引用本文:覃斯妤1,焦琳2,迟振海2,程攀1,钟根平1.热敏灸联合刺络放血治疗气虚血瘀型顽固性面瘫的临床疗效观察[J].世界中医药,2019,(08):. |
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热敏灸联合刺络放血治疗气虚血瘀型顽固性面瘫的临床疗效观察 |
Clinical Efficacy Observation on Heat-sensitive Moxibustion Combined with Collateral Bloodletting in the Treatment of Intractable Facial Paralysis with Qi Deficiency and Blood Stasis |
投稿时间:2019-07-10 |
DOI:10.3969/j.issn.1673-7202.2019.08.005 |
中文关键词: 热敏灸 刺络放血 气虚血瘀 顽固性面瘫 疗效观察 |
English Keywords:Heat-sensitive moxibustion Collateral bloodletting Qi deficiency and blood stasis Intractable facial paralysis Efficacy observation |
基金项目:国家重点基础研究发展计划(973计划)项目(2015CB554503)——艾灸得气影响灸效的临床及生物学基础研究;国家自然科学基金项目(81660821)——穴位热敏态红外法与温度阈值法检测的可信性比较研究;江西省科技厅重点研发计划项目(20181BBG70047)——经筋手法松解术治疗膝骨性关节炎的临床疗效观察 |
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中文摘要: |
目的:观察热敏灸联合刺络放血治疗气虚血瘀型顽固性面瘫的临床疗效。方法:选取2017年1月至2018年9月江西中医药大学附属医院收治的气虚血瘀型顽固性面瘫患者50例作为研究对象,按照随机数字表法分为对照组与观察组,每组25例。对照组采用常规针刺加热敏灸治疗,观察组采用刺络放血加热敏灸治疗,比较2组患者治疗效果。采用《周围性面神经麻痹的床评估及疗效判定标准方案》修订案中的面神经功能评分标准、面神经功能分级标准和疗效判定标准评定患者面部神经功能。结果:1)治疗前后2组患者面部评分比较,差异均有统计学意义(P<005);2)观察组治疗前后面神经功能分级比较,差异有统计学意义(P<005);对照组治疗前后面神经功能分级比较,差异无统计学意义(P>005)。3)治疗3个疗程后,2组患者面神经功能总评分、面神经功能动态观评分、面神经功能静态观评分比较,组间差异均有统计学意义(P<005),面神经功能并发症评分组间差异无统计学意义(P>005)。4)治疗3个疗程后,观察组总有效率为96%,对照组总有效率为80%,2组患者比较,差异有统计学意义(P<005)。结论:热敏灸联合刺络放血在改善顽固性面瘫面患者面神经功及治疗效果上均优于常规针刺加热敏灸治疗,有一定的临床推广价值。 |
English Summary: |
To observe the clinical efficacy of heat-sensitive moxibustion combined with collateral bloodletting in treating intractable facial paralysis with qi deficiency and blood stasis.Methods:A total of 50 cases of intractable facial paralysis with qi deficiency and blood stasis admitted in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2017 to September 2018 were selected as research objects,and they were divided into control group and observation group according to random number table method,with 25 cases in each group.The control group was treated with routine acupuncture and heat-sensitive moxibustion,while the observation group was treated with collateral bloodletting and heat-sensitive moxibustion.The efficacy in the 2 groups was compared.Facial nerve function scoring standard,facial nerve function grading standard and efficacy judging standard in the amendment version of the Standard Scheme on Clinical Evaluation and Efficacy Judging of Peripheral Facial Nerve Palsy were adopted to evaluate the facial nerve function of patients.Results: 1)The difference in the comparison of facial scores before and after the treatment in the 2 groups was statistically significant(P<005). 2)The difference in the comparison of facial nerve function grades before and after the treatment in the observation group was statistially significant(P<005); while the comparison of facial nerve function grades before and after the treatment in the control group showed no statistically significant difference(P>005). 3)After 3 courses of the treatment,the total facial nerve function score,dynamic facial nerve function score and static facial nerve function score in the 2 groups were compared,and the differences between the 2 groups were statistically significant(P<005),while there was no statistically significant difference in the scores of facial nerve function complications between the 2 groups(P>005). 4)After 3 courses of the treatment,the total effective rate was 96% in the observation group and 80% in the control group,with statistically significant difference between the 2 groups(P<005).Conclusion:Heat-sensitive moxibustion combined with collateral bloodletting is superior to routine acupuncture combined with heat-sensitive moxibustion in improving the facial nerve function and efficacy in patients with intractable facial paralysis,and has certain clinical promotion value. |
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