大接经针法治疗周围性面瘫后遗症的临床疗效观察
发布时间：2019-06-27 08:44
【摘要】：目的:比较运用大接经针刺法与传统疗法治疗面瘫后遗症期的临床疗效差异,以期验证大接经针法治疗面瘫后遗症期的可行性。方法:选取2014年11月至2016年12月大连医科大学附属第二医院针灸门诊及神经内科门诊确诊为周围性面瘫后遗症的患者共52例(男23例,女29例),根据治疗方法的不同,随机分为治疗组(常规针刺配合大接经针法)、对照组(常规针刺配合闪罐法)两组进行治疗,每组各26例,其中治疗组入组26例,脱落1例(女),共25例(男12例,女13例);对照组入组26例,脱落2例(男1例,女1例),共24例(男8例,女16例)。对照组取穴迎香、地仓、太阳、头维、口禾毼、颊车、大迎、颧毼、四白、阳白、牵正、合谷、足三里、三阴交、太冲等行常规针刺,面部用0.25×25mm毫针浅刺3-5mm,四肢用0.25×40mm毫针刺入皮下20-30mm,得气后合谷、足三里、三阴交行捻转补法,太冲行捻转泻法。留针30分钟,留针期间每10分钟行针1次。对照组常规针刺配合患侧局部闪罐疗法,隔日1次。治疗组在以上常规针刺治疗基础上,加用大接经针法从阳引阴或从阴引阳交替针刺。常规针刺隔日1次,于每疗程第1、3、5次针刺配合大接经针法。两组均以常规针刺5次为一疗程,治疗3个疗程。依据Sunny brook(多伦多)面神经评定系统,随访观察两组治疗前后静态评分、随意运动分、联动运动分及最后得分的变化。所有受试者均符合入组标准,可耐受目前检查及治疗,并签署知情同意书。将全部入组患者数据收集整理,建立详细的数据库。本研究采用MS Excel365进行数据整理与绘图,IBM SPSS 22.0进行数据分析,计量资料采用均数±标准差((x|-)±s)表示,两组间正态分布计量资料均值比较采用独立样本t检验,治疗前后比较采用配对t检验,计数资料采用例数表示,例数分布采用卡方检验,α=0.05为统计基准。均以P0.05为差异具有统计学意义,评价各参数变化。结果:1.治疗后两组静态分值均较治疗前减小。治疗后治疗组分值低于对照组,无统计学差异(P0.05)。2.两组治疗后联动分结果存在显著差异(P0.05),两组联动分值均较治疗前减小。治疗后治疗组分值低于对照组,存在显著差异(P0.001)。3.两组治疗后随意运动分结果存在统计学差异(P0.05)。两组随意运动分值均较治疗前提高,有统计学意义(P0.001)。治疗后治疗组分值高于对照组,存在统计学差异(P0.05)。4.两组治疗后最后得分结果存在统计学差异(P0.01)。两组最后得分均较治疗前提高,统计学差异显著(P0.001)。治疗后治疗组分值高于对照组,存在明显差异(P0.01)。5.两组最后得分与随意运动分在治疗后均有增高,治疗组评分提高幅度明显优于对照组,且分值高于对照组。两组静态分与联动分在治疗后均有下降,治疗组联动分下降幅度明显,分值低于对照组,有统计学意义。治疗组治疗后静态分较对照组下降明显,但结合统计学分析,无统计学差异。6.治疗组总有效率为88%;对照组总有效率62.50%,治疗组总有效率高于对照组,差异有统计学意义(P0.05)。结论:1.配合大接经针法治疗周围性面瘫后遗症疗效明显优于常规疗法,显著改善了患侧面部静态观与动态观,加速了面神经功能的恢复。2.大接经针法通过依次刺激十二经井穴产生针感,令十二经经气次第贯通,使周身气血运行以带动患侧面部气血的恢复与畅通,气血充足则筋肉得以滋养,故可改善患侧面部病症。
[Abstract]:Objective: To compare the clinical curative effect of the treatment of the sequela of facial paralysis with the acupuncture and the traditional therapy, with a view to verifying the feasibility of the treatment of the sequela of the facial paralysis by the method of needle-acupuncture. Methods:52 cases (23 male and 29 female) of peripheral facial paralysis were selected from November 2014 to December 2016 in the Second Affiliated Hospital of Dalian Medical University. The treatment group was divided into two groups: the treatment group (the conventional acupuncture and cupping) and the control group (conventional acupuncture and cupping),26 cases in each group,26 cases of the group in the treatment group,1 case (female),25 cases (12 males and 13 females), and 26 in the control group. 2 cases (1 male and 1 female) were dropped,24 cases (8 males and 16 females). the control group is used for collecting and receiving the fragrance, the ground bin, the sun, the head dimension, the mouth and the grass, the driving vehicle, the big-face, the head-and-the-mouth, the four-white, the white-white, the pull-in, the valley-like, the three-yin, the three-yin, the too-punched and the like, the conventional needle-punching is performed, the face is made of 0.25-25mm milli-needle and 3-5mm, and the four limbs are inserted into the skin by 0.25-40 mm milli-needles for 20-30 mm, In the post-gas, three-yin, three-yin, three-yin, one-to-one, one-to-one, one-to-one, one-to-one, one-to-one, one-to-one, one- The needle was left for 30 minutes and the needle was left for 1 time every 10 minutes during the retention of the needle. The conventional acupuncture in the control group was combined with the local flash tank therapy on the affected side, and the other day was 1 time. On the basis of the above-mentioned conventional acupuncture treatment, the treatment group, with the addition of the large-type acupuncture, from the male to the female or from the yin-yang to alternate acupuncture. 1,3 and 5 acupuncture at each treatment course were combined with the acupuncture. The two groups were treated with conventional acupuncture for 5 times as a course of treatment. According to Sunny brook (Toronto) facial nerve evaluation system, the two groups were followed up to observe the changes of static score, random motion, linkage movement and final score. All subjects met the inclusion criteria and were able to withstand the current examination and treatment and to sign the informed consent form. Collect all the enrolled patient data and set up a detailed database. In this study, MS Excel365 was used for data sorting and drawing, and the data was analyzed by the IBM SPSS 22.0. The mean standard deviation ((x |-) (s) was used for the measurement data. The mean value of the measured data of normal distribution between the two groups was compared with the independent sample