吊针治疗阵发性面肌痉挛疗效观察.docVIP

吊针治疗阵发性面肌痉挛疗效观察(1.山东省千佛山医院针灸科,济南250014;2.南京中医药大学98级研究生) [摘要]目的:观察吊针治疗阵发性面肌痉挛的疗效。方法:将150例患者随机分为3组,观察组50例采用吊针治疗,常规组50例采用常规针刺治疗,药物组50例采用口服苯妥英钠等药物治疗。结果:观察组及常 规组有效率同药物组相比差异有显著性意义(P0.005)。观察组的愈显率与常规组相比差异有极显著性意义(P0.005)。结论:针刺治疗阵发性面肌痉挛有效,吊针的应用更显著的提高了疗效。? [主题词]肌痉挛/针灸疗法;面部肌肉;刺法? Observation on Therapeutic Effect of Chronic Facial Spasm with Hang?Needling Therapy Zhang Yue?1,Yang Zhenhui?1,Sun Yingxia?2(1.Section of Acup uncture and Moxibustion,Shandong Qianfoshan Hospital,Jinan 250014;2.Nanjing University of TCM) [Abstract]　Purpose　To observe therapeutic effect of hang?needling therapy on chronic facial spasm.Methods　One hundred and fifty cases of chronic facial spasm wererandomly divided into three groups: Obs ervation group(50 cases)were treated wi thhang?needling therapy;Routine treatment group(50 cases) received routine acupunc ture treatment;Medication group(50 cases) administrated orally phenytoin sodium.ResultsThe effective rate in both the observation group and the routine treatment group was better than that in the medication group with significant difference(P0.05),and the cured?markedly effective rate of the observation group was superior to that of the routine treatment group(P0.005).ConclusionAcupuncture therapy is effective for chronic facial spasm and the hang?needling therapy can increase significantly the therapeutic effect.? [Key words]Muscle Spasticity/acup ther;Facial Muscles;Needling Methods? 阵发性面肌痉挛属祖国医学”面?”范畴,是指一侧面部肌肉发生阵发性、不规则的不自主抽搐。初起时多为眼轮匝肌阵发性痉挛,逐渐扩散到一侧面部其他肌肉,无神经系统其他阳性体征。常因无有效治疗方法以致长期不愈,最后甚至采取手术。? 1临床资料? 本组150例,所有病例均经西医诊断为阵发性面肌痉挛。男37例,女113例;年龄最小24岁,最大62岁;病程最短1天,最长3年。将150例患者随机分为3组,观察组50例,男11例,女39例;针刺组50例,男14例,女36例;药物组50例,男12例,女38例。? 2治疗方法? 2.1观察组? (1)取穴:以眼睑肌痉挛为主者用第1组,穴位取阳白、攒竹、鱼腰、太阳、丝竹空、四白;以颧面肌痉挛为主者用第2组,穴位取下关、四白、颧?、牵正、迎香、巨?;以口轮匝肌痉挛为主者用第3组,穴位取颊车、地仓、大迎、水沟、承浆;全面肌痉挛者在3组穴位中酌情选用相应穴位,每次4～8个。? (2)操作方法:每穴以1寸毫针2支浅刺皮下。具体方法为,右手持2支毫针,使针尖对准左手平放的拇指甲上,将针尖对齐对平放在同一个平面上,针身相依,左手切压穴位后,右手持针快速刺入皮下2分,随即将手松开,使针柄自然下垂吊置,针尖则自然将穴位处皮肤挑起,留针20