大接經(jīng)針法治療周圍性面癱后遺癥的臨床療效觀察
發(fā)布時間：2019-06-27 08:44
【摘要】：目的:比較運(yùn)用大接經(jīng)針刺法與傳統(tǒng)療法治療面癱后遺癥期的臨床療效差異,以期驗(yàn)證大接經(jīng)針法治療面癱后遺癥期的可行性。方法:選取2014年11月至2016年12月大連醫(yī)科大學(xué)附屬第二醫(yī)院針灸門診及神經(jīng)內(nèi)科門診確診為周圍性面癱后遺癥的患者共52例(男23例,女29例),根據(jù)治療方法的不同,隨機(jī)分為治療組(常規(guī)針刺配合大接經(jīng)針法)、對照組(常規(guī)針刺配合閃罐法)兩組進(jìn)行治療,每組各26例,其中治療組入組26例,脫落1例(女),共25例(男12例,女13例);對照組入組26例,脫落2例(男1例,女1例),共24例(男8例,女16例)。對照組取穴迎香、地倉、太陽、頭維、口禾毼、頰車、大迎、顴毼、四白、陽白、牽正、合谷、足三里、三陰交、太沖等行常規(guī)針刺,面部用0.25×25mm毫針淺刺3-5mm,四肢用0.25×40mm毫針刺入皮下20-30mm,得氣后合谷、足三里、三陰交行捻轉(zhuǎn)補(bǔ)法,太沖行捻轉(zhuǎn)瀉法。留針30分鐘,留針期間每10分鐘行針1次。對照組常規(guī)針刺配合患側(cè)局部閃罐療法,隔日1次。治療組在以上常規(guī)針刺治療基礎(chǔ)上,加用大接經(jīng)針法從陽引陰或從陰引陽交替針刺。常規(guī)針刺隔日1次,于每療程第1、3、5次針刺配合大接經(jīng)針法。兩組均以常規(guī)針刺5次為一療程,治療3個療程。依據(jù)Sunny brook(多倫多)面神經(jīng)評定系統(tǒng),隨訪觀察兩組治療前后靜態(tài)評分、隨意運(yùn)動分、聯(lián)動運(yùn)動分及最后得分的變化。所有受試者均符合入組標(biāo)準(zhǔn),可耐受目前檢查及治療,并簽署知情同意書。將全部入組患者數(shù)據(jù)收集整理,建立詳細(xì)的數(shù)據(jù)庫。本研究采用MS Excel365進(jìn)行數(shù)據(jù)整理與繪圖,IBM SPSS 22.0進(jìn)行數(shù)據(jù)分析,計(jì)量資料采用均數(shù)±標(biāo)準(zhǔn)差((x|-)±s)表示,兩組間正態(tài)分布計(jì)量資料均值比較采用獨(dú)立樣本t檢驗(yàn),治療前后比較采用配對t檢驗(yàn),計(jì)數(shù)資料采用例數(shù)表示,例數(shù)分布采用卡方檢驗(yàn),α=0.05為統(tǒng)計(jì)基準(zhǔn)。均以P0.05為差異具有統(tǒng)計(jì)學(xué)意義,評價各參數(shù)變化。結(jié)果:1.治療后兩組靜態(tài)分值均較治療前減小。治療后治療組分值低于對照組,無統(tǒng)計(jì)學(xué)差異(P0.05)。2.兩組治療后聯(lián)動分結(jié)果存在顯著差異(P0.05),兩組聯(lián)動分值均較治療前減小。治療后治療組分值低于對照組,存在顯著差異(P0.001)。3.兩組治療后隨意運(yùn)動分結(jié)果存在統(tǒng)計(jì)學(xué)差異(P0.05)。兩組隨意運(yùn)動分值均較治療前提高,有統(tǒng)計(jì)學(xué)意義(P0.001)。治療后治療組分值高于對照組,存在統(tǒng)計(jì)學(xué)差異(P0.05)。4.兩組治療后最后得分結(jié)果存在統(tǒng)計(jì)學(xué)差異(P0.01)。兩組最后得分均較治療前提高,統(tǒng)計(jì)學(xué)差異顯著(P0.001)。治療后治療組分值高于對照組,存在明顯差異(P0.01)。5.兩組最后得分與隨意運(yùn)動分在治療后均有增高,治療組評分提高幅度明顯優(yōu)于對照組,且分值高于對照組。兩組靜態(tài)分與聯(lián)動分在治療后均有下降,治療組聯(lián)動分下降幅度明顯,分值低于對照組,有統(tǒng)計(jì)學(xué)意義。治療組治療后靜態(tài)分較對照組下降明顯,但結(jié)合統(tǒng)計(jì)學(xué)分析,無統(tǒng)計(jì)學(xué)差異。6.治療組總有效率為88%;對照組總有效率62.50%,治療組總有效率高于對照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:1.配合大接經(jīng)針法治療周圍性面癱后遺癥療效明顯優(yōu)于常規(guī)療法,顯著改善了患側(cè)面部靜態(tài)觀與動態(tài)觀,加速了面神經(jīng)功能的恢復(fù)。2.大接經(jīng)針法通過依次刺激十二經(jīng)井穴產(chǎn)生針感,令十二經(jīng)經(jīng)氣次第貫通,使周身氣血運(yùn)行以帶動患側(cè)面部氣血的恢復(fù)與暢通,氣血充足則筋肉得以滋養(yǎng),故可改善患側(cè)面部病癥。
[Abstract]:Objective: To compare the clinical curative effect of the treatment of the sequela of facial paralysis with the acupuncture and the traditional therapy, with a view to verifying the feasibility of the treatment of the sequela of the facial paralysis by the method of needle-acupuncture. Methods:52 cases (23 male and 29 female) of peripheral facial paralysis were selected from November 2014 to December 2016 in the Second Affiliated Hospital of Dalian Medical University. The treatment group was divided into two groups: the treatment group (the conventional acupuncture and cupping) and the control group (conventional acupuncture and cupping),26 cases in each group,26 cases of the group in the treatment group,1 case (female),25 cases (12 males and 13 females), and 26 in the control group. 2 cases (1 male and 1 female) were dropped,24 cases (8 males and 16 females). the control group is used for collecting and receiving the fragrance, the ground bin, the sun, the head dimension, the mouth and the grass, the driving vehicle, the big-face, the head-and-the-mouth, the four-white, the white-white, the pull-in, the valley-like, the three-yin, the three-yin, the too-punched and the like, the conventional needle-punching is performed, the face is made of 0.25-25mm milli-needle and 3-5mm, and the four limbs are inserted into the skin by 0.25-40 mm milli-needles for 20-30 mm, In the post-gas, three-yin, three-yin, three-yin, one-to-one, one-to-one, one-to-one, one-to-one, one-to-one, one-to-one, one- The needle was left for 30 minutes and the needle was left for 1 time every 10 minutes during the retention of the needle. The conventional acupuncture in the control group was combined with the local flash tank therapy on the affected side, and the other day was 1 time. On the basis of the above-mentioned conventional acupuncture treatment, the treatment group, with the addition of the large-type acupuncture, from the male to the female or from the yin-yang to alternate acupuncture. 