t. The paired t-test was used before and after the treatment. The number of data used was expressed in the number of cases, and the number distribution was chi-square test, and the number of cases was 0.05 as the statistical reference. The change of each parameter was evaluated by the difference of P0.05. Results:1. The static scores of the two groups were reduced before treatment. The value of the treatment after treatment was lower than that of the control group without statistical difference (P0.05). The linkage scores of the two groups were significantly different (P0.05), and the linkage scores of the two groups were reduced before treatment. The value of the treatment after treatment was lower than that of the control group, and there was a significant difference (P 0.001). There was a statistical difference between the two groups after treatment (P0.05). The free exercise scores of the two groups were higher than that before treatment (P 0.001). The value of treatment after treatment was higher than that in the control group, and there was a statistical difference (P0.05). There was a statistical difference between the two groups after treatment (P0.01). The final scores of the two groups were higher than that before treatment (P 0.001). The value of the treatment after treatment was higher than that of the control group, and there was a significant difference (P0.01). The scores of the two groups were higher than that of the control group, and the score was higher than that of the control group. There was a significant difference between the two groups of static score and linkage group in the treatment group, the decrease of the linkage score of the treatment group was significant, and the score was lower than that of the control group. The static score of the treatment group was lower than that of the control group after treatment, but it was not statistically different in combination with the statistical analysis. The total effective rate of the treatment group was 88%, the total effective rate of the control group was 62.50%, and the total effective rate of the treatment group was higher than that of the control group (P0.05). Conclusion:1. The curative effect of the treatment of peripheral facial paralysis is better than that of the conventional therapy, and the static view and the dynamic view of the side part are obviously improved, and the recovery of the facial nerve function is accelerated. In that method, the needle feel is generate by stimulation of the twelve wells through the acupuncture method in sequence, so that the 12-meridian passage is carried out, so that the circulation of the qi and blood of the body is driven to drive the recovery and the smooth of the qi and blood of the side part, and the blood and the blood can be nourished, so that the side part condition can be improved.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6
本文编号：2506654
[Abstract]:Objective: To compare the clinical curative effect of the treatment of the sequela of facial paralysis with the acupuncture and the traditional therapy, with a view to verifying the feasibility of the treatment of the sequela of the facial paralysis by the method of needle-acupuncture. Methods:52 cases (23 male and 29 female) of peripheral facial paralysis were selected from November 2014 to December 2016 in the Second Affiliated Hospital of Dalian Medical University. The treatment group was divided into two groups: the treatment group (the conventional acupuncture and cupping) and the control group (conventional acupuncture and cupping),26 cases in each group,26 cases of the group in the treatment group,1 case (female),25 cases (12 males and 13 females), and 26 in the control group. 2 cases (1 male and 1 female) were dropped,24 cases (8 males and 16 females). the control group is used for collecting and receiving the fragrance, the ground bin, the sun, the head dimension, the mouth and the grass, the driving vehicle, the big-face, the head-and-the-mouth, the four-white, the white-white, the pull-in, the valley-like, the three-yin, the three-yin, the too-punched and the like, the conventional needle-punching is performed, the face is made of 0.25-25mm milli-needle and 3-5mm, and the four limbs are inserted into the skin by 0.25-40 mm milli-needles for 20-30 mm, In the post-gas, three-yin, three-yin, three-yin, one-to-one, one-to-one, one-to-one, one-to-one, one-to-one, one-to-one, one- The needle was left for 30 minutes and the needle was left for 1 time every 10 minutes during the retention of the needle. The conventional acupuncture in the control group was combined with the local flash tank therapy on the affected side, and the other day was 1 time. On the basis of the above-mentioned conventional acupuncture treatment, the treatment group, with the addition of the large-type acupuncture, from the male to the female or from the yin-yang to alternate acupuncture. 