世界中医药
文章摘要
引用本文:李德华,李季,杨玲.经筋调理四联综合疗法治疗难治性面瘫30例临床观察[J].世界中医药,2016,(08):.  
经筋调理四联综合疗法治疗难治性面瘫30例临床观察
Muscle region of meridian conditioning quadruple combination therapy treatment of refractory facial paralysis Clinical Observation of 30 Cases
投稿时间:2016-01-12  
DOI:10.3969/j.issn.1673-7202.2016.08.018
中文关键词:  经筋调理  难治性面瘫  针灸疗法  经筋排刺  经筋推拿
English Keywords:Muscle region of meridian conditioning  refractory facial paralysis  acupuncture  line-puncture on muscle region of meridian  The muscle massage
基金项目:四川省科技厅科技支撑计划项目(编号:2011SZ0302)——中医非药物疗法操作规范及临床评价研究
作者单位
李德华,李季,杨玲 成都中医药大学附属医院成都610072 
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中文摘要:
      目的:观察经筋调理四联综合疗法治疗难治性面瘫的临床疗效。方法:将60例难治性面瘫患者随机分为治疗组和对照组,每组30例,治疗组给予针灸经筋排刺、面部经筋推拿、隔姜灸和面部闪罐经筋调理四联综合疗法治疗,对照组采用传统循经取穴针刺。各组均治疗1次/d,5次/周,共治疗4周,随访4周。分别于治疗前、治疗后、随访结束3个时间点采用面神经功能分级量表、面神经麻痹程度分级评分表和面部残障指数量表进行评分,并在随访结束评价有无后遗症。结果:最终完成观察治疗组28例,对照组27例,2组患者面神经功能分级量表、面神经麻痹程度分级评分表和面部残障指数量表评分与本组治疗前相比均明显改善(P<0.05);各量表2组间比较在治疗结束和随访结束时有统计学意义(P<0.05);2组患者出现后遗症的例数治疗组少于对照组,但组间比较无统计意义(P>0.05)。结论:经筋调理四联综合疗法能改善面瘫患者面部活动功能及社会功能,疗效优于传统针刺疗法,并有可能降低后遗症发生率的趋势。
English Summary:
      To observe the clinical curative effect of muscle region of meridian conditioning quadruple comprehensive therapy in the treatment of refractory facial paralysis.Methods:The 60 cases of refractory facial paralysis patients were randomly divided into a treatment group and a control group,30 cases in each group,the treatment group given acupuncture Jingjin needling,face by muscle massage,moxibustion with ginger and quick cupping regulate quadruple therapy treatment,the control group using the traditional meridian acupuncture.1 times a day,5 times a week for 4 weeks,followed up for 4 weeks.Respectively,before and after treatment,follow-up ended three time points using the facial nerve function grading scale,facial palsy grade level the score sheet and facial disability index score scale,and end of follow-up evaluation of whether the sequelae.Results:Finishing observation of 28 cases in treatment group and control group in 27 cases,two groups of patients with facial nerve function grading scale,facial nerve and facial paralysis degree grading scale and disability index scale score compared with group before treatment were significantly improved(P<0.05).The scale comparison between the two groups at the end of the treatment and follow-up had significant difference between groups(P<0.05).Two groups of patients with sequela of cases in treatment group is less than the control group,but is no statistical difference between groups(P>0.05).Conclusion:Muscle region of meridian conditioning quadruple combination therapy can improve the function of facial paralysis patients with facial movements and social function,more effective than traditional acupuncture therapy,and may reduce the incidence of sequelae trend.
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