本文選題：特發(fā)性面神經(jīng)麻痹　切入點(diǎn)：邪犯少陽　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:本研究通過對導(dǎo)師自擬柴葛牽正飲(小柴胡湯合升麻葛根湯加玉竹、白及)治療特發(fā)性面神經(jīng)麻痹邪犯少陽,陽明絡(luò)阻證的臨床療效觀察,評價(jià)其在特發(fā)性面神經(jīng)麻痹辨證治療中的有效性,為中醫(yī)治療特發(fā)性面神經(jīng)麻痹提供新的思路與方法。方法:將符合納入標(biāo)準(zhǔn)的特發(fā)性面神經(jīng)麻痹患者66例隨機(jī)分為兩組,其中治療組33例,給予柴葛牽正飲及西藥基礎(chǔ)治療;對照組33例,給予西藥基礎(chǔ)治療,兩組療程均為4周。觀察治療前、治療4周后兩組患者House-Brackmann量表分級及評分、中醫(yī)癥狀及體征積分的改善情況,評價(jià)兩組各自療效。結(jié)果:經(jīng)統(tǒng)計(jì)學(xué)分析,1.治療后兩組在H-B量表分級評定及評分方面均有改善,其中治療組與對照組總有效率分別為為93.55%和80.65%,兩組臨床療效間有顯著差異性(P0.05)。2.治療后兩組在中醫(yī)證候方面均有改善,且治療組明顯優(yōu)于對照組,尤其在口苦、咽干口渴、胸脅滿悶、頭暈、食欲不振的改善方面,兩組中醫(yī)證候總積分差異有統(tǒng)計(jì)學(xué)意義(P0.01)。3.兩組中醫(yī)癥狀改善總有效率分別為:96.77%和83.87%,治療組優(yōu)于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:柴葛牽正飲能有效促進(jìn)面神經(jīng)功能的恢復(fù),顯著改善特發(fā)性面神經(jīng)麻痹的癥狀和體征,且該方藥無明顯毒副作用,值得進(jìn)一步研究推廣。
[Abstract]:Objective: through the study of the teacher from Chaige Qianzheng Decoction (Koshiba Koyurisemahoneyukawatake, Rhizoma Bletillae) for the treatment of idiopathic facial paralysis invading the Shaoyang, to observe the clinical effect of Yangming collateral stagnation syndrome, and evaluate its effectiveness in idiopathic facial paralysis syndrome differentiation treatment, provide new ideas and methods for Chinese medicine treatment of idiopathic facial nerve paralysis. Methods: 66 patients with idiopathic paralysis were randomly divided into two groups of facial nerve inclusion criteria, including 33 cases of treatment group, given Chaige Qianzheng Decoction and Western medicine therapy; 33 cases in control group were given western medicine treatment, two groups were treated for 4 weeks. Observe the treatment before and after 4 weeks of treatment, two groups of House-Brackmann scale classification and grading, improvement of symptoms and signs of TCM, the curative effect evaluation of two groups. Results: by statistical analysis, 1. of the two groups after treatment in H-B score level evaluation and grading The surface were improved, the treatment group and control group total efficiency were 93.55% and 80.65%, the clinical curative effect of the two groups had significant difference (P0.05) after.2. treatment in the two groups of TCM syndromes were improved, and the treatment group was significantly better than the control group, especially in the mouth, throat thirsty, chest full nausea, dizziness, loss of appetite on the improvement of the two groups was statistically significant difference in the total score of TCM syndrome (P0.01.3.) two groups of TCM symptoms and improve the total efficiency were 96.77% and 83.87%, the treatment group than the control group, the difference was statistically significant (P0.05). Conclusion: Chaige Qianzheng decoction can effectively promote facial nerve the function recovery, improve idiopathic facial paralysis symptoms and signs, and the drugs have no obvious side effect, it is worthy of further study.

【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R277.7

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