1,3 and 5 acupuncture at each treatment course were combined with the acupuncture. The two groups were treated with conventional acupuncture for 5 times as a course of treatment. According to Sunny brook (Toronto) facial nerve evaluation system, the two groups were followed up to observe the changes of static score, random motion, linkage movement and final score. All subjects met the inclusion criteria and were able to withstand the current examination and treatment and to sign the informed consent form. Collect all the enrolled patient data and set up a detailed database. In this study, MS Excel365 was used for data sorting and drawing, and the data was analyzed by the IBM SPSS 22.0. The mean standard deviation ((x |-) (s) was used for the measurement data. The mean value of the measured data of normal distribution between the two groups was compared with the independent sample t. The paired t-test was used before and after the treatment. The number of data used was expressed in the number of cases, and the number distribution was chi-square test, and the number of cases was 0.05 as the statistical reference. The change of each parameter was evaluated by the difference of P0.05. Results:1. The static scores of the two groups were reduced before treatment. The value of the treatment after treatment was lower than that of the control group without statistical difference (P0.05). The linkage scores of the two groups were significantly different (P0.05), and the linkage scores of the two groups were reduced before treatment. The value of the treatment after treatment was lower than that of the control group, and there was a significant difference (P 0.001). There was a statistical difference between the two groups after treatment (P0.05). The free exercise scores of the two groups were higher than that before treatment (P 0.001). The value of treatment after treatment was higher than that in the control group, and there was a statistical difference (P0.05). There was a statistical difference between the two groups after treatment (P0.01). The final scores of the two groups were higher than that before treatment (P 0.001). The value of the treatment after treatment was higher than that of the control group, and there was a significant difference (P0.01). The scores of the two groups were higher than that of the control group, and the score was higher than that of the control group. There was a significant difference between the two groups of static score and linkage group in the treatment group, the decrease of the linkage score of the treatment group was significant, and the score was lower than that of the control group. The static score of the treatment group was lower than that of the control group after treatment, but it was not statistically different in combination with the statistical analysis. The total effective rate of the treatment group was 88%, the total effective rate of the control group was 62.50%, and the total effective rate of the treatment group was higher than that of the control group (P0.05). Conclusion:1. The curative effect of the treatment of peripheral facial