CAJ | 학술논문

目的：评价穴位埋线联合隔姜灸治疗特发性面神经麻痹的临床疗效，为缩短疗程、减少有创治疗给特发性面神经麻痹患者带来的依从性差问题提供一种可靠的治疗方案。方法：将符合标准的特发性面神经麻痹患者随机分为两组，治疗组31例采用穴位埋线联合隔姜灸治疗，对照组32例采用常规西医治疗结合普通针刺治疗，6天为一疗程，共治疗4个疗程。疗程结束后观察疗效。结果：治疗组中痊愈8例，显效15例，有效7例，无效1例，总有效率为96．78％；对照组中痊愈4例，显效10例，有效15例，无效3例，总有效率为90．63％。疗程结束后，治疗组病例经日本面神经麻痹程度评价分析表评分为（27.95±5．65）分，优于对照组（24．17±7．68）分（P＜0．01）。两组病例达到痊愈所需时间治疗组为（33．10±9．73）天，短于对照组（36．01±8．41）天（P＜0．01）。两组病例满意度调查评分结果，治疗组为（90．97±4．18）分，高于对照组（87．32±5．62）分（P＜0．01）。结论：穴位埋线联合隔姜灸治疗特发性面神经麻痹的临床疗效显著，较常规西医治疗结合普通针刺治疗患者的疗效明显，并能明显缩短疗程，患者满意度高。
목적：평개혈위매선연합격강구치료특발성면신경마비적림상료효，위축단료정、감소유창치료급특발성면신경마비환자대래적의종성차문제제공일충가고적치료방안。방법：장부합표준적특발성면신경마비환자수궤분위량조，치료조31례채용혈위매선연합격강구치료，대조조32례채용상규서의치료결합보통침자치료，6천위일료정，공치료4개료정。료정결속후관찰료효。결과：치료조중전유8례，현효15례，유효7례，무효1례，총유효솔위96．78％；대조조중전유4례，현효10례，유효15례，무효3례，총유효솔위90．63％。료정결속후，치료조병례경일본면신경마비정도평개분석표평분위（27.95±5．65）분，우우대조조（24．17±7．68）분（P＜0．01）。량조병례체도전유소수시간치료조위（33．10±9．73）천，단우대조조（36．01±8．41）천（P＜0．01）。량조병례만의도조사평분결과，치료조위（90．97±4．18）분，고우대조조（87．32±5．62）분（P＜0．01）。결론：혈위매선연합격강구치료특발성면신경마비적림상료효현저，교상규서의치료결합보통침자치료환자적료효명현，병능명현축단료정，환자만의도고。
Objective:To evaluate the efficacy on idiopathic facial paralysis treated by acupoint catgut embed-ding therapy and ginger moxibustion.Methods:Patients with idiopathic facial paralysis were randomly divided into two groups according to standards.In the treatment group, 31 cases were treated by acupoint catgut embed-ding therapy combined with ginger moxibustion.While 32 cases in the control group were treated by routine western medicine therapy and ordinary acupuncture.6 days’ treatment was as one session.Observe the clinical efficacy after 4 courses of treatment.Results:After 4 courses of different treatment,in the treatment group 8 ca-ses were cured;15 cases had an obvious effect;7 cases were effective, and 1 case was invalid.The total effec-tive rate was 96.78%;while in the control group 4 cases were cured;10 cases had an obvious effect;15 cases were effective and 3 cases were invalid.The total effective rate was 90.63%.The effects were significantly dif-ferent between two groups.After the end of treatment, the score according to Japanese facial paralysis degree a-nalysis was(27.95 ±5.65) points in the treatment group,which was higher than(24.17 ±7.68) points in the control group(P<0.01).The time(33.10 ±9.73)days in the treatment group for the treatment was less than that in the control group(36.01 ±8.41)days(P<0.01).The score (90.97 ±4.18)points of satisfaction sur-vey in the treatment group was higher than that in the control group (87.32 ±5.62)points(P<0.01).Conclu-sion:Clinical efficacy on idiopathic facial paralysis treated by acupoint catgut embedding therapy and ginger moxibustion is significant compared with that in the control group treated by routine western medicine therapy and ordinary acupuncture.And acupoint catgut embedding therapy combined with ginger moxibustion can short-en the course of treatment obviously and get higher satisfaction from patients.