| 摘要: |
| 目的：观察点刺放血联合牵正散治疗周围性面瘫的临床疗效。方法：将周围性面瘫患者128 例随机分为对照组与观察组，各64 例。对照组采用注射用鼠神经生长因子治疗，观察组在对照组的基础上加用针刺放血及牵正散口服治疗。观察比较2 组治疗前后患者口眼歪斜、眼睑缩小、食物留滞情况等症状积分变化；比较2 组治疗前后患者面神经House-Brackmann 分级评分与面部残疾指数（FDI）；比较2 组痊愈所用时间与总体临床疗效。结果：总有效率观察组为92.19%，对照组为79.69%，2 组比较，差异有统计学意义（P＜0.05）。治疗后，2 组患者口眼歪斜、眼睑缩小与食物留滞情况等症状积分均较治疗前降低（P＜0.05），且观察组各项积分均低于对照组（P＜0.05）。治疗后，2 组患者House-Brackmann 评分与FDI 均较治疗前升高（P＜0.05），且观察组2 项指标均高于对照组（P＜0.05）。治疗后，观察组平均痊愈时间明显短于对照组，差异有统计学意义（P＜0.05）。结论：在注射用鼠神经生长因子治疗的基础上，加用点刺放血联合牵正散治疗周围性面瘫，可显著改善患者临床症状，促进面神经功能恢复，疗效优于单纯西药治疗。 |
| 关键词: 周围性面瘫 注射用鼠神经生长因子 点刺放血 牵正散 |
| DOI： |
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| 基金项目: |
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| Clinical Study on Pricking and Bloodletting Combined with Qianzheng Powder forPeripheral Facial Paralysis |
| HUANG Fang,YING Haizhou,YU Yanyan,WANG Li |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract： Objective： To observe the clinical effect of pricking and blood letting combined with qianzheng powder for
peripheral facial paralysis. Methods：A total of 128 cases of patients with peripheral facial paralysis were randomly divided into
the control group and the observation group， 64 cases in each group. The control group was treated with mouse nerve
growth factor for injection and cattle encephalon glycoside and ignotin injection，and the observation group was additionally
treated with pricking and bloodletting combined with oral administration of qianzheng powder based on the treatment of the
control group. Before and after treatment，the changes in syndrome scores of mouth-eye deviation，droopy eyelids and food
stagnation in the two groups were observed and compared. The scores of House Brackmann for facial nerve grading and Facial
Dysfunction Index(FDI) were compared between the two groups before and after treatment. The time for healing and total
clinical effect were compared between the two groups. Results：The total effective rate was 92.19% in the observation group
and 79.69% in the control group，the difference being significant(P＜0.05). After treatment，the syndrome scores of moutheye
deviation， droopy eyelids and food stagnation in the two groups were decreased when compared with those before
treatment(P＜0.05)， and each score in the observation group was lower than that in the control group(P＜0.05). After
treatment，the scores of House- Brackmann and FDI in the two groups were increased when compared with those before
treatment(P＜0.05)，and the two indexes in the observation group were both higher than those in the control group(P＜0.05).
After treatment，the average healing time in the observation group was significantly shorter than that in the control group，
the difference being significant(P＜0.05). Conclusion： Based on mouse nerve growth factor for injection and cattle
encephalon glycoside and ignotin injection， the therapy of pricking and bloodletting combined with qianzheng powder for
peripheral facial paralysis can significantly relieve clinical symptoms，promote the recovery of facial nerve function，whose
curative effect is better than that of simple western medicine. |
| Key words: Keywords：Peripheral facial paralysis Mouse Nerve Growth Factor for Injection Pricking and bloodletting Qianzheng
powder |
