井穴三棱针点刺治疗急性期Bells面瘫临床观察.pdfVIP

上海针灸杂志2014 年8 月第33 卷第8 期 ·715 · 文章编号:1005-0957(2014)08-0715-03 ·临床研究· 井穴三棱针点刺治疗急性期Bells 面瘫临床观察 赵延红 (佛山市第二人民医院,佛山 528000) 【摘要】 目的 观察井穴三棱针点刺出血治疗急性期Bell’s面瘫的临床疗效。方法 选取Bell’s面瘫患者60 例,按随机 分组原则分为观察组和对照组,每组30 例。两组患者入院后均采取Bell’s面瘫常规中西结合治疗方法,观察组结合井穴三棱 针点刺出血法,观察两组H-B评分、瞬目反射R波长。结果 观察组总有效率为93.0%,对照组总有效率为90.0%,观察组总有效 率高于对照组(P＜0.05)。两组治疗后H-B评分均明显高于治疗前(P＜0.05)。观察组第1 疗程、第2 疗程结束后H-B评分均明 显高于对照组(P＜0.05)。两组治疗后瞬目反射R 、R 波长明显高于治疗前(P＜0.05);观察组治疗后R 波长均明显高于对照 1 2 1 组(P＜0.05),而R 波长在第 1 疗程治疗结束后明显高于对照组(P＜0.05),但第2 疗程结束后与对照组相当(P＞0.05)。结论 2 在Bell’s面瘫治疗过程中加入井穴三棱针点刺放血,可有效提高Bell’s面瘫的治疗效果,促进其面神经功能的恢复。 【关键词】 穴,井;点刺;面神经麻痹;急性期;针药并用 【中图分类号】 R246.6 【文献标志码】 A DOI:10.13460/j.issn.1005-0957.2014.08.0715 Clinical Observation of Pricking Jing-well Points in Treating Acute Bell’s Palsy ZHAO Yan-hong. Foshan Second People ’s Hospital,Foshan 528000,China [Abstract] Objective To observe the clinical efficacy of pricking and bleeding the Jing-well points with three-edge needle in treating acute Bell’s palsy. Method Sixty patients with Bell’s palsy were randomized into an observation group and a control group, 30 in each group. In addition to the regular Chinese and Western medicine treatment for Bell’s palsy, the observation group also received pricking and bleeding treatment with three-edge needle at the Jing-well points. The House-Brackman (H-B) Scale and R wave in blink reflex (BR) were observed. Result The total effective rate was 93.0% in the observation group, significantly higher than 90.0% in the control group (P ＜0.05). The H-B score significantly increased in both groups after intervention (P ＜0.05). The observation group was significantly higher than the control group in comp