CAJ | 학술논문

目的：观察高玉瑃教授“阳明论治针法”治疗周围性面瘫的临床疗效,继承燕赵高氏针灸学术思想。方法：共纳入70例周围性面瘫患者,以随机数字表法随机分为两组,每组35例。治疗组采用“阳明论治针法”治疗,对照组采用传统针刺法治疗,两组均每日治疗1次,每星期治疗6次,共治疗6星期。治疗前后根据House-Brackmann (H-B)面神经功能评价分级、临床疗效和症状体征量化评分进行疗效评价。结果：治疗2星期后，治疗组H-B分级及治愈率均优于对照组(P＜0.05)。治疗4星期后,治疗组H-B分级、症状体征评分及治愈率均优于对照组(P＜0.05, P＜0.01, P＜0.05)。治疗6星期后两组各方面比较差异均没有统计学意义(P＞0.05)。结论：“阳明论治针法”治疗面瘫较传统针刺法起效快,早期治愈率高,可缩短疗程。
목적：관찰고옥춘교수“양명론치침법”치료주위성면탄적림상료효,계승연조고씨침구학술사상。방법：공납입70례주위성면탄환자,이수궤수자표법수궤분위량조,매조35례。치료조채용“양명론치침법”치료,대조조채용전통침자법치료,량조균매일치료1차,매성기치료6차,공치료6성기。치료전후근거House-Brackmann (H-B)면신경공능평개분급、림상료효화증상체정양화평분진행료효평개。결과：치료2성기후，치료조H-B분급급치유솔균우우대조조(P＜0.05)。치료4성기후,치료조H-B분급、증상체정평분급치유솔균우우대조조(P＜0.05, P＜0.01, P＜0.05)。치료6성기후량조각방면비교차이균몰유통계학의의(P＞0.05)。결론：“양명론치침법”치료면탄교전통침자법기효쾌,조기치유솔고,가축단료정。
Objective:To observe the clinical efficacy of Prof. Gao Yu-chun’s needling Yangming method for facial palsy, as well as to inherit and further develop the academic idea. <br> Methods:A total of 70 cases were randomly allocated into a treatment group (n=35) and a control group (n=35). Cases in the treatment group were treated with needling Yangming method, whereas cases in the control group were treated with traditional acupuncture method. The treatment was done once a day in both groups (6 times a week) for a total of 6 weeks. Then the therapeutic efficacies were evaluated before and after treatment using the House-Brackmann (H-B) scale and scores of signs and symptoms. <br> Results:After 2 weeks of treatment, patients in the treatment group obtained a better H-B score and recovery rate than those in the control group (P<0.05). After 4 weeks of treatment, the H-B score, scores of signs and symptoms and recovery rate in the treatment group were better than those in the control group (P<0.05,P<0.01,P<0.05). After 6 weeks of treatment, there were no between-group statistical differences in the above aspects (P>0.05). <br> Conclusion:Needling Yangming method can obtain a faster effect, a higher early-stage recovery rate and shorter course of treatment than traditional acupuncture method.