“疾刺”针法配合常规针刺治疗周围性面瘫的临床疗效观察

发布时间：2018-05-05 20:40

本文选题：周围性面瘫 + 疾刺　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:观察“疾刺”针法配合常规针刺治疗周围性面瘫的临床疗效,并与常规针刺方法治疗周围性面瘫的临床效果相比较,探索疾刺针法的临床优越性,为提高周围性面瘫的临床疗效开拓新思路。方法:将60例来自于山东中医药大学针灸科门诊的周围性面瘫患者随机分为疾刺治疗组和常规针刺对照组,疾刺组采用针刺治疗面瘫常规穴位加患侧疾刺针法配合TDP照射进行治疗;对照组常规针刺治疗。对两组面瘫患者分别在治疗后的第8天(中期)、28天(后期)进行House-Brackmann(H-B)面神经功能评价分级评定和面瘫症状体征量化表的评级调查。结果:1.两组总体疗效比较有非常显著性差异(P0.01),疾刺组优于对照组,而且疾刺组的痊愈率、显效率及总有效率均高于对照组。2.两组治疗前和治疗8天后单个静态观评分组内比较均有显著性差异(P0.01);两组治疗前和治疗28天后单个静态观评分组内比较均有显著性差异(P0.01);治疗后组间比较,有非常显著性差异(P0.01),其中鼻孔和额纹两个症状评分有显著性差异(P0.05),疾刺组的单个静态观评分优于对照组。3.两组治疗前和治疗8天后单个动态观评分组内比较均有非常显著性差异(P0.01);两组治疗前和治疗28天后单个动态观评分组内比较均有非常显著性差异(P0.01);治疗后组间比较,诸症评分及动态观评分总和均有显著性差异(P0.05),疾刺组的单个动态观评分优于对照组。4.两组治疗前和治疗8天后面神经功能总分组内比较均差异性较少(P0.01);两组治疗前和治疗28天后面神经功能总分组内比较具有明显的差异性(p0.01),疾刺组的治疗效果明显优于对照组。结论:疾刺针法配合常规针刺治疗周围性面瘫优于单纯常规针刺治疗。
[Abstract]:Objective: to observe the clinical efficacy of "ji acupuncture" combined with routine acupuncture in the treatment of peripheral facial paralysis, and to explore the clinical advantages of disease acupuncture in the treatment of peripheral facial paralysis. To improve the clinical efficacy of peripheral facial paralysis to open up new ideas. Methods: sixty patients with peripheral facial paralysis from the Department of Acupuncture and moxibustion Department of Shandong University of traditional Chinese Medicine were randomly divided into two groups: the treatment group and the control group. The patients in the disease acupuncture group were treated with acupuncture, and the patients in the control group were treated with conventional acupuncture combined with TDP irradiation. Two groups of patients with facial paralysis were assessed by House-Brackmannian H-B-evaluation on the 8th day after treatment (middle stage, 28 days) and the rating of the quantitative table of symptoms and signs of facial paralysis were investigated. The result is 1: 1. There was a significant difference between the two groups in overall curative effect (P 0.01). The cure rate, effective rate and total effective rate of the disease acupuncture group were higher than that of the control group (P < 0.01), and the cure rate, the effective rate and the total effective rate of the disease acupuncture group were higher than those of the control group. There were significant differences between the two groups before treatment and 8 days after treatment in the single static score group (P 0.01), in the two groups before treatment and 28 days after treatment, there was significant difference in the single static view score group (P 0.01), the difference between the two groups was significant (P 0.01), the difference between the two groups before and after 28 days treatment was significant (P 0.01), and there was no significant difference between the two groups after treatment. There was a significant difference in the scores of nostril and frontal stria (P0.05), and the single static score in the prick group was better than that in the control group (.3.). There were significant differences between the two groups before treatment and 8 days after treatment in the single dynamic score group (P 0.01), the difference between the two groups before treatment and 28 days after treatment was very significant (P 0.01), the difference between the two groups after treatment was significant (P 0.01), the difference between the two groups was significant (P 0.01), and there was a significant difference between the two groups before and after 28 days of treatment (P < 0.05). There was significant difference in the sum of symptom score and dynamic view score (P 0.05), and the single dynamic score of the disease prick group was better than that of the control group. 4. The difference of the total score of nerve function before and after 8 days of treatment in the two groups was less than that in the control group, and there was a significant difference between the two groups before treatment and after 28 days of treatment. The therapeutic effect of the disease acupuncture group was obviously better than that of the control group. Conclusion: the treatment of peripheral facial paralysis with disease acupuncture combined with routine acupuncture is superior to that of simple routine acupuncture.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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