摘要
目的:研究穴位针刺辅助刺络拔罐治疗周围性面瘫急性期的疗效及对H-B分级的影响。方法:选择2015年1月—2016年12月在医院接受治疗的急性期周围性面瘫患者140例。随机分为针刺组和联合组,每组各70例,针刺组给予针刺治疗,联合组给予针刺联合刺络拔罐治疗。比较两组患者的疗效、H-B分级评分、症状和体征评分及FDI评分。结果:联合组患者的痊愈率为70.00%,高于针刺组(P<0.05),联合组患者的总有效率为97.14%,针刺组为91.43%,差异无统计学意义(P>0.05)。治疗后两组患者的症状和体征评分均明显下降,联合组患者额纹消失程度、面部表情自然程度、鼻唇沟变浅程度、眼裂闭合程度和口角歪斜程度积分低于针刺组(P<0.05)。治疗前两组患者的H-B分级评分相近(P>0.05),治疗后2周、治疗后4周及治疗后6周,联合组患者的H-B分级评分低于针刺组(P<0.05)。治疗后两组患者的FDI评分均明显改善,联合组患者的FDIS评分低于针刺组,FDIP评分高于针刺组(P<0.05)。结论:穴位针刺辅助刺络拔罐治疗可以降低急性期周围性面瘫患者的H-B分级评分,改善患者的症状和FDI评分,疗效较好。
Objective： To study the effect of acupuncture combined with pricking and cupping therapy on acute stage of peripheral facial paralysis and its effect on H - B classification. Methods ： A total of 140 patients with acute peripheral tacial paralysis treated in our hospital were selected from January 2015 to December 2016. The patients were randomly divided into acupuncture group and combination group, each group 70 cases. The acupuncture group was given acupuncture treatment, and the combination group was treated with acupuncture combined with pricking and cupping therapy. The curative effect, H - B score, symptom score and FDI score were compared between the two groups. Results ： Combination group＇s recovery rate was 70.00%, higher than that of acupuncture group （P 〈 0. 05 ）. The combination groups total effective rate was 97.14% and the acupuncture groupg was 91.43%. There was no statistical significance （P 〉 0. 05）. In the two groups after treatment,patients＇ symptoms and signs scores were significantly decreased. The combination group g forehead lines disappearing degree, the degree of natural facial expression, nasolabial groove shallow degree, the degree of palpebral fissure closure degree were lower than those of acupuncture group （P 〈 0. 05 ）. Before treatment, two groups H - B similar classification score was not significant（ P 〉 0. 05）. After treatment for 2,4 and 6 weeks, the combination group＇s H - B grade score was lower than that of the acupuncture group （P 〈 0. 05 ）. Two groups＇ FDI scores after treatment were significantly improved. The combination group＇s FDIS score was lower than that of the acupuncture group and FDIP score higher than that of the acupuncture group （ P 〈 0. 05 ）. Conclusion ： Acupuneture combined with pricking and cupping therapy can reduce the H - B grading score of patients with peripheral facial paralysis in acute stage, improve the symptoms and FDI score of patients, and the curative effect is better.
出处
《中华中医药学刊》
CAS
北大核心
2017年第10期2667-2669,共3页
Chinese Archives of Traditional Chinese Medicine
基金
山东省科技计划项目(2015GSF118078)
关键词
针刺
刺络拔罐
周围性面瘫
急性期
H-B分级
aeupuncture
pricking and cupping
peripheral facial paralysis
acute stage
H- B classification
