不同中医疗法治疗周围性面瘫的疗效评价

发布时间：2018-03-29 11:46

本文选题：周围性面瘫　切入点：针刺　出处：《中医杂志》2017年22期

【摘要】：目的评价不同中医疗法治疗周围性面瘫的疗效。方法将348例周围性面瘫患者随机分为针刺组96例、隔姜灸组96例、电针组94例和中药组62例,另招募西药组患者60例。针刺组采用单纯针刺的方法,隔姜灸组在针刺基础上加用患侧面部隔姜灸治疗,电针组为在针刺基础上加用患侧局部电针治疗。以上3组均每日治疗1次。西药组口服维生素B1片、维生素B12片,20 mg/次,每日3次;强的松片,20 mg/次,每日1次。中药组口服牵正散汤剂,每日1剂。各组均治疗20天。在治疗10、20天及治疗后1个月时观察各组患者House-Brackman(HB)分级、面神经功能评价量表总分,并评价临床疗效及安全性。结果治疗10、20次及随访时,各组患者HB分级、面神经功能评价量表总分均较治疗前显著改善(P0.01),且治疗20次及随访时,针刺组、电针组、隔姜灸组、中药组HB分级及治疗10、20次及随访时面神经功能评价量表总分均优于西药组(P0.01)。各组间临床疗效总有效率比较,差异无统计学意义,但西药组愈显率低于其他各组(P0.01)。除西药组外,其他各组各指标组间比较差异均无统计学意义(P0.05)。结论针刺、隔姜灸、电针、中药均可有效治疗面瘫,其中针刺、隔姜灸、电针、中药治疗面瘫疗效相当,优于西药对照。
[Abstract]:Objective to evaluate the therapeutic effects of different TCM treatments on peripheral facial paralysis. Methods 348 patients with peripheral facial paralysis were randomly divided into acupuncture group (n = 96), ginger moxibustion group (n = 96), electroacupuncture group (n = 94) and Chinese medicine group (n = 62). In addition, 60 patients in the western medicine group were recruited. The acupuncture group was treated by simple acupuncture, and the ginger-separated moxibustion group was treated with ginger-separated moxibustion on the basis of acupuncture. The patients in the electroacupuncture group were treated with local electroacupuncture on the basis of acupuncture. Each of the three groups was treated once a day. The western medicine group received oral vitamin B1 tablets, vitamin B12 tablets for 20 mg/, prednisone tablets for 20 mg/, and prednisone tablets for 20 mg/. Each group was treated for 20 days. The House-Brackman 's HBs grading and the total score of facial nerve function evaluation scale were observed at 10 ~ 20 days after treatment and 1 month after treatment. Results the HB grading and the total score of facial nerve function evaluation scale were significantly improved in each group compared with those before treatment, and 20 times after treatment and followed up, acupuncture group, electroacupuncture group and ginger moxibustion group were treated with acupuncture, electroacupuncture group and ginger moxibustion group, and the total scores of HB grade and facial nerve function evaluation scale were significantly improved compared with those before treatment. The total score of facial nerve function evaluation scale in the traditional Chinese medicine group was better than that in the western medicine group (P 0.01). There was no significant difference in the total effective rate between the two groups, but the effective rate of the western medicine group was lower than that of the other groups (P 0.01), except for the western medicine group, the total score of the scale was better than that of the western medicine group. Conclusion Acupuncture, ginger-separated moxibustion, electroacupuncture and Chinese medicine can effectively treat facial paralysis, among which acupuncture, ginger-separated moxibustion, electroacupuncture and traditional Chinese medicine are effective in the treatment of facial paralysis, and the curative effect of acupuncture, ginger-separated moxibustion, electroacupuncture and traditional Chinese medicine in the treatment of facial paralysis is similar, which is superior to that of western medicine
【作者单位】：中国中医科学院针灸研究所;中国中医科学院望京医院;首都医科大学附属北京潞河医院;
【基金】：中国中医科学院第三批中医优势病种临床研究项目(CACMS08Y0039)
【分类号】：R246.6

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