【作者】 张志国；

【导师】 葛宝和；

【作者基本信息】 山东中医药大学 ， 针灸推拿学， 2011， 硕士

【摘要】 目的:本研究旨在观察急性期针刺风池、风府治疗周围性面瘫的疗效,与常规针刺相比是否具有优越性,从而为针刺治疗该病寻找一种更为快捷、方便、高效且痛苦小的治疗方法。方法:选取60例周围性面瘫患者,随机分为观察组(急性期主穴取风府、风池)和对照组(常规针刺治疗),每组各30例,以House Brackmann(H-B)面神经功能评价分级系统与症状积分标准进行疗效评价,分别于针刺前、治疗4个疗程后记录病情变化情况及痊愈天数。结果:H-B面神经功能评价分级系统结果:观察组总有效率100%,痊愈率80.0%;对照组总有效率96.7%,痊愈率66.7%,两者比较无统计学意义(P>0.05);两者症状积分比较无统计学意义(P>0.05)。但观察组的总有效率和痊愈率有高于对照组的趋势;观察组痊愈患者的治疗次数少于对照组,两者有显著性差异(P<0.01)。结论:针刺治疗急性期周围性面瘫,主穴取风池、风府可明显缩短疗程,疗效明确。更多还原

【Abstract】 Objective: To explore the efficacy of needling Fengchi and Fengfu points, and to find a more rapid, convenient, efficient and less painful treatment method in the early period of peripheral facial paralysis.Methods: Totally 60 cases of peripheral facial paralysis were randomly divided into 2 groups of 30 cases in each group: the experimental group(acupuncture treatment of Fengfu and Fengchi points in the acute stage)and the control group(conventional acupuncture treatment). The therapeutic effect was evaluated by House Brackmann(H-B) facial nerve function appraisal hierarchy system and Symptom integral standard. The changes of pathogenesis condition before acupuncture and four weeks after acupuncture were observed and recorded.Results: The results of H-B facial nerve function appraisal hierarchy system: the total effective rate was 100%, the recovery rate was 80.0% in the experimental group, and the total effective rate was 96.7%, the recovery rate was 66.7% in the control group. The results of Symptom integral standard: there was not significant difference between the 2 groups (P>0.05), however, the total effective rate and recovery rate in the experimental group were higher than ones in the control group. The number of recovery days in the experimental group was smaller than one in the control group, the difference was significant (P<0.01).Conclusion: This study shows that the efficacy of needling Fengchi, Fengfu and distal points in the acute stage of peripheral facial paralysis is definite, moreover, it can shorten the course of acupuncture treatment.更多还原