面瘫复元合剂结合眼针疗法治疗急性面神经炎的疗效观察
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摘要
目的:观察面瘫复元合剂联合眼针疗法治疗急性面神经炎的疗效。方法:将60例急性面神经炎患者随机分为观察组和对照组,每组各30例,两组患者均接受面神经炎的常规治疗,此外,观察组还接受口服面瘫复元合剂和眼针治疗。两组患者在刚入院时、治疗4周和发病3个月时分别用House-Brackmann分级法(HBGS)进行面瘫恢复程度的评价。结果:两组患者治疗前House-Brackmann分级无显著差异(P> 0. 05)。在治疗4周和发病3个月时,两组患者的面瘫严重程度均较治疗前明显改善,观察组的总有效率明显高于对照组,组间差异有统计学意义(P <0. 05)。结论:面瘫复元合剂结合眼针疗法能显著提高急性面神经炎的疗效,并且安全,易于为患者所接受,值得进一步临床推广。
Objective:To observe the curative effect of facial paralysis recovery mixture combined with eye needle on acute facial paralysis. Methods:Sixty patients with acute facial paralysis were randomly divided into observation group and control group,30 cases in each group. Two groups were both treated with the conventional therapy of facial paralysis. In addition,the observation group also received oral facial paralysis recovery mixture and eye needle treatment. Two groups were evaluated the extent of facial paralysis recovery at the first admission 4 weeks and 3 months after onset with House-Brackmann Grading Scale( HBGS). Results:The two groups' House-Brackmann Grading Scale had no significant differences before treatment( P > 0. 05). Four weeks after treatment and three months after onset,the severity of facial paralysis of two groups of patients was obviously improved. The total effective rate of observation group was obviously higher than that of the control group and the difference between groups was statistically significant( P < 0. 05). Conclusion:The therapy of facial paralysis recovery mixture combined with eye needle can significantly improve the efficacy of acute facial paralysis,and it is safe and easy to be accepted by patients,which deserves further clinical promotion.
Objective:To observe the curative effect of facial paralysis recovery mixture combined with eye needle on acute facial paralysis. Methods:Sixty patients with acute facial paralysis were randomly divided into observation group and control group,30 cases in each group. Two groups were both treated with the conventional therapy of facial paralysis. In addition,the observation group also received oral facial paralysis recovery mixture and eye needle treatment. Two groups were evaluated the extent of facial paralysis recovery at the first admission 4 weeks and 3 months after onset with House-Brackmann Grading Scale( HBGS). Results:The two groups' House-Brackmann Grading Scale had no significant differences before treatment( P > 0. 05). Four weeks after treatment and three months after onset,the severity of facial paralysis of two groups of patients was obviously improved. The total effective rate of observation group was obviously higher than that of the control group and the difference between groups was statistically significant( P < 0. 05). Conclusion:The therapy of facial paralysis recovery mixture combined with eye needle can significantly improve the efficacy of acute facial paralysis,and it is safe and easy to be accepted by patients,which deserves further clinical promotion.
引文
[1]王维治.神经病学[M].北京:人民卫生出版社,2013:629.
[2]齐宁,黄光英,王伟.针灸治疗周围性面瘫的疗效评价系统[J].中华物理医学与康复杂志,2007,29(12):859-860.
[3] House JW. Facial nerve grading systems[J]. Langngoscope,1983,93:1056-1069.
[4]梁繁荣,余曙光.针灸治疗贝尔麻痹临床多中心随机对照试验研究[J].中医杂志,2004,45(1):584-586.
[5]张冲,万军.周围性面瘫针刺时机临床循证分析[J].中国针灸,2011,31(1):93-96.
[6]沈特立,曹莲瑛,等.周围性面瘫针刺介入时机的临床对比研究[J].中国针灸,2009,29(5):357-360.
[7]刘志丹,宋宣慧,唐艺丹,等.对影响针灸治疗面瘫疗效若干环节问题的分析[J].针灸临床杂志,2016,32(2):88-92.
[8]潘江,章薇,陈武善,等.针刺治疗周围性面瘫(急性期)的系统评价[J].针灸临床杂志,2011,27(4):60-63.
[9]王悦君.分期治疗周围性面瘫25例临床观察[J].辽宁中医杂志,2010,37(1):125-126.
