穴位埋线联合附子饼灸治疗顽固性面瘫临床研究
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Clinical Study on Acupoint Catgut Embedding Combined with Moxibustion on Aconiti Lateralis Radix Praeparata Cake for Intractable Facial Paralysis
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    摘要:

    目的:观察穴位埋线联合附子饼灸治疗顽固性面瘫的临床疗效。方法:筛选顽固性面瘫患者 62 例,随机分为治疗组和对照组各31 例。2 组均进行康复训练,对照组联合常规治疗措施进行干预,治疗组 在对照组的基础上给予穴位埋线配合附子饼灸治疗。连续治疗4 周后,比较2 组面部残疾指数[面部残疾躯体 功能(FDIP)、社会生活功能(FDIS)] 评分、面瘫House-Brackmann(H-B) 评分及临床疗效。结果:治疗 组总有效率为93.55%,显著高于对照组的67.74%,组间比较,差异有统计学意义(P<0.05)。治疗前,2 组 FDIP、FDIS 评分比较,差异无统计学意义(P>0.05);治疗后,2 组FDIP 评分较治疗前升高(P<0.05)、 FDIS 评分较治疗前降低(P<0.05),且治疗组2 项指标改善较对照组更显著(P<0.05)。治疗前,2 组H-B 评分比较,差异无统计学意义(P>0.05);治疗后,2 组H-B 评分均较治疗前升高(P<0.05),且治疗组H-B 评分高于对照组(P<0.05)。结论:在西医常规治疗的基础上,穴位埋线联合附子饼灸治疗顽固性面瘫疗效肯 定,能更好地改善患者的症状体征及面神经功能。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the therapy of acupoint catgut embedding combined with moxibustion on Aconiti Lateralis Radix Praeparata cake on the treatment of intractable facial paralysis. Methods:A total of 62 patients with refractory facial paralysis were selected and randomly divided into the treatment group and the control group,with 31 cases in each group. Patients in the two groups were given rehabilitation training, and the control group was additionally intervened with conventional treatment;the treatment group was additionally treated with acupoint catgut embedding and moxibustion on Aconiti Lateralis Radix Praeparata cake based on the treatment of the control group. After four weeks of treatment, the scores of Facial Disability Index of Physical Function(FDIP) and Facial Disability Index of Social Function(FDIS),scores of of House- Brackmann(H- B) and clinical effects were compared between the two groups. Results:The total effective rate was 93.55% in the treatment group,significantly higher than that of 67.74% in the control group,the difference being significant(P<0.05). Before treatment,there was no significant difference in FDIP and FDIS scores between the two groups(P>0.05);after treatment, the FDIP scores in the two groups were increased when compared with those before treatment(P<0.05), and the FDIS scores were decreased(P<0.05); the improvement of the above two indexes in the study group was more significant than that in the control group(P<0.05). Before treatment, there was no significant difference in H-B score between the two groups(P>0.05);after treatment,the H-B scores in the two groups were increased when compared with those before treatment(P<0.05),and the H-B score in the treatment group was higher than that in the control group(P<0.05). Conclusion: Based on the conventional western medicine,the therapy of acupoint catgut embedding combined with moxibustion on Aconiti Lateralis Radix Praeparata cake is effective in treating refractory facial paralysis, which can better improve the symptoms,signs and facial nerve function of patients.

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谢剑峰,潘喆,许力挺.穴位埋线联合附子饼灸治疗顽固性面瘫临床研究[J].新中医,2023,55(2):144-147

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  • 在线发布日期: 2023-01-29
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