paralysis is better than that of the conventional therapy, and the static view and the dynamic view of the side part are obviously improved, and the recovery of the facial nerve function is accelerated. In that method, the needle feel is generate by stimulation of the twelve wells through the acupuncture method in sequence, so that the 12-meridian passage is carried out, so that the circulation of the qi and blood of the body is driven to drive the recovery and the smooth of the qi and blood of the side part, and the blood and the blood can be nourished, so that the side part condition can be improved.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6
本文編號：2506654
[Abstract]:Objective: To compare the clinical curative effect of the treatment of the sequela of facial paralysis with the acupuncture and the traditional therapy, with a view to verifying the feasibility of the treatment of the sequela of the facial paralysis by the method of needle-acupuncture. Methods:52 cases (23 male and 29 female) of peripheral facial paralysis were selected from November 2014 to December 2016 in the Second Affiliated Hospital of Dalian Medical University. The treatment group was divided into two groups: the treatment group (the conventional acupuncture and cupping) and the control group (conventional acupuncture and cupping),26 cases in each group,26 cases of the group in the treatment group,1 case (female),25 cases (12 males and 13 females), and 26 in the control group. 2 cases (1 male and 1 female) were dropped,24 cases (8 males and 16 females). the control group is used for collecting and receiving the fragrance, the ground bin, the sun, the head dimension, the mouth and the grass, the driving vehicle, the big-face, the head-and-the-mouth, the four-white, the white-white, the pull-in, the valley-like, the three-yin, the three-yin, the too-punched and the like, the conventional needle-punching is performed, the face is made of 0.25-25mm milli-needle and 3-5mm, and the four limbs are inserted into the skin by 0.25-40 mm milli-needles for 20-30 mm, In the post-gas, three-yin, three-yin, three-yin, one-to-one, one-to-one, one-to-one, one-to-one, one-to-one, one-to-one, one- The needle was left for 30 minutes and the needle was left for 1 time every 10 minutes during the retention of the needle. The conventional acupuncture in the control group was combined with the local flash tank therapy on the affected side, and the other day was 1 time. On the basis of the above-mentioned conventional acupuncture treatment, the treatment group, with the addition of the large-type acupuncture, from the male to the female or from the yin-yang to alternate acupuncture. 1,3 and 5 acupuncture at each treatment course were combined with the acupuncture. The two groups were treated with conventional acupuncture for 5 times as a course of treatment. According to Sunny brook (Toronto) facial nerve evaluation system, the two groups were followed up to observe the changes of static score, random motion, linkage movement and final score. All subjects met the inclusion criteria and were able to withstand the current examination and treatment and to sign the informed consent form. Collect all the enrolled patient data and set up a detailed database. In this study, MS Excel365 was used for data sorting and drawing, and the data was analyzed by the IBM SPSS 22.0. The mean standard deviation ((x |-) (s) was used for the measurement data. The mean value of the measured data of normal distribution between the two groups was compared with the independent sample t. The paired t-test was used before and after the treatment. The number of data used was expressed