CAJ | 학술논문

目的：观察粗针神道穴平刺及传统针刺对不同病程面神经炎的临床疗效。方法将220例符合纳入标准的病例随机分成粗针组和传统组,分别在口服西药的基础上进行治疗,2个疗程后,通过观察House-Brackmann 分级量表及面部症状改良Portmann临床简易评分法(RPA)等指标的变化,进行疗效比较研究。结果粗针组的疗效、治疗后H-B分级及RPA积分变化等均优于传统组,差异有统计学意义(P＜0.05)；疾病的不同病程影响疗效并且在粗针组内发病前期患者的疗效优于发病中后期患者,差异有统计学意义(P＜0.05)；粗针组发病前中期患者痊愈率高于传统组,差异有统计学意义(P＜0.05)。结论粗针神道穴平刺治疗面神经炎疗效肯定,安全易施,且较传统针刺有优势。
목적：관찰조침신도혈평자급전통침자대불동병정면신경염적림상료효。방법장220례부합납입표준적병례수궤분성조침조화전통조,분별재구복서약적기출상진행치료,2개료정후,통과관찰House-Brackmann 분급량표급면부증상개량Portmann림상간역평분법(RPA)등지표적변화,진행료효비교연구。결과조침조적료효、치료후H-B분급급RPA적분변화등균우우전통조,차이유통계학의의(P＜0.05)；질병적불동병정영향료효병차재조침조내발병전기환자적료효우우발병중후기환자,차이유통계학의의(P＜0.05)；조침조발병전중기환자전유솔고우전통조,차이유통계학의의(P＜0.05)。결론조침신도혈평자치료면신경염료효긍정,안전역시,차교전통침자유우세。
Objective To compare the clinical efficacies of transverse insertion of a thick needle into point Shendao(GV11) versus conventional acupuncture in treating facial neuritis of different durations.Method Two hundred and twenty patients meeting the inclusion criteria were randomly allocated to thick needle and tradition groups. The two groups separately received corresponding treatment in addition to oral administration of Western medicine. The therapeutic effects were evaluated using the House-Brackmann rating scale and the Portmann's Simple Scale (RPA) for facial symptoms and compared after two courses of treatment.Result The therapeutic effect was better, posttreatment H-B rating scale score was lower and posttreatment RPA score was higher in the thick needle group than in the tradition group; there were statistically significant differences (P<0.05). Different durations of disease affected the therapeutic effect. In the thick needle group, the therapeutic effect was better in the patients in the early stage than in the middle and late stages; there was a statistically significant difference (P<0.05). The cure rate was higher in the patients in the early and middle stages in the thick needle group than in the tradition group; there was a statistically significant difference (P<0.05). Conclusion Transverse insertion of a thick needle into point Shendao has a definite therapeutic effect on facial neuritis. It is safe, easily performed and of an advantage over conventional acupuncture.