针刺配合拔罐放血治疗风寒型面瘫的临床观察

发布时间：2018-10-23 11:17

【摘要】：目的:本研究比较针刺配合拔罐放血和单纯药物治疗风寒型面瘫的疗效。材料与方法:将诊断为风寒型面瘫的患者80例,随机分为试验组和对照组两组,从而进行对比治疗,每组40例,对照组采用神经内科基础治疗,而试验组在对照组神经内科基础治疗的基础上予以针刺配合拔罐放血进行治疗,共3个疗程。采用House-Brackmann(H-B)面神经功能分级标准及评分量表对患者进行评价。结果:1.试验组与对照组两组组间及组内治疗前后House-Brackmann(H-B)评分比较试验组与对照组两组组间在治疗前H-B评分经统计学比较P0.05,无统计学差异,具有组间可比性;试验组与对照组两组治疗前和治疗后H-B评分比较两组结果均P0.05,有统计学意义,说明两组的治疗方法对于面瘫的治疗上均有疗效;而两组组内比较结果有统计学差异,说明试验组在疗效上明显优于对照组。2.试验组与对照组两组组内及组间治疗前后House-Brackmann(H-B)分级比较试验组与对照组两组在治疗前H-B分级的组间比较无统计学差异,具有组间可比性;试验组和对照组在治疗前与治疗后都有明显差异(P0.05),说明试验组与对照组两组的治疗方法对面瘫的治疗均有疗效;而试验组与对照组两组组间的H-B分级比较,P0.05,有统计学意义,说明试验组治疗面瘫的方法好于对照组。结论:运用针刺配合拔罐放血治疗风寒型面瘫的疗效明显优于单纯西药治疗,疗效明确,本疗法对面瘫患者的症状有明显的改善,提高本病的痊愈率,在临床治疗上值得广泛应用。
[Abstract]:Objective: to compare the curative effect of acupuncture combined with cupping and bloodletting on patients with wind-cold facial paralysis. Materials and methods: 80 patients with wind-cold facial paralysis were randomly divided into two groups: experimental group and control group. The experimental group was treated with acupuncture combined with cupping and bleeding on the basis of the basic treatment of neurology in the control group. The patients were evaluated with House-Brackmann (H-B) facial nerve function scale and score scale. The result is 1: 1. Comparison of House-Brackmann (H-B) score before and after treatment between the two groups in the trial group and the control group; the H-B score of the experimental group and the control group was statistically compared before treatment (P0.05), there was no statistical difference between the two groups and there was comparability between the two groups. The scores of H-B before and after treatment in the trial group and the control group were compared with those in the control group (P 0.05), which showed that the treatment methods of the two groups were effective in the treatment of facial paralysis, but there were significant differences in the results between the two groups. It shows that the effect of the test group is obviously better than that of the control group. 2. Comparison of House-Brackmann (H-B) grading before and after treatment between the two groups in the trial group and the control group there was no statistical difference between the two groups before and after treatment, and there was no statistical difference between the two groups, and there was comparability between the two groups. There were significant differences between the experimental group and the control group before and after treatment (P0.05), which indicated that the treatment methods of the experimental group and the control group were effective in the treatment of facial paralysis, while the H-B grade between the test group and the control group was significantly higher than that in the control group (P0.05). The results showed that the treatment of facial paralysis in the experimental group was better than that in the control group. Conclusion: the curative effect of acupuncture combined with cupping and bleeding in treating wind-cold type facial paralysis is better than that of western medicine alone. It is worthy of extensive application in clinical treatment.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

【参考文献】