in the number of cases, and the number distribution was chi-square test, and the number of cases was 0.05 as the statistical reference. The change of each parameter was evaluated by the difference of P0.05. Results:1. The static scores of the two groups were reduced before treatment. The value of the treatment after treatment was lower than that of the control group without statistical difference (P0.05). The linkage scores of the two groups were significantly different (P0.05), and the linkage scores of the two groups were reduced before treatment. The value of the treatment after treatment was lower than that of the control group, and there was a significant difference (P 0.001). There was a statistical difference between the two groups after treatment (P0.05). The free exercise scores of the two groups were higher than that before treatment (P 0.001). The value of treatment after treatment was higher than that in the control group, and there was a statistical difference (P0.05). There was a statistical difference between the two groups after treatment (P0.01). The final scores of the two groups were higher than that before treatment (P 0.001). The value of the treatment after treatment was higher than that of the control group, and there was a significant difference (P0.01). The scores of the two groups were higher than that of the control group, and the score was higher than that of the control group. There was a significant difference between the two groups of static score and linkage group in the treatment group, the decrease of the linkage score of the treatment group was significant, and the score was lower than that of the control group. The static score of the treatment group was lower than that of the control group after treatment, but it was not statistically different in combination with the statistical analysis. The total effective rate of the treatment group was 88%, the total effective rate of the control group was 62.50%, and the total effective rate of the treatment group was higher than that of the control group (P0.05). Conclusion:1. The curative effect of the treatment of peripheral facial paralysis is better than that of the conventional therapy, and the static view and the dynamic view of the side part are obviously improved, and the recovery of the facial nerve function is accelerated. In that method, the needle feel is generate by stimulation of the twelve wells through the acupuncture method in sequence, so that the 12-meridian passage is carried out, so that the circulation of the qi and blood of the body is driven to drive the recovery and the smooth of the qi and blood of the side part, and the blood and the blood can be nourished, so that the side part condition can be improved.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R246.6
【參考文獻(xiàn)】
相關(guān)期刊論文 前10條
1 洪雁;李呂力;汪莉;方芳;張千;;音樂顏面復(fù)健操對面神經(jīng)炎神經(jīng)傳導(dǎo)速度和波幅的影響[J];中國社區(qū)醫(yī)師;2016年25期
2 曹娟;王俊偉;彭力;;針?biāo)幗Y(jié)合治療面癱后遺癥療效觀察[J];山西中醫(yī);2016年08期
3 唐曉敏;丁銳;王奇;;針灸分期治療周圍性面癱的臨床觀察[J];中西醫(yī)結(jié)合心腦血管病雜志;2015年18期
4 陳果;;蜂針治療面癱后遺癥32例體會[J];云南中醫(yī)學(xué)院學(xué)報;2015年05期
5 孫玉明;孫玉良;王春梅;;用頭發(fā)或羊腸線縫合咬肌前緣及部分頰肌(面癱穴)對治療面神經(jīng)炎的療效觀察[J];世界最新醫(yī)學(xué)信息文摘;2015年18期
6 周春林;夏和平;;阿昔洛韋聯(lián)合糖皮質(zhì)激素治療面神經(jīng)炎34例臨床療效分析[J];現(xiàn)代診斷與治療;2015年12期
7 蘇巧彤;郝欣平;李永新;;神經(jīng)轉(zhuǎn)接與跨面神經(jīng)移植修復(fù)面神經(jīng)的手術(shù)進(jìn)展[J];中華耳科學(xué)雜志;2015年02期
8 郭程程;周振坤;;穴位埋線配合隔姜灸治療周圍性面癱后遺癥60例[J];黑龍江中醫(yī)藥;2015年01期
9 劉群會;朱祖欣;;鼠神經(jīng)生長因子聯(lián)合高壓氧治療慢性期面神經(jīng)炎療效觀察[J];神經(jīng)損傷與功能重建;2014年03期
10 王夢迪;沈?yàn)榱?李洪波;;β-七葉皂苷鈉治療急性面神經(jīng)炎52例的臨床療效[J];醫(yī)學(xué)理論與實(shí)踐;2014年07期
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