颞三针加小醒脑开窍法治疗原发性面肌痉挛的临床研究

发布时间：2018-04-02 14:15

本文选题：面肌痉挛　切入点：颞三针　出处：《云南中医学院》2017年硕士论文

【摘要】：目的:观察治疗组(常规针刺+颞三针+小醒脑开窍法)和对照组(常规针刺)治疗原发性面肌痉挛的临床效果,为治疗该病寻找优势化的治疗方案提供参考。方法:将70例患者采用随机数字分组法分为治疗组(体针+颞三针+小醒脑开窍法)和对照组(常规针刺),每组35人。每组隔日治疗一次,10次为一个疗程,每个疗程后对两组面肌痉挛强度(Cohen分级)、频度(Penn分级)的变化进行疗效评价,并用统计学的方法进行分析。结果:1.治疗前:治疗前对两组患者的年龄、证型、病程等基本资料进行比较,均P0.05,差异无统计学意义,两组患者的资料具有可比性。对两组患者治疗前的痉挛强度、频度分级组间比较,均为P0.05,差异无统计学意义,两组患者具有可比性。2.治疗期间:(1)第一疗程结束:治疗组在第一疗程治疗结束时痉挛强度、频度与治疗前组内比较,均为P0.05,差异有统计学意义,表明治疗组治疗方法对痉挛强度、频度有改善。对照组在第一疗程治疗结束时痉挛强度、频度与治疗前组内比较,均为P0.05,差异有统计学意义,表明对照组治疗方法对痉挛强度、频度有改善。将两组痉挛强度、频度分级组间比较,均为P0.05,差异无统计学意义。表明治疗组与对照组在第一疗程治疗结束时缓解痉挛强度和频度的程度上组间比较无明显差异。(2)第二疗程结束:第二疗程结束时,将两组痉挛强度、频度分级组间比较,P0.05,差异有统计学意义。表明治疗组与对照组在第二疗程治疗结束时缓解痉挛强度和频度的程度上组间比较有差异,治疗组优于对照组。3.第三个疗程结束:(1)痉挛强度、频度比较:三个疗程结束时,将两组痉挛强度、频度分级组间比较,均为P0.05,差异有统计学意义。表明三个疗程结束后,两组治疗方法均能明显降低面肌痉挛的强度、频度,且治疗组的痉挛强度、频度下降效果明显优于对照组。(2)总体疗效组间比较:治疗组35例患者,脱落4例,完成治疗共计31例,其中治愈13例,显效12例,有效3例,无效3例,总有效率90.32%;对照组35例患者,脱落5例,完成治疗共计30例,其中治愈6例,显效8例,有效10例,无效6例,总有效率80.0%。两组总有效率P0.05,差异有统计学意义,表明治疗结束后两组皆有较好的疗效,治疗组疗效明显优于对照组,面肌痉挛的强度、频度有了明显的改善。(3)病程分布的疗效分析:将治疗组和对照组按病程分布情况比较疗效,治疗组P0.01,差异有显著统计学意义;对照组P0.05,差异有统计学意义。说明病程越短疗效越好。4.随访结果:治疗结束3月后电话随访痊愈患者,治疗组痊愈13例,轻度复发4例。对照组痊愈6例,轻度复发3例,其余没有异常情况。结论:1.常规针刺+颞三针+小醒脑开窍法治疗原发性面肌痉挛有效,且疗效优于常规针刺;2.治疗原发性面肌痉挛病程越短疗效越好。
[Abstract]:Objective: to observe the clinical effect of treating primary hemifacial spasm in the treatment group (routine acupuncture method) and the control group (routine acupuncture method), so as to provide reference for the treatment of primary facial spasm.Methods: 70 patients were randomly divided into two groups: treatment group (body acupuncture) and control group (routine acupuncture group, 35 persons in each group).Each group was treated every other day for 10 times as a course of treatment. After each course of treatment, the changes of strength of hemifacial spasm, Cohen grade, frequency and Penn grade were evaluated and analyzed by statistical method.The result is 1: 1.Before treatment: the two groups of patients before the age, syndrome type, course of the basic data were compared, all P0.05, the difference was not statistically significant, the two groups of patients with comparable data.There was no significant difference in spasm intensity and frequency between the two groups (P 0.05), and there was no significant difference between the two groups.At the end of the first course of treatment, the intensity of spasticity in the treatment group was significantly higher than that in the pre-treatment group (P 0.05), indicating that the treatment group had improved the intensity and frequency of the spasm.The spasm intensity and frequency of the control group at the end of the first course of treatment were all significantly higher than that of the pre-treatment group (P 0.05), which indicated that the control group had improved the intensity and frequency of the spasm.There was no significant difference in spasm intensity and frequency between the two groups (P 0.05).The results showed that there was no significant difference in the degree of relieving spasm intensity and frequency between the treatment group and the control group at the end of the first course of treatment.There was significant difference between the frequency grading groups (P 0.05).The results showed that there was significant difference between the treatment group and the control group in the degree of relieving spasm intensity and frequency at the end of the second course of treatment, and the treatment group was better than the control group.Comparison of spasm intensity and frequency at the end of the third course of treatment: at the end of the three courses, the spasmodic intensity and frequency of the two groups were compared as P0.05, the difference was statistically significant.The results showed that the strength and frequency of hemifacial spasm were significantly decreased in both groups after three courses of treatment, and the effect of spasm intensity and frequency in the treatment group was significantly better than that in the control group.Among them, 13 cases were cured, 12 cases were effective, 3 cases were effective, 3 cases were ineffective, and the total effective rate was 90.32 cases.10 cases were effective, 6 cases were ineffective, the total effective rate was 80.0%.The total effective rate of the two groups was significantly higher than that of the control group (P 0.05), the difference was statistically significant, which indicated that the two groups had better curative effect after the end of the treatment, and the curative effect of the treatment group was obviously better than that of the control group.The curative effect analysis of the disease course distribution: the treatment group and the control group according to the course of disease distribution comparison curative effect, the treatment group P0.01, the difference has the significant statistical significance, the control group P0.05, the difference has the statistical significance.The shorter the course, the better the curative effect. 4.Results: 13 cases were cured and 4 cases had mild recurrence in the treatment group.In the control group, 6 cases were cured, 3 cases were mild recurrence, and the rest were not abnormal.Conclusion 1.Routine acupuncture was effective in treating primary hemifacial spasm, and the curative effect was better than that of routine acupuncture.The shorter course of treatment of primary hemifacial spasm, the better.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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