CAJ | 학술논문

目的：观察头针加体针治疗外展神经麻痹的临床疗效。方法：将61例患者随机分为观察组30例，对照组31例，2组均给予药物常规治疗：甲钴胺0.5 mg/次，3次/d，口服；甲硫维生素B 4 mL/次，1次/d，肌肉注射；红花注射液30 mL静脉滴注，1次/d。观察组同时给予头针加体针,1次/d。2组均连续治疗10天。结果：痊愈率观察组为66.67%，对照组为48.39%，2组比较差异有统计学意义（P＜0.05）；总有效率观察组为93.33%，对照组为83.87%，2组比较差异有统计学意义（P＜0.05）。同视机检测结果2组治疗前后组内比较差异有统计学意义（P＜0.05），治疗后组间比较差异有统计学意义（P＜0.05）。结论：在甲钴胺、甲硫维生素、红花注射液联合头针加体针治疗外展神经麻痹临床疗效显著。
목적：관찰두침가체침치료외전신경마비적림상료효。방법：장61례환자수궤분위관찰조30례，대조조31례，2조균급여약물상규치료：갑고알0.5 mg/차，3차/d，구복；갑류유생소B 4 mL/차，1차/d，기육주사；홍화주사액30 mL정맥적주，1차/d。관찰조동시급여두침가체침,1차/d。2조균련속치료10천。결과：전유솔관찰조위66.67%，대조조위48.39%，2조비교차이유통계학의의（P＜0.05）；총유효솔관찰조위93.33%，대조조위83.87%，2조비교차이유통계학의의（P＜0.05）。동시궤검측결과2조치료전후조내비교차이유통계학의의（P＜0.05），치료후조간비교차이유통계학의의（P＜0.05）。결론：재갑고알、갑류유생소、홍화주사액연합두침가체침치료외전신경마비림상료효현저。
Objective: To investigate curative effects of scalp acupuncture and body acupuncture in treating abducent nerve paralysis. Methods:Altogether 61 patients were randomized into 30 cases of the observation group and 31 cases of the control group. Both groups received routine treatment of medicine:mecobalamine, 0.5mg each time, three times per day, orally;methionine vitamin B, 4 mL each time, once each day, muscular injection;HongHua injection, 30 mL, intravenous dripping, once per day. The observation group were administered with scalp acupuncture and body needling, once per day. Both groups were treated for ten consecutive days. Results:Cure rate of the observation group was 66.67%, higher than 48.39% of the control group, the difference showed statistical meaning(P<0.05);total effective rate of the observation group was 93.33%, superior to 83.87%of the control group, the difference showed statistical meaning (P<0.05). The results noted that the difference demonstrated statistical meaning in the same group between before and after treating (P<0.05), the difference between both groups after treating presented statistical meaning (P<0.05). Conclusion:Scalp acupuncture and body needling are effective in treating abducent nerve paralysis on the foundation of mecobalamine, methionine vitamin and HongHua injection.