针灸联合中药治疗风寒型周围性面瘫的临床疗效观察.PDFVIP

针灸联合中药治疗风寒型周围性面瘫的临床疗效观察 ＊ 马天安 （洛阳市第一人民医院，河南洛阳 471000） 中图分类号 R245；R246.2 文献标志码 A 文章编号 1001-0408（2014）43-4113-03 DOI 10.6039/j.issn. 1001-0408.2014.43.29 摘 要 目的：观察针灸联合中药治疗风寒型周围性面瘫的临床疗效。方法：选择2012年9月－2014年1月我院收治的风寒型周 围性面瘫患者98例，按照入院顺序随机均分为治疗组49例和对照组49例。对照组患者采用牵正散合桂枝汤治疗每天1剂，分两 次口服；治疗组患者在对照组治疗基础上加用针灸治疗，每天1次/d ，连续针灸6天休息1d ，2周为1个疗程。两组均治疗2个疗程 后，对临床疗效进行比较。结果：治疗组的愈显率和总有效率为83.66％、91.83％，高于对照组的53.06％、77.55％，两组比较差异 有统计学意义（P ＜0.05）。两组患者的中医证候评分、H-B 评分比较，治疗组较对照组降低更为明显，差异有统计学意义（P ＜ 0.05）。两组患者面部残疾躯体功能指数（FDIP ）量表评分均较治疗前提高，差异有统计学意义（P ＜0.05）。两组患者面部残疾生 活社会功能（FDIS ）评分均较治疗前降低，差异有统计学意义（P ＜0.05）。结论：针灸联合中药治疗风寒型周围性面瘫有较好的临 床疗效，较单纯中药能明显提高总有效率。 关键词 风寒型；周围性面瘫；牵正散合桂枝汤；针灸 Clinical Study of Acupuncture Combined with TCM in the Treatment of Wind-cold Type Peripheral Facial Pa- ralysis MA Tian-an （Luoyang Municipal First People ’s Hospital ，Henan Luoyang 471000，China ） ABSTRACT OBJECTIVE ：To observe the curative efficacy of acupuncture combined with TCM for wind-cold type peripheral fa- cial paralysis. METHODS ：98 patients with wind-cold type peripheral facial paralysis were selected from our hospital during Sept. 2012-Jan. 2014，and then randomized into treatment group （49cases ）and control group （49 cases ）according to the order of admis- sion. Control group was treated with Qianzheng powder combined with Guizhi decoction one dose a day ，twice ，orally ；treatment group was additionally given acupuncture therapy ，once a day ，consecative acupunture for a days ，one day interval ，2weeks as a course on the basis of control group. 2 groups received 2 courses of treatment ，and clinical efficacies were compared between 2 groups. RESULTS ：The markedly effective rate and total effective rate of treatment group were 83.66％and 91.83％，which were higher than 53.06％and 77.55％of control group ；there was statistical significance between 2 groups （P ＜0.05）. The decrease