针刺配合肌内效贴治疗恢复期周围性面瘫临床观察研究

发布时间：2018-10-09 11:03

【摘要】：目的:观察针刺配合肌内效贴治疗恢复期周围性面瘫的临床疗效,为拓展面瘫的治疗方法提供临床依据。方法:将符合纳入标准的90例在新疆维吾尔自治区中医院针灸科门诊就诊的恢复期周围性面瘫患者,随机分为3组,其中观察组(30例)采用针刺配合肌内效贴治疗,对照1组(30例)采用常规针刺治疗,对照2组(30例)采用单纯肌内效贴贴扎治疗。签署知情同意书,每周治疗6天,每天1次,1个疗程为2周,每个疗程后休息2天,三组均连续治疗2个疗程。采用House-Brackman分级量表分别对三组患者治疗前、第一疗程后、第二疗程后的临床疗效进行评估及安全评价。结果:(1)三组患者在性别、年龄、面神经患侧部位、病程分布等方面比较均无统计学意义(p0.05),治疗前H-B量表评分无显著差异,(p0.05),说明三组基线水平一致,分组良好,具有可比性;(2)三组患者治疗2个疗程后与治疗前相比,症状均有显著改善(P0.01);(3)三组患者经2个疗程治疗后,观察组的痊愈率均明显高于对照1组和对照2组(P0.05);(4)观察组痊愈率的疗程较2个对照组明显缩短(P0.05);(5)治疗过程中三组治疗病例均未出现明显不良反应。结论:针刺配合肌内效贴治疗、常规针刺治疗、肌内效贴贴扎治疗均能改善恢复期周围性面瘫患者的临床症状,其中针刺配合肌内效贴治疗疗效确切,而且疗效高于常规针刺治疗和单纯肌内效贴贴扎治疗;针刺配合肌内效贴治疗可以缩短恢复期疗程,预防后遗症期的发生,其可能的机制是二者可以促进局部循环及瘫痪面部肌肉的收缩,减轻局部神经压力;针刺配合肌内效贴两种治疗结合,疗效安全可靠,值得进一步临床推广使用。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with intramuscular plaster in the treatment of convalescent peripheral facial paralysis. Methods: 90 patients with convalescent peripheral facial palsy were randomly divided into 3 groups, 30 of whom were treated with acupuncture plus intramuscular plaster in the observation group (n = 30), who met the inclusion criteria in the Department of Acupuncture and moxibustion Department, Xinjiang Uygur Autonomous region Hospital of traditional Chinese Medicine (Uygur Autonomous region). Control group 1 (30 cases) were treated with routine acupuncture and control group 2 (30 cases) were treated with simple intramuscular sticking and sticking. Sign informed consent, 6 days a week, once a day, a course of treatment for 2 weeks, each course of rest 2 days, the three groups were treated continuously for 2 courses. House-Brackman scale was used to evaluate the clinical efficacy and safety of three groups of patients before, after the first course of treatment and after the second course of treatment. Results: (1) there was no significant difference in sex, age, the location of facial nerve and the distribution of the course of disease among the three groups (p0.05), but there was no significant difference in H-B scale score before treatment (p0.05), which indicated that the baseline level of the three groups was the same and the group was good. (2) after two courses of treatment, the symptoms of the three groups were significantly improved compared with those before treatment (P0.01); (3). The cure rate of the observation group was significantly higher than that of the control group 1 and the control group 2 (P0.05); (4). The course of treatment of the observation group was significantly shorter than that of the two control groups (P0.05); (5). Conclusion: acupuncture combined with intramuscular plaster therapy, routine acupuncture therapy and intramuscular effect plaster therapy can improve the clinical symptoms of patients with peripheral facial paralysis in convalescent period. And the curative effect is higher than that of routine acupuncture and simple intramuscular sticking, acupuncture combined with intramuscular plaster can shorten the course of convalescence and prevent sequelae. The possible mechanism is that both can promote local circulation and paralysis of facial muscle contraction, reduce local nerve pressure; Acupuncture combined with intramuscular effect of the two treatments, the efficacy is safe and reliable, worthy of further clinical use.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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