世界中医药

作者	单位
张波1，应文强2，谭艳丽2，谭文华2，陈日新1	1 江西中医药大学附属医院,南昌,330006 2 江西中医药大学,南昌,330004

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中文摘要:

目的:观察热敏脐灸对周围性面瘫的临床疗效,探讨热敏脐灸对周围性面瘫的治疗价值。方法:选取2018年1—12月江西中医药大学附属医院收治的周围性面瘫患者63例作为研究对象,按照随机数字表法分为热敏脐灸组(n=32)和热敏灸组(n=31),2组患者均进行热敏灸及常规针刺治疗,1次/d,治疗45 min/次,连续10 d为1个疗程,共治疗3个疗程,每个疗程间隔1 d;热敏脐灸组在上述治疗的同时,施加热敏脐灸治疗,1次/d,2 h/次,连续10 d为1个疗程,共治疗3个疗程,每个疗程间隔1 d。治疗结束后,采用改良Portmann评分标准对2组患者治疗前后临床症状进行评价。结果:2组患者治疗后Portamnn评分均较治疗前明显提高(P<001),且热敏脐灸组治疗后的Portamnn评分高于热敏灸组(P<005);热敏脐灸组患者愈显率为9063%(29/32),热敏灸组愈显率为8339%(26/31),2组患者比较，差异有统计学意义(P<005);热敏脐灸组痊愈患者的平均治愈时间明显少于热敏灸组,差异有统计学意义(P<005)。结论:热敏脐灸能提高周围性面瘫的临床疗效,且能缩短周围性面瘫的总体病程。

English Summary:

To observe the clinical efficacy of heat-sensitive umbilical moxibustion in peripheral facial paralysis，and to explore the therapeutic value of heat-sensitive umbilical moxibustion in peripheral facial paralysis.Methods:A total of 63 patients with peripheral facial paralysis admitted in the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January to December 2018 were selected as research objects and randomly divided into heat-sensitive umbilical moxibustion group(group A,n=32)and heat-sensitive moxibustion group(group B,n=31).Both groups were treated with heat-sensitive moxibustion and conventional acupuncture:1 time/d,45 min/time,10 d consecutive treatment as 1 course，3 courses of treatment in total，and 1 d interval between each course of treatment.The heat-sensitive umbilical moxibustion group received the above treatment and heat-sensitive umbilical moxibustion at the same time:1 time/d,2 h/time，10 d consecutive treatment as 1 course，3 courses of treatment in total，and 1 d interval between each course of treatment.After the treatment，clinical symptoms in the 2 groups were evaluated by modified Portmann scoring standard before and after the treatment.Results:The Portamnn scores in the 2 groups after the treatment were significantly higher than those before the treatment(P<001)，and the Portamnn scorein the heat-sensitive umbilical moxibustion group after the treatment was higher than that in the heat-sensitive moxibustion group(P<005).The effective rate in the heat-sensitive umbilical moxibustion group was 9063%(29/32)，while that in the heat-sensitive moxibustion group was 8339%(26/31).There was statistically significant difference between the 2 groups(P<005).The average healing time in the heat-sensitive umbilical moxibustion group was significantly shorter than that in the heat-sensitive moxibustion group，with statistically significant difference(P<005).Conclusion:Heat-sensitive umbilical moxibustion can improve the clinical efficacy in peripheral facial paralysis and shorten the overall course of peripheral facial paralysis.

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