CAJ | 학술논문

目的：运用针灸疗法对周围性面瘫进行治疗，为临床研究提供参考。方法：选取2013年4月-2014年4月在针灸科门诊与住院部进行周围性面瘫治疗的80例患者，按随机数字表法分成两组，40例为针灸治疗组，另40例为常规针刺对照组。针灸治疗组采用0.3 mm×50 mm的毫针对患者各穴位进行针灸，得气之后，以每间隔10 min平补平泻的手法行针1次，并留针30次，接着对下关、翳风两个穴位同时实施针刺，直至达到局部变红晕为止。常规针刺对照组则使用纯粹的常规针刺治疗方式，选取患侧阳白、攒竹、迎香、四白、丝竹空、地仓、颊车、人中、承浆、风池、太冲、足三里、合谷等各个穴位进行透刺，并在得气后留针30 min，坚持1次/d。1个疗程16次，每天针灸1次，在完成1个疗程之后休息1 d，持续两个疗程。疗效利用H-B评价系统和Prommnn简易评分法实行分析研究与评价，观察两组治疗前后的临床症状等变化。结果：（1）治疗组的治愈率为54.21%，愈显率85.46%，对照组分别为34.52%、55.48%，比较差异有统计学意义（P<0.05）。（2）两组治疗后患者症状积分和H-B面神经功能分级比较，差异有统计学意义（P<0.05），但治疗前比较差异无统计学意义。（3）两组患者愈显时间比较，差异有统计学意义（P<0.05）。结论：针灸治疗不仅疗程较短、效果显著，也有效杜绝了相关并发症和副作用的产生和影响，尤其针对患者的症状改善，提供高治愈率、愈显率等方面效果明显，同时经济、方便的特性也使其易于临床上的更广泛应用。
목적：운용침구요법대주위성면탄진행치료，위림상연구제공삼고。방법：선취2013년4월-2014년4월재침구과문진여주원부진행주위성면탄치료적80례환자，안수궤수자표법분성량조，40례위침구치료조，령40례위상규침자대조조。침구치료조채용0.3 mm×50 mm적호침대환자각혈위진행침구，득기지후，이매간격10 min평보평사적수법행침1차，병류침30차，접착대하관、예풍량개혈위동시실시침자，직지체도국부변홍훈위지。상규침자대조조칙사용순수적상규침자치료방식，선취환측양백、찬죽、영향、사백、사죽공、지창、협차、인중、승장、풍지、태충、족삼리、합곡등각개혈위진행투자，병재득기후류침30 min，견지1차/d。1개료정16차，매천침구1차，재완성1개료정지후휴식1 d，지속량개료정。료효이용H-B평개계통화Prommnn간역평분법실행분석연구여평개，관찰량조치료전후적림상증상등변화。결과：（1）치료조적치유솔위54.21%，유현솔85.46%，대조조분별위34.52%、55.48%，비교차이유통계학의의（P<0.05）。（2）량조치료후환자증상적분화H-B면신경공능분급비교，차이유통계학의의（P<0.05），단치료전비교차이무통계학의의。（3）량조환자유현시간비교，차이유통계학의의（P<0.05）。결론：침구치료불부료정교단、효과현저，야유효두절료상관병발증화부작용적산생화영향，우기침대환자적증상개선，제공고치유솔、유현솔등방면효과명현，동시경제、방편적특성야사기역우림상상적경엄범응용。
Objective:To use acupuncture treatment for facial paralysis disease, in order to improve the treatment of the disease.Method:From April 2013 to April 2014, 80 patients with peripheral facial paralysis were selected and randomly divided into two groups, acupuncture treatment group (40 cases) and acupuncture control group (40 cases).The patients accepted 0.3 mm × 50 mm cents acupuncture points for each patient, and then get gas to fill every interval of 10 minutes flat-reducing way line pin 1, and the needle 30 times, then on Shimonoseki, Yifeng two acupuncture points simultaneously, until the local variable flush so far.The acupuncture control group used purely acupuncture treatment, the method with acupuncture the same treatment group, divided two groups of acupuncture treatments for a course of treatment 16 times a day acupuncture 1, after completing a course of a day of rest, sustained two courses of treatment.The two groups were compared by Prommnn HB evaluation system. Result:The cured rate and markedly effective rate of the acupuncture treatment group was 54.21%, 85.46%, respectively, while that of the acupuncture control group was 34.52%, 55.48%, there was statistically significant difference between the two groups (P<0.05).Also, the patient symptom scores compared between the two groups showed statistically significant difference (P<0.05). Symptom score and HB facial nerve function classification after treatment compared between the two groups showed statistically significant difference (P<0.05), but no before.Markedly effective time compared between the two groups showed statistically significant difference (P<0.05), too.Conclusion:According to the theory of Chinese medicine treatment, acupuncture treatment effect is significant, also effectively prevent the emergence and impact-related complications and side effects, especially for aspects of the patient’s symptoms, the cure rate, markedly effective rate has a significant role, while economic, convenient features also make it easy to broader clinical application.