经颅重复针刺法治疗面肌痉挛的临床疗效观察

发布时间：2018-06-24 04:06

本文选题：面肌痉挛 + 经颅重复针刺法　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:观察经颅重复针刺法治疗面肌痉挛患者的临床疗效,探讨经颅重复针刺法治疗面肌痉挛的有效性,旨在为临床治疗该病提供一种更为有效的方法。方法:选择76例符合纳入标准的面肌痉挛患者作为研究对象,按照随机数字表法分为治疗组和对照组,各38例。对照组应用常规针刺法治疗(取穴:翳风、攒竹、太阳、颧毼、合谷、太冲等),治疗组采用经颅重复针刺法治疗(在对照组治疗的基础上加用经颅重复针刺法针刺百会、宁神、运动区下2/5),治疗组和对照组均每次治疗30分钟,每日治疗一次,连续治疗五日后休息两日为一个疗程,连续治疗三周(三个疗程),并随访1个月后整理病例,应用疗效评定标准进行评定并进行数据分析。结果:1.经过三个疗程的治疗后,治疗组和对照组患者的面肌痉挛的频率与程度均下降,差异有统计学意义(p0.05),在面肌痉挛频率和程度上治疗组均优于对照组;2.治疗后,治疗组总有效率为94.74%,对照组总有效率为86.84%,差异有统计学意义(p0.05),证明两组在经过3个疗程的治疗后均有明显的疗效,但是治疗组的总有效率高于对照组,说明治疗组的疗效优于对照组。结论:1.经颅重复针刺法和常规针刺治疗面肌痉挛均有效,具体体现在痉挛发作程度和痉挛发作频率上均有所下降。2.经颅重复针刺法治疗面肌痉挛的疗效优于常规针刺。
[Abstract]:Objective: to observe the clinical effect of transcranial repetitive acupuncture in the treatment of hemifacial spasm and to explore the effectiveness of transcranial repetitive acupuncture in the treatment of hemifacial spasm in order to provide a more effective method for clinical treatment of hemifacial spasm. Methods: 76 patients with hemifacial spasm were randomly divided into treatment group and control group. The control group was treated with routine acupuncture (point extraction: Yifeng, Zanzhu, Sun, zygomaticus, Hegu, Taichong, etc.), the treatment group was treated with transcranial repeated acupuncture (on the basis of the treatment of the control group, Baihui was needled with transcranial repetitive acupuncture, tranquilizing the spirit, etc.) The patients in the treatment group and the control group were treated for 30 minutes each time, once a day, after five consecutive days of rest as a course of treatment, three consecutive weeks (three courses of treatment), and followed up for one month to sort out the cases. The evaluation criteria were used to evaluate and analyze the data. The result is 1: 1. After three courses of treatment, the frequency and degree of hemifacial spasm in the treatment group and the control group decreased significantly (p0.05). The frequency and degree of hemifacial spasm in the treatment group were better than that in the control group (p0.05). After treatment, the total effective rate of the treatment group was 94.74 and the total effective rate of the control group was 86.840.The difference was statistically significant (p0.05), which proved that the two groups had obvious curative effect after three courses of treatment, but the total effective rate of the treatment group was higher than that of the control group. The therapeutic effect of the treatment group was better than that of the control group. Conclusion 1. Both transcranial repeated acupuncture and routine acupuncture were effective in the treatment of hemifacial spasm, which was reflected in the decrease of spasm degree and frequency. The therapeutic effect of transcranial repeated acupuncture on hemifacial spasm was better than that of routine acupuncture.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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