1,3 and 5 acupuncture at each treatment course were combined with the acupuncture. The two groups were treated with conventional acupuncture for 5 times as a course of treatment. According to Sunny brook (Toronto) facial nerve evaluation system, the two groups were followed up to observe the changes of static score, random motion, linkage movement and final score. All subjects met the inclusion criteria and were able to withstand the current examination and treatment and to sign the informed consent form. Collect all the enrolled patient data and set up a detailed database. In this study, MS Excel365 was used for data sorting and drawing, and the data was analyzed by the IBM SPSS 22.0. The mean standard deviation ((x |-) (s) was used for the measurement data. The mean value of the measured data of normal distribution between the two groups was compared with the independent sample t. The paired t-test was used before and after the treatment. The number of data used was expressed in the number of cases, and the number distribution was chi-square test, and the number of cases was 0.05 as the statistical reference. The change of each parameter was evaluated by the difference of P0.05. Results:1. The static scores of the two groups were reduced before treatment. The value of the treatment after treatment was lower than that of the control group without statistical difference (P0.05). The linkage scores of the two groups were significantly different (P0.05), and the linkage scores of the two groups were reduced before treatment. The value of the treatment after treatment was lower than that of the control group, and there was a significant difference (P 0.001). There was a statistical difference between the two groups after treatment (P0.05). The free exercise scores of the two groups were higher than that before treatment (P 0.001). The value of treatment after treatment was higher than that in the control group, and there was a statistical difference (P0.05). There was a statistical difference between the two groups after treatment (P0.01). The final scores of the two groups were higher than that before treatment (P 0.001). The value of the treatment after treatment was higher than that of the control group, and there was a significant difference (P0.01). The scores of the two groups were higher than that of the control group, and the score was higher than that of the control group. There was a significant difference between the two groups of static score and linkage group in the treatment group, the decrease of the linkage score of the treatment group was significant, and the score was lower than that of the control group. The static score of the treatment group was lower than that of the control group after treatment, but it was not statistically different in combination with the statistical analysis. The total effective rate of the treatment group was 88%, the total effective rate of the control group was 62.50%, and the total effective rate of the treatment group was higher than that of the control group (P0.05). Conclusion:1. The curative effect of the treatment of peripheral facial paralysis is better than that of the conventional therapy, and the static view and the dynamic view of the side part are obviously improved, and the recovery of the facial nerve function is accelerated. In that method, the needle feel is generate by stimulation of the twelve wells through the acupuncture method in sequence, so that the 12-meridian passage is carried out, so that the circulation of the qi and blood of the body is driven to drive the recovery and the smooth of the qi and blood of the side part, and the blood and the blood can be nourished, so that the side part condition can be improved.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6
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