艾灸至阴穴配合体针治疗原发性面肌痉挛的临床疗效研究-针灸学专业论文.docxVIP

成都中医药大学硕士学位论文 成都中医药大学硕士学位论文 PAGE PAGE 3 摘 要 目的：本研究旨在观察艾灸至阴穴配合体针治疗原发性面肌痉挛的临床疗效。 方法：本研究采用随机、对照、单盲试验方法，西医诊断标准参照《耳鼻咽喉- 头颈外科学》，中医诊断标准参照国家中医药管理局 94 年颁发的《中医病证诊断 疗效标准》。将符合纳入诊断标准的 60 例病人随机分为治疗组和对照组，每组 30 例，5 次一个疗程，每个疗程间休息 2 天，每疗程共计一周，共 6 个疗程。治 疗组采用艾灸至阴穴配合患侧面部针刺方法，对照组采用常规患侧面部针刺方 法。根据 Cohen 面肌痉挛疗效评价标准，进行系统疗效评价，所有数据均采用 SPSS13.0 处理。 结果:60 例患者中 59 例完成本实验研究，脱落、剔除 1 例。经过 6 个疗程的治 疗，治疗组总有效率 90.00%，治愈率 66.67%。对照组总有效率 82.76%，治愈率 58.62%。治疗组较对照组比较，在面肌痉挛的恢复上有显著差异（P0.05）。 结论:在单纯运用常规针刺治疗面肌痉挛的基础上，加用艾灸至阴穴，疗效明显， 复发率低，为临床治疗面肌痉挛探索了一条新途径。 关键词：面肌痉挛 灸法 至阴穴 ABSTRACT Objective: To observe therapeutic effects of routine needling combined with moxibustion on zhi yin (BL67) treatment on primary hemifacial spasm. Methods: Random, control and single blind trial was performed in 60 cases of primary hemifacial spasm, with diagnostic criteria of primary hemifacial spasm from Otorhinolaryngology Head and Neck Surgery Science and Diagnostic and Therapeutic Effect Evaluation Criteria of Diseases and Syndromes in Traditional Chinese Medicine (State Administration of Traditional Chinese Medicine, 1994). All cases were randomly divided into control group treated by routine needling and treatment group treated by routine needling with moxibustion on zhi yin (BL67). The patients were treated once every day, five times as a course, two days for rest between the courses, and six courses altogether. The therapeutic effects were systematic evaluated by Cohen1 criteria for evaluating therapeutic effect of primary hemifacial spasm and all the statistic dates were processed by SPSS13.0. Results: The total effective rate of treatment group was 90.00%, and cure rate, 66.67%. The total effective rate of control group was 82.76%, and cure rate, 58.62%. The effective rate in treatment group is superior to that in control group, the differences being significant (P0.05). Conclusions: As a new way to treat primary hemifacial spasm, routine needling combined with moxibustion on zhi yin (BL67) method has an obvious t