摘要
目的:探讨基于"络病理论"的中药熏洗配合运动揿针疗法治疗顽固性周围性面瘫的临床疗效。方法:选择2017年2月~2018年12月的顽固性周围性面瘫72例,并将患者随机分为对照组和观察组,对照组采用中药内服和常规针刺,观察组在中药内服的基础上,采用中药熏洗和运动揿针。两组均为2周为1个疗程,结束后观察两组面神经功能评分(H-B面神经功能评分、改良Portmann评分)、疗效指标、血清胶质细胞源性神经营养因子(GDNF)和而神经生长因子(NGF)。结果:两组患者在面神经功能评分比较,2周后两组均与治疗前有统计学意义(P<0.05);而组间比较,观察组在H-B面神经功能评分和改良Portmann评分均优于对照组,有统计学意义(P<0.05);疗效方面,两组差异有统计学意义(P<0.05);在血清GDNF、NGF水平比较,2周后两组均与治疗前有统计学意义(P<0.05);而组间比较,观察组在血清GDNF、NGF均优于对照组,有统计学意义(P<0.05)。结论:基于"络病理论"的中药熏洗配合运动揿针疗法治疗顽固性周围性面瘫,内外兼治,效果显著,且治疗方便实用,值得在临床进一步推广。
Objective:To explore the clinical observation of the treatment of intractable peripheral facial paralysis with traditional Chinese medicine fumigation and washing combined with exercise needling therapy based on "collateral pathology theory".Methods:72 cases of intractable peripheral facial paralysis from February 2017 to December 2018 were selected and randomly divided into controlled group and observation group.The controlled group was treated with traditional Chinese medicine orally and routine acupuncture.The observation group was treated with traditional Chinese medicine fumigation and exercise needle on the basis of oral Chinese medicine.The two groups were treated for 2 weeks.The facial nerve function score(H-B facial nerve function score,modified Portmann score),therapeutic index,serum glial cell-derived neurotrophic factor(GDNF) and nerve growth factor(NGF) were observed after the treatment.Results:There was significant difference in facial nerve function score between the two groups after 2 weeks compared with before treatment(P<0.05),while the observation group was superior to the controlled group in H-B facial nerve function score and improved Portmann score(P<0.05),and there was significant difference in curative effect between the two groups(P<0.05).Two weeks later,there was significant difference between the two groups before and after treatment(P<0.05),and the observation group had better serum GDNF and NGF than the controlled group(P<0.05).Conclusion:Fumigation and washing of traditional Chinese medicine based on "collateral pathology theory" combined with exercise needling therapy for intractable peripheral facial paralysis has remarkable effect,and the treatment is convenient and practical,which is worthy of further promotion in clinical practice.
作者
罗智超
王晨阳
罗会用
李信明
冯庆奎
LUO Zhichao;WANG Chenyang;LUO Huiyong(The Central Hospital of Suining City(Suining Sichuan 629000,China);Chengdu Hanhe Traditional Chinese Medicine Hospital(Chengdu Sichuan 610000,China))
出处
《四川中医》
2020年第4期202-205,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
络病理论
运动揿针
中药熏洗
顽固性周围性面瘫
Collateral pathology theory
Sports needling
Chinese herbal fumigation and washing
Intractable peripheral facial paralysis
