浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2014年
10期
1221-1223
,共3页
吴洲红%王永平%周志华%潘芳芳
吳洲紅%王永平%週誌華%潘芳芳
오주홍%왕영평%주지화%반방방
急性面神经炎%浅刺多穴法%牵正膏%临床疗效
急性麵神經炎%淺刺多穴法%牽正膏%臨床療效
급성면신경염%천자다혈법%견정고%림상료효
acute facial neuritis%multi-needle shal ow puncture%Qianzheng plaster%clinical effect
[目的]探讨浅刺多穴法配合牵正膏治疗急性面神经炎的临床疗效。[方法]选取2012年1月至2013年10月在我院针灸门诊就诊的单侧急性面神经炎患者120例，随机分为针药结合治疗组、单纯针刺组和单纯药物组治疗，每组40例；3组分别于治疗14天、28天后进行疗效评定。[结果]治疗14d后针药结合组总有效率85.0%，单纯针刺组67.5%，单纯药物组60.0%，差异有统计学意义（P＜0.05）；治疗28d后针药结合组总有效率95.0%，单纯针刺组82.5%，单纯药物组80.0%，差异有统计学意义（P＜0.05）；针药结合组治疗28d与治疗14d的总有效率组内比较，差异有统计学意义（P＜0.05）。同时，与组内治疗14d比较，三组治疗28d后患侧面神经运动神经传导速度（motor nerve conduction velocity,MCV）增幅明显增加，差异有统计学意义（P＜0.05）；与同期的单纯针刺组、单纯药物组相比，针药结合组治疗28d面神经MCV增幅明显增加（P＜0.05），治疗14d眼轮匝肌和口轮匝肌MCV增幅明显增加（P＜0.05），额肌和鼻肌MCV增幅不明显（P＞0.05）。[结论]浅刺多穴法配合牵正膏外敷治疗急性面神经炎明显优于单纯针刺或单纯药物治疗。
[目的]探討淺刺多穴法配閤牽正膏治療急性麵神經炎的臨床療效。[方法]選取2012年1月至2013年10月在我院針灸門診就診的單側急性麵神經炎患者120例，隨機分為針藥結閤治療組、單純針刺組和單純藥物組治療，每組40例；3組分彆于治療14天、28天後進行療效評定。[結果]治療14d後針藥結閤組總有效率85.0%，單純針刺組67.5%，單純藥物組60.0%，差異有統計學意義（P＜0.05）；治療28d後針藥結閤組總有效率95.0%，單純針刺組82.5%，單純藥物組80.0%，差異有統計學意義（P＜0.05）；針藥結閤組治療28d與治療14d的總有效率組內比較，差異有統計學意義（P＜0.05）。同時，與組內治療14d比較，三組治療28d後患側麵神經運動神經傳導速度（motor nerve conduction velocity,MCV）增幅明顯增加，差異有統計學意義（P＜0.05）；與同期的單純針刺組、單純藥物組相比，針藥結閤組治療28d麵神經MCV增幅明顯增加（P＜0.05），治療14d眼輪匝肌和口輪匝肌MCV增幅明顯增加（P＜0.05），額肌和鼻肌MCV增幅不明顯（P＞0.05）。[結論]淺刺多穴法配閤牽正膏外敷治療急性麵神經炎明顯優于單純針刺或單純藥物治療。
[목적]탐토천자다혈법배합견정고치료급성면신경염적림상료효。[방법]선취2012년1월지2013년10월재아원침구문진취진적단측급성면신경염환자120례，수궤분위침약결합치료조、단순침자조화단순약물조치료，매조40례；3조분별우치료14천、28천후진행료효평정。[결과]치료14d후침약결합조총유효솔85.0%，단순침자조67.5%，단순약물조60.0%，차이유통계학의의（P＜0.05）；치료28d후침약결합조총유효솔95.0%，단순침자조82.5%，단순약물조80.0%，차이유통계학의의（P＜0.05）；침약결합조치료28d여치료14d적총유효솔조내비교，차이유통계학의의（P＜0.05）。동시，여조내치료14d비교，삼조치료28d후환측면신경운동신경전도속도（motor nerve conduction velocity,MCV）증폭명현증가，차이유통계학의의（P＜0.05）；여동기적단순침자조、단순약물조상비，침약결합조치료28d면신경MCV증폭명현증가（P＜0.05），치료14d안륜잡기화구륜잡기MCV증폭명현증가（P＜0.05），액기화비기MCV증폭불명현（P＞0.05）。[결론]천자다혈법배합견정고외부치료급성면신경염명현우우단순침자혹단순약물치료。
Objective] To investigate the clinical effect of multi-needle shal ow puncture combined with Qianzheng plaster on acute facial neuritis. [Methods] One hundred and twenty patients with acute facial neuritis from Janurary 2012 to October 2013 were randomly divided into three groups with 40 patients in each group. One was cured by multi-needle shal ow puncture together with Qianzheng plater, one was cured by multi-needle shal ow puncture only and the other was cured by medicine only. The clinical effects of three groups were observed after 14 days and 28 days of treatment. [Results] The total effective rate of acupuncture-medicine group was respectively 85.0% and 95.0% after 14 and 28 days; while the total effective rate of puncture-only and medicine-only groups were respectively 67.5%, 82.5% and 60.0%, 80.0%. The clinical effect of multi-needle shal ow puncture combined with Qianzheng plaster was better than that of puncture-only and medicine-only treatment groups. There was significant difference among three groups(P<0.05);The increasing range of facial nerve MCV of acupuncture-medicine group was also better than that of puncture-only and medicine-only treatment groups. There was significant difference between them( P<0.05). [Conclusion] Multi-needle shal ow puncture combined with Qianzheng plaster is a better therapy than puncture only or medicine only for acute facial neuritis.
