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益气清热针药并用法治疗急性期风热中络型面瘫伴耳后疼痛临床研究(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2016年03期
页码:
52-56
栏目:
针灸推拿
出版日期:
2016-05-15

文章信息/Info

Title:
Clinical Study of Yiqi Qingre Decoction and Acupuncture Treatment on the Wind and Heat in Collaterals Type of Facial Paralysis with Ear Pain in the Acute Stage
作者:
王颖吴海洋△韩为王海涛
安徽中医药大学第二附属医院,安徽 合肥 230000
Author(s):
WANG Ying WU Haiyang HAN wei WANG Haitao
1. Research Institute of Acupuncture and Moxibustion, Anhui University of TCM, Hefei 230000, China
关键词:
周围性面瘫 益气清热针刺 风热中络
Keywords:
peripheral facial paralysis Yiqi Qingre acupuncture wind and heat in collaterals
分类号:
R246.6
DOI:
10.19288/j.cnki.issn.1000-2723.2016.03.013
文献标识码:
A
摘要:
目的观察益气清热针药并用法治疗急性期风热中络型面瘫伴耳后疼痛临床研究。方法将90例急性面瘫伴有耳后疼痛患者随机分为普通针刺组、益气清热针刺组及益气清热针药并用组即治疗组3组,每组各30例。普通针刺组采用常规针刺治疗,针刺选患侧阳白、太阳、丝竹空、四白、颧髎、地仓、颊车、牵正、承浆、双侧合谷及风池;益气清热针刺组在普通针刺组基础上加取双侧足三里、百会、外关、大椎等穴位;治疗组在益气清热针刺组基础上配伍玉屏风散加减(黄芪、白术、防风、炒山栀、金银花、僵蚕、地龙)。3组治疗均以3周为1个疗程。观察3组治疗前后耳后疼痛评分、急性期耳后疼痛持续时间、多伦多面神经功能评分及总体疗效。结果3组患者在治疗后耳后疼痛持续天数组间比较皆具有统计学差异,而治疗组明显少于其他两组(P<0.01)。3组患者面神经评分比较,治疗前3组组间比较无统计学意义(P>0.05);治疗后3组组间比较具有显著统计学意义(P<0.01),而治疗组明显高于其他2组;3组治疗前后组内比较皆具有显著差异(P<0.01);3组面瘫患者疗效比较皆具有显著差异(P<0.01),但治疗组优于其他2组。结论益气清热针药并用法对于改善急性期风热中络型面瘫伴耳后疼痛具有确切疗效。
Abstract:
Objective To observe the effect of Yiqi Qingre decoction and acupuncture treatment on the wind and heat in collaterals type of facial paralysis with ear pain in the acute stage. Methods 90 cases of acute facial paralysis with ear pain were randomly divided into common acupuncture group, acupuncture group of nourishing qi and clearing heat(Qingre Yiqi acupuncture group), and Qingre Yiqi acupuncture group with medicine, each group of 30 cases. Common acupuncture group was treated with conventional acupuncture treatment, acupuncture selected from the affected side Yangbai, Sun, Sizhukong, Sibai, Quanliao, Warehouses, Buccal car, Pull, Bearing slurry, bilateral Hegu and Fengchi; Qingre Yiqi acupuncture group was treated with bilateral Zusanli, Baihui, Waiguan, Dazhui points on the basis of common acupuncture group;treatment group was treated with Yuping Feng pulvis(Huangqi, Baizhu, Fangfeng, fried Gardenia, Jin yinhua, Jiangcan, Dilong) based on Qingre Yiqi acupuncture group. The three groups were treated with 21d for 1 courses, 1 courses of treatment. Ear pain score, duration of acute pain, Toronto of neurological function score and the total efficacy before and after treatment in three groups were observed. Results There were significant differences on duration of ear pain in three groups after the treatment, and the treatment group was significantly less than those of the other two groups(P<0.01). There were no significant differences on facial nerve score in three groups before the treatment(P>0.05); there were significant differences on facial nerve score in three groups after the treatment, and the treatment group was significantly higher than that in the other two groups(P<0.01). There were significant differences on the total efficacy in three groups after the treatment, and the treatment group was better than that in the other two groups(P<0.01). Conclusion Yiqi Qingre decoction and acupuncture treatment have obvious effect on improving the wind and heat in collaterals type of facial paralysis with ear pain in the acute stage.

参考文献/References

[1] 吴江. 神经病学[M]. 7版. 北京:人民卫生出版社,2010:120.
[2] 李莹,张中一,陈跃来,等. 巨刺法治疗急性期周围性面瘫临床疗效观察[J]. 中国针灸,2015,35(1):7-10.
[3] 李瑛,李妍,刘立安,等. 针灸择期治疗周围性面瘫多中心大样本随机对照试验[J]. 中国针灸,2011,31(4):289-293.
[4] 周渲芸. 耳尖放血疗法对面瘫急性期疗效的影响[J]. 现代中西结合杂志,2009,18(27):3318-3319.
[5] 李妍,韩宝杰,励志英. 毛刺法治疗急性期面瘫60例[J]. 河南中医,2009,29(4):394.
[6] 吴江. 神经病学[M]. 7版. 北京:人民卫生出版社,2010:120.
[7] 李刚. 中医口腔病症学[M]. 北京:人民军医出版社,1989:336.
[8] 李仲廉. 临床疼痛治疗学[M]. 天津:天津科学技术出版社,1994.
[9] 刘鸣. 神经内科学[M]. 北京:人民卫生出版社,2008:9.
[10] 陈颖,王麟鹏,刘志凌. Bell’s面瘫急性期电针灸与激素治疗临床对照观察[J]. 北京中医,2004,23(2):105-107.
[11] 王惠国. 针刺加闪罐治疗周围性面瘫87例[J]. 中国针灸,2001,21(2):69.
[12] 雷云,吴成翰,高林. 中西医治疗周围性面瘫的研究进展[J]. 光明中医,2012,27(4):843-845.
[13] 王小艳,左政. 针刺配合小剂量激素治疗面瘫临床观察[J]. 中国中医药现代远程教育,2013,11(13):49-50.
[14] 徐启华,曹军,曾庆文. 玉屏风散发酵液对小鼠免疫功能的调节作用[J]. 中国中医药科技,2007,14(1):10.
[15] 段懿洲,肖丹,彭衡阳,等. 玉屏风制剂免疫调节作用研究进展[J]. 亚太传统医药,2012,8(9):200-202.
[16] 曾典.玉屏冈散对肺气虚证大鼠细胞免疫功能的影响研究[D].成都:成都医学院,2015.

备注/Memo

备注/Memo:
* 基金项目: 安徽省中医药科学院针灸临床研究所灸法创新项目(2015zjyyjf04) 收稿日期: 2016 - 05 - 02 作者简介: 王颖(1971-),女,安徽合肥人,主任医师,硕士生导师,研究方向:针刺临床应用及机理研究。E-mail:zhenjiu205@126.com△通信作者:吴海洋,E-mail:9757542@qq.com
更新日期/Last Update: 2016-05-20