隔盐灸神阙穴配合浅刺痉挛点治疗原发性面肌痉挛临床研究-针灸推拿学专业论文.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 万方数据 万方数据 摘要 目的：本研究旨在观察胡卡明主任医师治疗面肌痉挛的经验——隔盐灸神阙穴配 合浅刺痉挛点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、单中心、单盲的试验方法，将符合纳入标准的 60 例原发性面肌痉挛患者随机分为治疗组和对照组各 30 例。治疗组采用隔盐灸 配合浅刺痉挛点，对照组采用常规针刺法。在治疗 6 周后进行系统疗效评价，以 Cohen 面肌痉挛强度分级、Penn 痉挛频度分级作为疗效评价指标，根据国家中 医药管理局 2002 年颁布的《中医病证诊断疗效标准》和“Cohen 面肌痉挛疗效 标准”作为疗效评价标准，所有数据均采用 SPSS19.0 软件处理，观察对比两组 的临床疗效。 结果：60 例患者有 1 例脱落，其余 59 例完成临床研究，经过 6 周的治疗后： 1.治疗组 30 例均进行隔盐灸神阙穴配合浅刺痉挛点治疗，治愈率 66.67%， 总有效率 93.33%；对照组脱落 1 例，共 29 例进行常规针刺法治疗，治愈率 48.27%，总有效率 82.76%。两组间疗效比较有统计学差异（P0.05）。 2.两组患者面肌痉挛的强度和频度均明显降低（P＜0.05），各组前后比较和 组间比较均有明显的差异（P＜0.05）。 结论：两种针灸方法均能缓解面肌痉挛症状、痉挛强度和频度。但隔盐灸神阙穴 配合浅刺痉挛点在面肌痉挛的治愈率、痉挛强度以及痉挛频度缓解率上，较常规 针刺法更具优势，且此方法患者更易于接受，操作更简洁。 关键词：面肌痉挛；隔盐灸；神阙穴；痉挛点 1 ABSTRACT Objective：to observe the therapeutic effects of the shadow needling on the spastic point combined with moxibustion on salt on shen que(RN08) treatment on primary hemifacial spasm. Methods: Random，control and single blind trial was performed in 60 primary hemifacial spasm patients. All cases were divided into two groups randomly，each 30. The treatment group was treated by the shadow needling on the spastic point combined with moxibustion on salt on shen que(RN08)，while the control group was treated by routine needling treatment simply. The therapeutic effects were systematic evaluated after the 6-course treatment of both groups，and all the statistic data were analyzed by SPSS19.0. Results: 1.The cure rate and total effective rate of treatment group were 66.67% and 93.33% separately. Which of control group were 43.33% and 80.00%.There were significant statistical differences between two groups(P0.05). 2.The intensity and frequency of spasm grades in both groups were reduced effectively (P0.05)，and there were significant statistical differences between the two groups(P0.05). Conclusion: both acupuncture methods had clinical effects on HFS, but the shadow needling on the spastic point combined with moxibustion on salt on shenque(RN08) treatment had significant therapeutic ef