摘要
目的:评价三重法治疗儿童周围性面瘫的临床疗效及安全性,解决患儿不能主动接受毫针治疗的问题。方法:将80例面瘫儿童随机分为艾条灸组和三重法组。两组均取百会、阳白、四白、地仓、颊车等,行半刺法,之后艾条灸组采用自制艾条3根捆在一起悬灸大椎、阳白、下关、颊车穴,每次选用1个穴位;三重法组取穴同艾条灸组,采用重刺络、重拔罐、重艾灸法。前5天每天治疗2次,统计临床疗效,有效者继续治疗,无效者转至另一组,自第6天改为每天治疗1次,15天后比较两组临床疗效及治疗前后House-Brackmann(H-B)面神经功能分级情况。结果:治疗5天后三重法组总有效率为94.7%(36/38),优于艾条灸组的52.4%(22/42,P<0.001);治疗15天后三重法组痊愈率、总有效率分别为67.3%(35/52)、96.2%(50/52),均优于艾条灸组的9.5%(2/21)、85.7%(18/21)(P<0.001,P<0.05),H-B面神经功能分级情况亦优于艾条灸组(P<0.001)。结论:半刺法加三重法治疗儿童周围性面瘫的疗效优于半刺法加艾条灸法,未发现明显不良反应。
Objective To evaluate the clinical efficacy and safety of the three therapies of strong stimulation for children peripheral facial palsy so as to deal with the problem on the inactive acceptance of acupuncture in children. Methods Eighty cases of children peripheral facial palsy were randomized into a moxa stick group （group A） and a group with three therapies of strong stimulation （group B）. Baihui （GV 20）, Sibai （ST 2）, Dicang （ST 4）, Jiache （ST 6） and the other acupoints were selected in the two groups and stimulated with half-needling technique. In the group A, 3 moxa sticks were bunched together for surrounding moxibustion over one of Dazhui （GV 14）, Yangbai （GB 14）, Xiaguan （ST 7） and Jiache （ST 6） in each treatment. In the group B, the strong pricking therapy, strong cupping therapy and strong moxibustion were adopted at the same acupoints as the group A. The treatment was given twice every day in the first 5 days. Afterwards, the clinical efficacy was analyzed statistically. The treatment was kept on for the effective case. Those with failed effect were transferred to the other group. Since the 6th day, the treatment was given once every day. In 15 days, the clinical efficacy was compared between the two groups and House-Brackmann （H-B） facial nerve function grade was compared before and after treatment. Results In 5 days of treatment, the total effective rate was 94.7% （36/38） in the group B, which was better than 52.4% （22/42） in the group A, （P〈0. 001）. In 15 days of treatment, the cured rate and the total effective rate in the group B were 67.3% （35/52） and 96.2% （50/52）, which were better than 9.5% （2/21） and 85.7% （18/21） in the group A, respectively （P〈0. 001, P〈0.05）. Additionally, the result of H-B facial nerve function grade in the group B was superior to the group A （P〈0. 001）. Conclusion The half-needling technique and the three therapies of strong stimulation in combination achieve the superior efficacy on children peripheral facial palsy as compared with the half-needling technique combined with moxa stick therapy. And the obvious adverse reaction has not been found.
出处
《中国针灸》
CAS
CSCD
北大核心
2013年第10期877-880,共4页
Chinese Acupuncture & Moxibustion
基金
河北省中医药管理局2012年度计划课题项目:2012121
关键词
周围性面瘫
儿童
半刺
艾灸
三重法
随机对照试验
peripheral facial palsy, children
half-needling technique
moxibustion
three therapies of strong stimulation
randomized controlled trial （RCT）