[10]陈晓琴,李瑛,邙玲玲.不同针灸方法分期治疗贝尔面瘫疗效观察[J].上海针灸杂志,2014,33(7):613-615.
[11]白茹,马铁明.针灸治疗急性期周围性面瘫探讨[J].辽宁中医药大学学报,2012,14(5):148-150.
[12]田维柱.中华眼针[M].北京:中国中医药出版社,2011:310-312.
[13]周忠亮.眼针配合毫针治疗周围性面瘫疗效观察[J].四川中医,2011,29(12):112-113.
[14]张高峰,任国强,冯卫星.眼针配合刺络放血治疗面瘫42例[J].湖南中医杂志,2008,24(6):49.
[15]鞠庆波,王健,周鸿飞.眼针配合常规西医疗法治疗急性周围性面瘫临床研究[J].中国中医药学刊,2009,27(4):722-724.
[16]徐辉,王鹏琴,何伟.三期三线法合眼针疗法治疗面瘫70例[J].辽宁中医杂志,2014,41(9):1958-1959.
[17]孙小添,吕爱平.补中益气汤加味治疗面神经麻痹45例[J].辽宁中医杂志,2014,41(6):1166-1167.
[18]闫秋霜,王吉英,杨光辉.牵正散加味治疗Bell麻痹疗效观察[J].辽宁中医杂志,2014,41(12):2639-2640.
[19]李杰.针药并用治疗面神经麻痹45例临床观察[J].辽宁中医杂志,2009,36(9):1576-1577.
[2]齐宁,黄光英,王伟.针灸治疗周围性面瘫的疗效评价系统[J].中华物理医学与康复杂志,2007,29(12):859-860.
[3] House JW. Facial nerve grading systems[J]. Langngoscope,1983,93:1056-1069.
[4]梁繁荣,余曙光.针灸治疗贝尔麻痹临床多中心随机对照试验研究[J].中医杂志,2004,45(1):584-586.
[5]张冲,万军.周围性面瘫针刺时机临床循证分析[J].中国针灸,2011,31(1):93-96.
[6]沈特立,曹莲瑛,等.周围性面瘫针刺介入时机的临床对比研究[J].中国针灸,2009,29(5):357-360.
[7]刘志丹,宋宣慧,唐艺丹,等.对影响针灸治疗面瘫疗效若干环节问题的分析[J].针灸临床杂志,2016,32(2):88-92.
[8]潘江,章薇,陈武善,等.针刺治疗周围性面瘫(急性期)的系统评价[J].针灸临床杂志,2011,27(4):60-63.
[9]王悦君.分期治疗周围性面瘫25例临床观察[J].辽宁中医杂志,2010,37(1):125-126.
[10]陈晓琴,李瑛,邙玲玲.不同针灸方法分期治疗贝尔面瘫疗效观察[J].上海针灸杂志,2014,33(7):613-615.
[11]白茹,马铁明.针灸治疗急性期周围性面瘫探讨[J].辽宁中医药大学学报,2012,14(5):148-150.
[12]田维柱.中华眼针[M].北京:中国中医药出版社,2011:310-312.
[13]周忠亮.眼针配合毫针治疗周围性面瘫疗效观察[J].四川中医,2011,29(12):112-113.
[14]张高峰,任国强,冯卫星.眼针配合刺络放血治疗面瘫42例[J].湖南中医杂志,2008,24(6):49.
[15]鞠庆波,王健,周鸿飞.眼针配合常规西医疗法治疗急性周围性面瘫临床研究[J].中国中医药学刊,2009,27(4):722-724.
[16]徐辉,王鹏琴,何伟.三期三线法合眼针疗法治疗面瘫70例[J].辽宁中医杂志,2014,41(9):1958-1959.
[17]孙小添,吕爱平.补中益气汤加味治疗面神经麻痹45例[J].辽宁中医杂志,2014,41(6):1166-1167.
[18]闫秋霜,王吉英,杨光辉.牵正散加味治疗Bell麻痹疗效观察[J].辽宁中医杂志,2014,41(12):2639-2640.
[19]李杰.针药并用治疗面神经麻痹45例临床观察[J].辽宁中医杂志,2009,36(9):1576-1577.