走罐结合针刺治疗特发性面神经麻痹疗效观察

Observation on therapeutic effect of acupuncture combined with cupping therapy for idiopathic facial paralysis

关键词:  特发性面神经麻痹  面部走罐  面神经功能评价分级量表

Key words:  idiopathic facial paralysis  facial cupping  facial nerve function rating scale

摘要:

[目的] 观察面部走罐结合针刺治疗特发性面神经麻痹的临床疗效。[方法] 采用前瞻性研究的方法，将60例特发性面神经麻痹患者随机分为治疗组和对照组，各30例。对照组采用毫针刺法，治疗组在毫针刺法的基础上加用面部走罐。主要评价面神经功能评价分级量表的分级情况。分别对两组患者在入组前及治疗4、8周末进行评价。[结果] 与对照组比较，经过4、8周治疗后，对面神经功能评价分级量表进行评价，治疗组优于对照组（P<0.05）；经过4周治疗，治疗组有86.67%患者完全恢复（功能正常），优于对照组的53.33%（P<0.05）；治疗8周末，治疗组有96.67%患者完全恢复（功能正常），优于对照组的72.41%（P<0.05）。[结论] 面部走罐能够有效改善面神经功能，促进面神经功能恢复。

Abstract:

[Objective] To observe the clinical efficacy of facial cupping combined with acupuncture in the treatment of idiopathic facial neuritis.[Methods] Adopting the method of prospective study,sixty patients with facial paralysis were randomly divided into treatment group and control group,with 30 cases in each group. The control group was treated with filiform acupuncture,and the treatment group was treated with facial cupping on the basis of the control group. The classification of the facial nerve function evaluation scale "House-Brackmann" (H-B) was mainly evaluated. The therapeutic effect was evaluated at 4 weeks and 8 weeks after treatment in the two groups.[Results] Compared with the control group,after 4 weeks and 8 weeks of treatment,the evaluation of H-B in the treatment group was significantly improved compared with the control group (P<0.05). After 4 weeks of treatment,86.67% of patients in the treatment group recovered completely (with normal function),which was better than 53.33% in the control group (P<0.05). At the end of 8 weeks of treatment,96.67% of patients in the treatment group recovered completely (with normal function),which was better than 72.41% of those in the control group (P<0.05).[Conclusion] Facial cupping can effectively improve facial nerve function and promote facial nerve function recovery.