面部透刺电针配合温和灸治疗周围性面瘫疗效分析

发布时间：2018-03-26 10:03

本文选题：周围性面瘫　切入点：透刺　出处：《湖北中医药大学学报》2017年02期

【摘要】：目的观察面部透刺电针配合温和灸治疗周围性面瘫的临床疗效,及对患者Portmann评分、面部残疾指数的影响。方法将120例患者随机分为观察组和对照组,每组60例,观察组采用面部透刺电针配合温和灸治疗,对照组采用传统针刺电针配合红外线照射治疗。疗程结束后比较两组临床疗效及治疗前后患者Portmann评分、面部残疾指数的变化。结果观察组60例中,治愈53例,显效4例,有效2例,无效1例,治愈率88.3%,总有效率98.3%;对照组60例中,治愈42例,显效5例,有效8例,无效5例,治愈率70.0%,总有效率91.7%。两组治疗后比较,经统计学分析,治愈率有极显著性差异(P0.01),总有效率有显著性差异(P0.05);两组治疗后患者Portmann评分及面部残疾指数均明显升高,经统计学分析,差异具有极显著性意义(P0.01);治疗后与对照组比较,观察组Portmann评分及面部残疾指数改善更明显,经统计学分析,差异具有显著性意义(P0.05)。结论表明面部透刺电针配合温和灸治疗周围性面瘫疗效显著,且能明显改善患者Portmann评分及面部残疾指数,恢复面神经功能,作用优于对照组,值得临床推广应用。
[Abstract]:Objective to observe the clinical effect of facial electroacupuncture combined with mild moxibustion on peripheral facial paralysis and its effect on Portmann score and facial disability index. Methods 120 patients were randomly divided into observation group and control group with 60 cases in each group. The observation group was treated with facial penetration electroacupuncture combined with mild moxibustion, while the control group was treated with traditional acupuncture combined with infrared radiation. After the course of treatment, the clinical efficacy and Portmann score of the patients were compared between the two groups. Results in the observation group, 53 cases were cured, 4 cases were effective, 2 cases were effective, 1 case was ineffective, the cure rate was 88.33.The total effective rate was 98.33.Results in the control group, 42 cases were cured, 5 cases were effective, 8 cases were effective, 5 cases were ineffective. The cure rate was 70.0 and the total effective rate was 91.7.After the treatment, there was a significant difference in the cure rate between the two groups (P 0.01) and the total effective rate (P 0.05). After treatment, the Portmann score and the facial disability index of the patients in the two groups were significantly higher than those in the control group (P < 0.05). Compared with the control group, the Portmann score and the facial disability index of the observation group improved more obviously, and the difference was statistically significant. Conclusion the effect of electroacupuncture combined with mild moxibustion on peripheral facial paralysis is significant, and the Portmann score and facial disability index can be significantly improved, and the function of facial nerve is better than that of the control group. It is worth popularizing and applying in clinic.
【作者单位】：武汉市中西医结合医院;武汉市普爱医院;
【基金】：武汉市卫计委重点项目(项目编号:WZ16A04)
【分类号】：R246.6

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