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针刺太冲、足三里在周围性面瘫治疗中的作用观察

Observation on the Effects of the Treatment for Idiopathic Facial Palsy by Acupuncturing Taichong (LR3) and Zusanli (ST36)

【作者】 张姝

【导师】 王锐;

【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:本研究旨在通过观察针刺与不针刺太冲、足三里在治疗周围性面瘫中的疗效差异,探索太冲、足三里在本病治疗中的作用,为临床优选腧穴提供依据。方法:选取50例周围性面瘫患者,随机分为观察组(加针太冲、足三里)和对照组(不针太冲、足三里),每组各25例,以House Brackmann(H-B)面神经功能评价分级系统进行疗效评价,分别于针刺第6次、第12次、第18次、第24次观察病情变化情况。结果:观察组与对照组总有效率分别为100%、95.8%;愈显率分别为88%、87.5%;痊愈率为64%、62.5%;两组痊愈患者的治疗天数分别为21.31±5.58天、20.47±5.39天,两组比较均无显著性差异(P>0.05)。结论:针刺与不针刺太冲、足三里在治疗周围性面瘫中的疗效基本相同,提示只针刺面部腧穴与上肢远端腧穴即可取得良好疗效。

【Abstract】 Objective: To observe the effect of acupuncturing the taichong (LR3) and zusanli (ST36) acupoints on idiopathic facial palsy, compared with non-needle acupuncturing these two acupoints, to further provide the basis for better clinical acupoint selection.Methods: 50 patients were chosen and randomly divided into the treatment group (acupuncturing taichong(LR3) & zusanli(ST36)) and the control group (non-needling acupuncturing taichong (LR3) & zusanli (ST36)) with 25 cases respectively. Taking House Brackman (H-B) facial nerve function grading system for assessing the efficacy, observed the condition changes from acupuncturing the 6th、12th、18th、24th.Results: The total effective rate of the treatment group and the control group rate were 100% and 95.8%.The markedly effective rates of two groups were 88% and 87.5% respectively. The cure rates of both groups were 64% and 62.5% respectively. The treatment of patients healed lasted 21.31±5.58 days and 20.47±5.39 days. The comparison between the treatment group and the control group showed no significant difference (p>0.05).Conclusion: There is the same effect between acupuncture and non-needle acupuncture taichong (LR3) and zusanli (ST36) in the treatment of idiopathic facial palsy suggesting that only acupuncture facial and upper limb acupoints can achieve good curative effect.

  • 【分类号】R246
  • 【下载频次】193
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