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针灸为主治疗风寒袭络型面瘫的疗效观察
【作者】 戚锡铅；
【导师】 王恩龙；
【作者基本信息】 辽宁中医药大学 ， 中医学， 2011， 硕士
【摘要】 目的:本研究是为了比较针刺结合药物和单纯药物治疗风寒袭络型面瘫的疗效。材料与方法:将60例面瘫患者随机分为治疗组和对照组,每组30例。两组均采用常规药物的方法治疗,此外,治疗组还介入针刺治疗。两组患者治疗3个疗程以后,采用House-Brackmann面神经功能评价分级系统及Porlmann简易评分法进行疗效评定。结果:1.两组及组间治疗前后House-Brackmann分级比较两组间比较治疗前HB面神经功能示治疗组和对照组无统计学差异(P>0.05),表明两组间具有可比性;治疗前后治疗组和对照组组内自身比较有显著性差异(P<0.01),表明治疗组和对照组治疗方案均对治疗风寒袭络型面瘫有很好的疗效;组间比较治疗后,两组有统计学差异(P<0.05),表明治疗组的治疗方案更能提高面神经功能。2.两组及组间治疗前后症状评分比较治疗前两组间进行比较,治疗组和对照组无统计学差异(P>0.05),表明两组间具有可比性;治疗前后治疗组和对照组组内自身比较有显著性差异(P<0.01),表明治疗组和对照组均能有效改善面瘫症状;组间对照比较治疗后,两组症状评分有统计学差异(P<0.05),说明治疗组较对照组更能改善面瘫症状的程度。3.疗程结束后组间临床疗效比较通过两组对照比较(P<0.05),指出治疗组疗效优于对照组。结论:运用针灸配合药物治疗风寒袭络型周围性面瘫明显优于单纯药物治疗,具有明确的疗效,显著改善患者的临床症状,明显提高治愈率。此法值得在临床上推广应用。
【Abstract】 Purpose:To compare therapeutic effects of acupuncture combined with medicine and pure medicine on the facial paralysis that belong to the type of wind-cold assailing the collaterals.Material and method:Sixty cases of facial paralysis patients were randomly divided into a treatment group and a control group,30 cases in each group. Both groups were treated with routine medication, and the treatment group was treated with acupuncture.After three therapeutic courses,the House-Brackmann facial nerve function appraisal hierarchy system and the Porlmann easy grading method were compared among the groups.Results:1.Contrast of the two groups in the House-Brackmann facial nerve function appraisal hierarchy system before and after treatment In between-group comparison,the treatment group and the control group were not significant different(P>0.05) before treatment,showing two methods of treatment were comparable;After treatment,the contrast was significant difference (P<0.01) for the treatment group,so was for the control group.It followed that two groups had very good effect for the peripheral facial paralysis(the type of wind-cold assailing the collaterals);After treatment,the comparison within two groups showed significant difference (P<0.05),indicating the treatment group enhanced the facial nerve function to a higher degree than control group.2.Contrast of the two groups in the Porlmann easy grading method before and after treatmentThere was no significant difference in the control group compared with the treatment group before treatment(P>0.05),indicating that two groups were comparable.There was significant difference (P<0.01)after treatment within both groups,showing that these two treatments can improve the symptom of peripheral facia1 paralysis effectively.After treatments ,The comparison between the two group was different(P<0.05),which indicated that the treatment group had improved higher than the other.3.Contrast in clinical curative effects between the treatment group and the control group after treatment Through the comparison between the two groups(P<0.05), pointed out that the curative effect of the treatment group was better .Conclusion:The acupuncture and medication to treat peripheral facial paralysis (the type of wind-cold assailing the collaterals) are superior to pure medication. This method has definite effective for cure of peripheral facial paralysis, obviously improve patient’s clinical symptom,and significantly improve the cure rat.It is worthy promoting in the c1inical application.