周围性面神经麻痹针刺时机选择.docVIP

周围性面神经麻痹针刺时机选择(吉林大学中日联谊医院中医科,长春130031) [摘　要]　 目的: 观察选择周围性面神经麻痹不同时机进行针刺的疗效。 方法:将144例周围性面神经麻痹患者按病程分为2组,发 病 7天以内的急性期患者为治疗组,发病7天以上的静止期及恢复期患者为对照组,采用相同 的穴位进行针刺治疗。 结果: 治疗组治愈率85.2%,有效率100.0%;对照组治愈率66.7%,有效率97. 2%。治疗组疗效明显优于对照组(P0.01)。 结论:在周围性面神经麻痹的急性期给予面神经良性刺激,会 大大提高治愈机率,故周围性面瘫针刺治疗的最佳时机为急性期。 ? [主题词]　面神经麻痹/针灸疗法 ? Choice of the Right Moment in Acu puncture Treatment for Peripheral Facial Paralysis? Fang Meishan,Fengguimei (Department of TCM,China?Japan Fri endship Hospital of Jilin University,Ch angchun 130031)? [Abstract]　 Purpose　To observe thera peutic effects of acupuncture treatment on peripheral facial paralysis at differ ent opportune moment. Methods　One hundred and fourty?four cases of peripheral facial p aralysis were divided into twogroups ac cording to duration of illness.The patie nts at acute stage with duration of illn e ss of less than 7 days were served as tr eatmentgroup and the patients at restin g stage and restoration stage with durat ion of illness of more than 7 days as co ntrolgroup.They were treated with acupu ncture at same points. Results　The cured rate w as 85.2% and 66.7%,and the effective rat e w as 100.0% and 97.2% in the treatmentgro up a nd the controlgroup,respectively,the tr eatmentgroup being superior to the cont rolgroup in the therapeutic effect. Conclusion　Acute stage i s the best opportunity for acupuncture t reatment of peripheral facial paralysis. ? [Key words]　 Facial Paralysis/acup ther ?? 周围性面神经麻痹亦称面瘫,古人称之”口?”、”口僻”等,是 由于 茎乳突孔内的面神经炎所致。运用针刺方法治疗面瘫已被众人共识,但在治疗时机的选择上 始终存在着不同的看法。笔者选择周围性面瘫不同时期针刺治疗进行了疗效观察。 ? 1　临床资料 ? 144例患者全部来自门诊。男84例,女60例;年龄最小6个月,最大73岁;病程最 短5个小时,最长3个月。 临床分为2组,治疗组为发病7天以内患者,共108例;对照组为发病7天以上患者,共 36例。两组均为单侧周围性面神经麻痹。? 2　治疗方法 取穴牵正、承浆、颊车透地仓、水沟、太阳、阳白、攒竹、迎香、合谷、风池。每次取 4～5穴,留针20分钟,留针期间电针10分钟,弱刺激,电流量以病人刚刚感觉到疼痛 为宜,10天为一疗程。? 3　疗效观察 ? 3.1　疗效标准? 痊愈:症状和体征全部消失,面肌功能恢复正常。 显效:症状和体征基本消失,需仔细观察方可发现面肌异常。 好转:静止时外观正常,笑时病侧口角轻度下垂或眼睑闭合稍慢。 无效:症