CAJ | 학술논문

目的：观察眼轮匝肌毫针排刺联合复方樟柳碱注射液颞浅动脉注射对特发性眼睑痉挛的治疗效果。方法收集特发性眼睑痉挛患者37例（41只眼），予患侧眼轮匝肌毫针排刺联合颞浅动脉旁皮下注射复方樟柳碱注射液，同时取穴风池、百会、攒竹等常规针刺治疗。每天1次，14次为1个疗程，治疗2个疗程，随访6至12个月，观察病情变化及复发情况。结果37例41只眼中治愈25例28只眼（28/41，68.3%），好转12例13只眼（13/41，31.7%），无效0例0只眼（0/41，0.0%），总有效率为100.0%。经过6至12个月的随访，有1只眼复发（2.43%）。治疗过程中及随访期间，均未见明显不良反应。结论眼轮匝肌毫针排刺联合复方樟柳碱注射液颞浅动脉旁注射是治疗特发性眼睑痉挛的一种安全有效的方法。
목적：관찰안륜잡기호침배자연합복방장류감주사액섭천동맥주사대특발성안검경련적치료효과。방법수집특발성안검경련환자37례（41지안），여환측안륜잡기호침배자연합섭천동맥방피하주사복방장류감주사액，동시취혈풍지、백회、찬죽등상규침자치료。매천1차，14차위1개료정，치료2개료정，수방6지12개월，관찰병정변화급복발정황。결과37례41지안중치유25례28지안（28/41，68.3%），호전12례13지안（13/41，31.7%），무효0례0지안（0/41，0.0%），총유효솔위100.0%。경과6지12개월적수방，유1지안복발（2.43%）。치료과정중급수방기간，균미견명현불량반응。결론안륜잡기호침배자연합복방장류감주사액섭천동맥방주사시치료특발성안검경련적일충안전유효적방법。
OBJECTIVE To observe the therapeutic effect of orbicularis oculi muscle filiform needle stab row with joint compound anisodine injection of the temporal pale beside the artery injection in the treatment of idiopathic blepharospasm. METHODS Thirty-seven patients with idiopathic blepharospasm (41 eyes), were injected to one side the orbicularis oculi muscle insertion row thorn joint superficial temporoparietal artery by subcutaneous injec-tion of compound anisodine injection. At the same time, gave accupuncture treatment to Fengchi, Baihui, Cuanzhu 1 time a day, 14 times as a course, two courses of treatment, and followed up for 6 to 12 months, observed the condition change and relapse. RESULTS Among 41 eyes 28 cured (68.3%), 13 improved (31.7%), 0 invalid (0.0%), the total effective rate was 100.0%. After 6 to 12 months of follow-up, 1 eye (2.43%) of recurrence. No obvious adverse reactions. CONCLUSIONS The orbicularis oculi muscle filiform needle stab row with joint compound anisodine in-jection temporal pale beside the artery injection was safe and effective for the treatment of idiopathic blepharospasm.