浅刺抑制点结合艾灸治疗面肌痉挛的临床疗效观察

发布时间：2018-03-30 14:47

本文选题：面肌痉挛　切入点：浅刺　出处：《福建中医药大学》2016年硕士论文

【摘要】：目的：面肌痉挛(HFS)又称作面肌抽搐,是指一侧面部肌肉间断性不自主阵挛性抽动或无痛性强直。发病早期多为眼轮匝肌间歇性抽搐,后逐渐缓慢扩散至一侧面部的病情肌,以口角肌肉抽搐最为明显,严重时可累及同侧颈阔肌。该课题以导师临床治疗该病的经验与体会为基础,通过浅刺抑制点结合艾灸治疗面肌痉挛,比较治疗前后面肌痉挛的强度和频度,探讨浅刺抑制点结合艾灸治疗面肌痉挛的临床疗效,为临床治疗面肌痉挛提供更多的方法或手段。方法：选取临床资料完整的病例26例,均来自厦门市第五医院康复科和神经内科门诊或病房病人,均符合诊断标准的面肌痉挛患者,经纳入、排除标准等筛选而得。予浅刺抑制点结合艾灸治疗。每天1次,10天为一个疗程,疗程间休息2天,共治疗3个疗程。分别记录下每个患者治疗前后面肌痉挛强度及频度分级。通过对资料的收集整理,并运用SPSS16.0统计分析软件对数据进行分析处理,确定其统计学意义。结果：经过治疗后,治愈9例,占36%；总有效率92%。经过Wilcoxon秩和检验发现治疗前后患者的面肌痉挛强度存在显著性差异(P0.05),治疗前后患者的面肌痉挛频度存在显著性差异(P0.05),治疗前后患者的面神经功能存在显著性差异(P0.05),口轮匝肌痉挛与眼轮匝肌痉挛、半面肌痉挛不存在显著性差异(P0.05),而眼轮匝肌痉挛与半面肌痉挛相比(P0.05),具有显著性差异。结论：运用浅刺抑制点结合艾灸治疗面肌痉挛有确切的临床疗效,有效率较高,能明显改善面肌痉挛患者的痉挛强度;能明显改善面肌痉挛患者的痉挛频度；有效改善面肌痉挛患者的面神经功能；该治疗手段对单纯的眼肌痉挛比口轮匝肌痉挛和半面肌痉挛疗效好。该疗法安全有效,简单、便捷、实用,值临床推广使用。
[Abstract]:Objective: hemifacial spasm (HFS), also known as hemifacial convulsion, refers to one side of facial muscles with intermittent involuntary clonic twitching or painless tenderness.In the early stage the spasm of orbicularis oculi muscle was intermittent and then slowly spread to the muscle of one side of the face. The spasm of oral angle muscle was the most obvious and the ipsilateral latissimus cervicis muscle could be involved in severe cases.Based on the experience and experience of tutor in the treatment of hemifacial spasm, the strength and frequency of hemifacial spasm were compared before and after treatment.To explore the clinical effect of superficial needling inhibition point combined with moxibustion in the treatment of hemifacial spasm, and to provide more methods or means for clinical treatment of hemifacial spasm.Methods: 26 cases of hemifacial spasm with complete clinical data were selected from rehabilitation department of the Fifth Hospital of Xiamen City and outpatient or ward patients of Department of Neurology. The patients with hemifacial spasm who met the diagnostic criteria were screened by inclusion and exclusion criteria.It was treated with shallow needling inhibition point combined with moxibustion.Once a day for 10 days as a course of treatment, between two days of rest, a total of 3 courses of treatment.The strength and frequency of hemifacial spasm were recorded before and after treatment.Through collecting and arranging the data and using the SPSS16.0 software to analyze and process the data, the statistical significance of the data is determined.Results: after treatment, 9 cases (36%) were cured, and the total effective rate was 92%.The results of Wilcoxon rank sum test showed that there were significant differences in the strength of hemifacial spasm before and after treatment (P 0.05), the frequency of hemifacial spasm before and after treatment, and the difference of facial nerve function before and after treatment.P0.05, spasm of orbicularis oris and spasm of orbicularis oculi,There was no significant difference in hemifacial spasm (P 0.05), but the spasm of orbicularis oculi was significantly different from that of hemifacial spasm.Conclusion: the treatment of hemifacial spasm with the combination of superficial needling inhibition point and moxibustion has definite clinical curative effect, the effective rate is higher, the spasm intensity of hemifacial spasm can be obviously improved, the spasm frequency of hemifacial spasm can be obviously improved, and the hemifacial spasm can be treated with moxibustion.This treatment is more effective than orbicularis oris spasm and hemifacial spasm in the treatment of simple ophthalmospasm compared with spasm of orbicularis oris and hemifacial spasm in patients with hemifacial spasm.The therapy is safe, effective, simple, convenient and practical.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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