针药结合治疗急性期Bell氏面瘫的临床观察
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摘要
目的观察针刺结合不同药物治疗急性期Bell氏面瘫的疗效差异。方法将符合纳入标准的受试者随机分为3组,即针刺加中药组、针刺加西药组以及针刺加中药和西药组,在急性期分别予以相应处理,恢复期予以相同的治疗,在治疗前后以及急性期后和恢复期后,分别进行面神经麻痹程度分级和House-Brackmann面神经功能分级以及疗效评价。结果急性期后,三组治疗后的疗效差异均无统计学意义(P>0.05),恢复期后,针刺加中西药组较其余两组的疗效差异有统计学意义(P<0.05),针刺加西药组和针刺加中药组间的疗效差异无统计学意义(P>0.05)。结论针刺结合中西药干预急性期Bell氏面瘫可以显著改善面瘫症状,且疗效优于针灸分别配合中药和西药的治疗。
Objective To observe the curative effect of different medicines combined with acupuncture in the treatment of acute Bell's palsy.Method The up-to-standard patients were randomly divided into 3 groups,the acupuncture with Chinese medicine group,acupuncture with Western medicine group and acupuncture with Chinese medicine and Western medicine group. In the acute phase,the different methods were applied,and the treatments in the recovery phase were the same. The curative effect was assessed with the Facial nerve paralysis of the classification and House-Brackmann facial nerve function assessment. Result After the acute phase,there were no significant differences in curative effect after treatment in the three groups( both P > 0. 05). After the recovery phase,there was a significant difference in curative effect compared with the other two groups( both P < 0. 05). There were no significant differences between the acupuncture with Chinese medicine group and the acupuncture with Western medicine group( P > 0. 05). Conclusion The acupuncture with Chinese medicine and Western medicine applied in the acute phase Bell's palsy has remarkable effect,and it's better than the other two methods.
Objective To observe the curative effect of different medicines combined with acupuncture in the treatment of acute Bell's palsy.Method The up-to-standard patients were randomly divided into 3 groups,the acupuncture with Chinese medicine group,acupuncture with Western medicine group and acupuncture with Chinese medicine and Western medicine group. In the acute phase,the different methods were applied,and the treatments in the recovery phase were the same. The curative effect was assessed with the Facial nerve paralysis of the classification and House-Brackmann facial nerve function assessment. Result After the acute phase,there were no significant differences in curative effect after treatment in the three groups( both P > 0. 05). After the recovery phase,there was a significant difference in curative effect compared with the other two groups( both P < 0. 05). There were no significant differences between the acupuncture with Chinese medicine group and the acupuncture with Western medicine group( P > 0. 05). Conclusion The acupuncture with Chinese medicine and Western medicine applied in the acute phase Bell's palsy has remarkable effect,and it's better than the other two methods.
引文
[1]陈灏珠,实用内科学[M].北京:人民卫生出版社,2009:256-258.
[2]鲍远程.现代中医神经病学[M].北京:人民卫生出版社,2003:655-657.
[3]王启才.针灸治疗学[M].北京:中国中医药出版社,2003:69.
[4]全世明,高志强.贝尔面瘫治疗指南[J].国际耳鼻咽喉头颈外科杂志,2006,30(4):274.
[5]杨万章,吴芳,张敏.周围性面神经麻痹的中西医结合评定及疗效标准(草案)[J].中西医结合心脑血管病杂志,2005,3(9):786-787.
[6]House JW,Brackmann DE.Facial nerve grading system[J].Otolarynol Head and Neck Surg,1985,93(2):146-147.
[7]李瑛,李妍,刘立安,等,针灸择期治疗周围性面瘫多中心大样本随机对照试验[J].中国针灸,2011,31(4):289-293.
[8]桑久华,孙丽艳.电针浅刺治疗急性期周围性面瘫疗效观察[J].上海针灸杂志,2013,32(9):715-716.
[2]鲍远程.现代中医神经病学[M].北京:人民卫生出版社,2003:655-657.
[3]王启才.针灸治疗学[M].北京:中国中医药出版社,2003:69.
[4]全世明,高志强.贝尔面瘫治疗指南[J].国际耳鼻咽喉头颈外科杂志,2006,30(4):274.
[5]杨万章,吴芳,张敏.周围性面神经麻痹的中西医结合评定及疗效标准(草案)[J].中西医结合心脑血管病杂志,2005,3(9):786-787.
[6]House JW,Brackmann DE.Facial nerve grading system[J].Otolarynol Head and Neck Surg,1985,93(2):146-147.
[7]李瑛,李妍,刘立安,等,针灸择期治疗周围性面瘫多中心大样本随机对照试验[J].中国针灸,2011,31(4):289-293.
[8]桑久华,孙丽艳.电针浅刺治疗急性期周围性面瘫疗效观察[J].上海针灸杂志,2013,32(9):715-716.