CAJ | 학술논문

目的：观察中西医结合治疗眼轮匝肌痉挛的临床疗效。方法将60例眼轮匝肌痉挛患者按照随机数字表法分为实验组和对照组，每组各30例，对照组使用A型肉毒杆菌毒素眼轮匝肌注射。实验组在对照组治疗基础上给予天麻、白芍、蝉蜕、当归、熟地黄颗粒剂水冲服。结果对照组治愈21例，有效4例，无效5例，治愈率为70％；复发6例，复发率为28．6％。实验组治愈27例，有效2例，无效1例，治愈率为90％；复发2例，复发率为7．4％。2组治愈率、复发率比较，差异有统计学意义（P＜0．05）。结论中西医结合治疗眼轮匝肌痉挛能够明显提高治愈率、降低复发率。
목적：관찰중서의결합치료안륜잡기경련적림상료효。방법장60례안륜잡기경련환자안조수궤수자표법분위실험조화대조조，매조각30례，대조조사용A형육독간균독소안륜잡기주사。실험조재대조조치료기출상급여천마、백작、선세、당귀、숙지황과립제수충복。결과대조조치유21례，유효4례，무효5례，치유솔위70％；복발6례，복발솔위28．6％。실험조치유27례，유효2례，무효1례，치유솔위90％；복발2례，복발솔위7．4％。2조치유솔、복발솔비교，차이유통계학의의（P＜0．05）。결론중서의결합치료안륜잡기경련능구명현제고치유솔、강저복발솔。
Objective To observe the clinical curative effect of combined traditional Chinese and western medicine treatment on orbicularis oculi muscle spasm .Methods 60 cases of patients with orbic-ularis oculi muscle spasm are divided into experimental group and control group according to the method of random number table .30 cases are in each group and the injection of botulinum toxin type A into or-bicularis oculi muscle is applied to the patients in the control group .Patients in the experimental group are taking rhizoma gastrodia , radix paeoniae alba , cicada, angelica, rehmannia glutinosa granules with water on the basis of the treatment for the control group .Results Among 30 cases in the control group , 21 cases were cured , 4 cases were effective , 5 cases were ineffective , cure rate was 70%;6 cases recur-rence, the recurrence rate was 28.6%.Among the 30 cases in the experimental group , 27 cases were cured , 2 cases were effective , 1 case was ineffective , the cure rate was 90%;2 cases recurrence , the re-currence rate of 7 .4%.The cure rate and recurrence rate of the two groups are compared and the differ-ence was statistically significant ( P<0 .05 ) .Conclusion Combined traditional Chinese and western medicine treatment can obviously increase the cure rate and reduce the recurrence rate of orbicularis oculi muscle spasm .