针刺对特发性面神经麻痹 急性期的疗效观察

Curative observation of acupuncture on idiopathic facial paralysis in acute stage

关键词:  特发性面神经麻痹急性期  针刺  瞬目反射

Key words:  idiopathic facial paralysis in acute stage  acupuncture  blink reflex

摘要:

[目的] 观察特发性面神经麻痹急性期患者采用针刺治疗的疗效改善情况。[方法] 将168例特发性面神经麻痹急性期患者随机分为治疗组84例和对照组84例。两组患者均给予改善局部血运, 减轻神经根水肿和营养周围神经的口服药物进行常规治疗。选用口服泼尼松30 mg/次, 每日2次;弥可保0.5 mg/次, 每日3次;有病毒感染者口服阿昔洛韦0.2 g/次, 每日5次, 以上药物均5 d为1个疗程, 连续服用2个疗程。治疗组在常规治疗基础上, 施加针刺治疗, 选取攒竹、阳白、四白、颧髎、颊车、地仓、合谷等穴位辨证加减, 每日1次, 每次留针30 min,5 d为1个疗程, 针刺2个疗程。观察2个疗程后两组患者症状的改善情况(House-Brackmann分级)以及瞬目反射(BR)检查患侧R1、R2、健侧R2′波幅较自身健侧R1、R2,患侧R2′百分比的改变。[结果] 治疗组较对照组在疗程结束后House-Brackmann分级差异无统计学意义(PP<0.01).[结论] 针刺疗法在对特发性面神经麻痹急性期患者有一定的疗效。

Abstract:

[Objective] To observe the improved curative effect of acupuncture on idiopathic facial paralysis (IFP) in acute stage. [Methods] 168 patients with IFP were divided into treatment group (84 cases) and control group (84 cases) randomly. Both groups received oral routine treatment for improving local blood supply, relieving or eliminating inflammatory edema of nerve root, nourishing peripheral nerve. Oral prednisone, 30 mg each time, twice a day and methycobal 0.5 mg each time, three times a day were selected, while the patients with virus infection was received acyclovir, 0.2 g each time, 5 times a day. Five days was a course and two courses were taken continuously. Besides from conventional therapy, the treatment group was also received additional acupuncture therapy with modified syndrome differentiation on point of Zan Zhu, Yang Bai, Si Bai, Quan Liao, Jia Che, Di Cang, He Gu etc. Once a day, retaining needles for 30 minutes. Five days were a course and it was lasted for 2 courses. After two therapeutic courses the improved conditions were observed in all the patients of both groups (House-Brackmann Grading System). BR examination was performed to indicate the change of affected side R1, R2, R2' amplitude compared with their own healthy side in percentage. [Results] No significant difference was found in the symptom improvement (House-Brackmann Grading System) between treatment group and control group (PP<0.01). [Conclusion] The acupuncture treatment is effective for the IFP patients.