摘要
目的:观察电针配合中药穴位贴敷治疗周围性面神经麻痹的临床疗效和安全性,为临床提供优化治疗方案。方法:将102例Bell’s面瘫患者随机分为电针加贴敷组(50例)和电针组(52例),两组均采用电针治疗,穴取攒竹、阳白、太阳、颧髎、下关、迎香等,电针加贴敷组于患侧翳风穴加用"面瘫Ⅰ号"穴位贴敷,每天1次,共10次。比较两组患者治疗前后面神经功能评分和临床疗效,并于1个月、3个月随访生存质量量表简表(WHOQOL-BREF)评分与并发症的发生。结果:电针加贴敷组与电针组面神经功能评分均较治疗前明显增高(48.2±2.9vs 25.7±4.9,45.9±6.2vs 25.8±5.5,均P<0.01);电针加贴敷组痊愈率为82.0%(41/50),电针组为67.3%(35/52),电针加贴敷组优于电针组(P<0.05);两组1个月、3个月随访生存质量量表简表评分均较治疗前无明显变化(均P>0.05);电针加贴敷组面瘫并发症发生1例,电针组发生8例(P<0.05)。结论:与单纯电针相比,电针配合中药穴位贴敷治疗周围性面神经麻痹提高了临床疗效,可以明显减少并发症的发生,并且安全可靠。
Objective To observe the clinical efficacy and safety of electroacupuncture （EA） combined with herbal acupoint sticking in the treatment of Bell＇ s palsy and provide optimizations for the clinic. Methods One hundred and two cases of Bell＇s palsy were randomized into an EA combined with herbal acupoint sticking group （group A, 50 cases） and an EA group （group B, 52 cases）, EA at Cuanzhu （BL 2）, Yangbai （GB 14）, Taiyang （EX-HN 5）, Quanliao （SI 18） ,Xiaguan （ST 7）, Yingxiang （LI 20）, etc. were applied in both groups and ＂facial paralys No. I ＂ was applied at Yifeng （TE 17） in group A, once daily and 10 times totally were needed. The score of facial nerve function, clinical efficacy were compared before and after treatment. At 1 and 3 month follow up visit, the quality of life scale（WHOQOL-BREF） and the occurrence of complication were observed. Results The scores of facial nerve function in group A and group B were all significantly improved compared with those before treatment （48.2±2.9 vs 25.7±4.9, 45.9±6.2 vs 25.8±5.5, both P〈0.01）, the cured rate in group A [82.0%（41/50）] were significantl,y superior to that in group B [67.3%（35/52）]（P〈0.05）; the difference of WHOQOL-BREF in both groups at 1 and 3 month follow up visit was not significant（all P〈0.05）. The occurrence of complication in group A （1 case） was significantly less than that in group B （8 cases, P〈0. 05）. Conclusion Compared with EA, the combination of EA and acupoint sticking therapy for Bell＇s palsy cannot only improve the clinical efficacy and reduce the occurrence of complication but also reliable without any side effect.
出处
《中国针灸》
CAS
CSCD
北大核心
2013年第11期965-969,共5页
Chinese Acupuncture & Moxibustion
基金
青岛市中医科研计划项目:2011-zyy008
关键词
周围性面瘫
穴位贴敷
电针
Bell＇s palsy
acupoint sticking therapy
electroacupuncture
