本文關(guān)鍵詞： 靈龜八法 周圍性面癱 臨床觀察　出處：《廣西中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:本課題通過觀察靈龜八法結(jié)合常規(guī)針刺治療周圍性面癱的臨床療效及安全性,為針灸療法治療本病提供一種療效確切、操作安全的治療方案。方法:選取符合納入標(biāo)準(zhǔn)的周圍性面癱急性期患者60例為研究對象,采用完全隨機(jī)對照的方法,按1:1比例隨機(jī)分為治療組、對照組各30例,治療組采用靈龜八法結(jié)合常規(guī)針刺治療,對照組采用常規(guī)針刺治療。兩組均以10次為1療程,共治療2個(gè)療程后評定療效。療效評定標(biāo)準(zhǔn)參照House-Brackmann(H-B)面神經(jīng)功能評價(jià)分級系統(tǒng)及《周圍性面神經(jīng)麻痹的中西醫(yī)結(jié)合評定及療效標(biāo)準(zhǔn)》擬定,觀察并記錄治療組與對照組痊愈者治療天數(shù)及兩組治療前后的面神經(jīng)功能分級、面神經(jīng)麻痹程度分級評分和面部殘疾指數(shù)(FDI)評分的變化情況,并觀察年齡(40歲,≥40歲)因素對預(yù)后的影響。所得數(shù)據(jù)采用SPSS21.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析處理。同時(shí)隨時(shí)記錄不良事件,并及時(shí)正確妥善處理,對不良事件是否與針刺治療相關(guān)進(jìn)行評價(jià)。結(jié)果:1、本實(shí)驗(yàn)共完成60例治療,治療組和對照組均無病例脫落。治療2個(gè)療程后,治療組的愈顯率為86.87%,總有效率為96.67%;對照組的愈顯率為63.33%,總有效率為90.00%,兩組總有效率比較無明顯差異(P0.05),無統(tǒng)計(jì)學(xué)意義;但愈顯率及臨床療效比較均有統(tǒng)計(jì)學(xué)意義(P0.05)。2、兩組治療前后H-B面神經(jīng)功能分級、面神經(jīng)麻痹程度評分及FDI評分比較,差異均有統(tǒng)計(jì)學(xué)意義(P0.01)。3、治療后,兩組間進(jìn)行H-B面神經(jīng)功能分級、面神經(jīng)麻痹程度評分及軀體功能(FDIP)評分比較,差異有統(tǒng)計(jì)學(xué)意義(PO.05);而社會(huì)功能(FDIS)評分兩組間比較無統(tǒng)計(jì)學(xué)意義(P0.05)。4、兩組痊愈患者治療所用總時(shí)間比較有顯著性差異(PO.05)。5、治療2個(gè)療程后,40歲年齡段患者和≥40歲年齡段患者之間療效比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。6、在安全性評價(jià)方面未發(fā)現(xiàn)本研究兩種治療方法存在不安全問題。結(jié)論:靈龜八法結(jié)合常規(guī)針刺與常規(guī)針刺早期介入治療周圍性面癱均有效,都可以改善周圍性面癱患者的面神經(jīng)功能、軀體及社會(huì)生活功能;且靈龜八法結(jié)合常規(guī)針刺組療效優(yōu)于常規(guī)針剌組,并可以縮短療程。年齡對周圍性面癱療效有一定影響,年齡輕者療效優(yōu)于年齡大者。結(jié)果表明:靈龜八法按時(shí)開穴結(jié)合常規(guī)針刺早期介入治療周圍性面癱具有見效快捷與療效顯著的特點(diǎn),安全性好,適宜在臨床推廣使用。
[Abstract]:Objective: to observe the clinical efficacy and safety of Linggui eight method combined with routine acupuncture in the treatment of peripheral facial paralysis, and to provide a definite curative effect for acupuncture therapy. Methods: 60 patients with peripheral facial paralysis in acute phase were selected as the study objects, and were randomly divided into treatment group according to the ratio of 1: 1 by the method of complete randomized control. The control group (30 cases) was treated with Linggui eight method combined with routine acupuncture, and the control group was treated with routine acupuncture. Both groups were treated with 10 times as a course of treatment. The curative effect was evaluated after two courses of treatment. House-Brackmannus H-B- was referred to the criteria for evaluation of curative effect. The evaluation and grading system of facial nerve function and the standard of evaluation and curative effect of integrated traditional Chinese and western medicine for peripheral facial paralysis were drawn up. To observe and record the treatment days of the cured patients in the treatment group and the control group, and the changes of facial nerve function, facial paralysis and facial disability index (FDI) score before and after treatment in both groups. The influence of the age of 40 years and 鈮，

本文編號：1480805