组治疗病例都没有出现明显的不良反应;结论:(1)、三种疗法治疗风寒型周围性面瘫恢复期均为有效;(2)、腧穴热敏化艾灸疗法治疗周围性面瘫恢复期优于温针灸和传统悬;(3)、充足的灸量能够明显提高热敏化艾灸疗法的疗效。
[Abstract]:Objective: to investigate the relationship between the amount of moxibustion and clinical efficacy of heat sensitive moxibustion by observing the difference of clinical curative effect of different moxibustion time in convalescent patients with peripheral facial paralysis. Methods: 93 cases of convalescent peripheral facial paralysis patients selected from the clinic and ward of acupuncture and moxibustion department of Xinjiang Uygur Autonomous region Chinese Medicine Hospital were randomly divided into three groups. The treatment group (32 cases) was treated with acupuncture combined with heat sensitive moxibustion. Control group (n = 31) received acupuncture combined with traditional moxibustion therapy, control group (n = 30) acupuncture combined with warm acupuncture. The moxibustion time of the treatment group was as follows: the moxibustion time was the disappearance of moxibustion at Yifeng (upper limit was 60 minutes, lower limit was less than 30 minutes), the control group was treated with moxibustion for 20 minutes every time, the treatment group was treated with warm acupuncture and moxibustion at Yifeng point. The time of moxibustion was 20 minutes every time. The curative effect was evaluated by House-Brackmann 's facial nerve grading and FDI's facial disability index score before and after treatment. Results there were 93 patients (group 1, 2 cases). At the end of the treatment, 30 cases in each of the three groups were included in the statistics. The overall curative effect was: all of the three treatments were good, and the curative effect of the treatment group was better than that of the control group 1 and control group 2. The difference of clinical curative effect among the three groups was statistically significant (P 0.05). Both before and after treatment, House-Brackmann 's facial nerve grading and FDIP's somatic function score were used in the treatment group. The curative effect of the treatment group was better than that of the control group 1 and the control group 2. The differences among the three groups were statistically significant (P 0.05), but there was no significant difference between the three groups in FDIS score of social life function. Conclusion the three kinds of therapy are effective in the convalescence period of peripheral facial paralysis of wind-cold type. The curative effect of heat sensitive moxibustion therapy on peripheral facial paralysis is better than that of warm acupuncture and traditional moxibustion. Sufficient moxibustion quantity can obviously improve the curative effect of heat sensitive moxibustion therapy.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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