摘要
Objective To evaluate the therapeutic effect and safety of time-oriented points opening of Linggui Bafa for Bell＇s palsy and provide a new idea for the clinical treatment of this problem. Methods Fifty-four cases included in the study were randomized into two groups, and the treatment group was treated with the routine acupuncture combined with time-oriented points opening of Linggui Bafa. The control group was treated with the routine acupuncture only, Hegu （合谷 El 4）, Kunlun （昆仑 BL 60）, Jiache （颊车 ST 6）, Dicang （地仓 ST 4）, Xiaguan （下关 ST 7）, Cuanzhu （攒竹 BL 2）, Yangbai （附白 GB 14）, and Quanliao （颧髎 SI 18） were selected as the main points. The manipulation and time of retaining needles were as same as the treatment group. Both groups were treated once a day, 5 days made one session and 4 sessions were required in all. Modified Portmann＇s scale, Horse-Brackmann grading scale （H-B）, FDIP and FDIS were used to assess the therapeutic effect after the treatment. Results The curative and improvement rate in the treatment group was 80.8% （22/26）, and that in the control group was 66.7% （16/24）, with the statistically significant difference （P〈O.05）, the comparison of scores of Portmann＇s scale, H-B, FDIP and FDIS in the same group and between the two groups before and after the treatment also had statistically significant differences （all P〈0.05）. Conclusion The method of time-oriented points opening of Linggui Bafa for Bell＇s palsy is better than the routine acupuncture for Bell＇s palsy.
目的:评价灵龟八法按时开穴法治疗贝尔氏面神经麻痹的疗效及安全性,为临床治疗贝尔氏面神经麻痹提供新的治疗思路。方法:将54例患者纳入研究,随机分为两组,治疗组按照灵龟八法按时开穴所得穴位,配以常规针刺方法。对照组按照常规针刺方法取穴(合谷、昆仑、颊车、地仓、下关、攒竹、阳白、颧髎等)。手法及留针时间与治疗组相同。两组均每日针刺1次,5 d为一疗程,共治疗4个疗程。治疗前后使用改良的Portmann评分方法、House-Brackmann(H-B)、面部残疾指数躯体功能评分(FDIP)、面部残余指数社会功能评分(FDIS)进行疗效评定。结果:治疗组的愈显率为80.8%(22/26),对照组的愈显率为66.7%(16/24),两组愈显率差异有统计学意义(P<0.05),且两组治疗前后组间及组内的Portmann评分、H-B、PDIP、PDIS评分比较差异也有统计学意义(P<0.05)。结论:灵龟八法按时开穴法治疗贝尔氏面神经麻痹优于常规针刺。
