首页|董氏奇穴联合颧髎灸治疗周围性面瘫恢复期的临床观察

董氏奇穴联合颧髎灸治疗周围性面瘫恢复期的临床观察

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目的 观察远端董氏奇穴特色针法联合颧髎回旋灸治疗周围性面瘫恢复期的临床疗效.方法 将60例周围性面瘫恢复期患者随机分为观察组(接受董氏奇穴联合颧髎灸治疗)和对照组(接受常规针刺联合颧髎灸治疗),每组30例.治疗前和治疗2、4周后,分别比较两组患者H-B面神经功能分级、面部残疾指数(facial disability in-dex,FDI)量表评分及改良Portmann简易量表评分,并比较两组临床疗效.结果 观察组在改善H-B面神经功能分级方面较对照组有显著优势(优势比=2.303,P<0.05);治疗4周后,观察组在提高改良Portmann简易量表评分和FDI躯体功能评分及降低FDI社会功能评分方面显著优于对照组(P<0.05);观察组临床疗效显著优于对照组(P<0.05).结论 远端董氏奇穴特色针法联合颧髎灸可有效改善周围性面瘫恢复期患者面神经功能、面肌运动,提高FDI躯体功能和FDI社会功能.
Clinical Effect of Dong's Odd Points Combined with Quanliao Moxibustion in Treatment of Peripheral Facial Paralysis During the Convalescent Stage
Objective To investigate the clinical effect of acupuncture at distal Dong's odd points combined with Quanliao cir-cling moxibustion in the treatment of peripheral facial paralysis during the convalescent stage.Methods A total of 60 patients in the convalescent stage of peripheral facial paralysis were randomly divided into observation group (treated with acupuncture at Dong's odd points combined with Quanliao moxibustion)and control group (treated with conventional acupuncture combined with Quanliao moxibustion),with 30 patients in each group.Before treatment and after 2 and 4 weeks of treatment,House-Brackmann facial nerve function classification,Facial Disability Index (FDI),and modified Portmann's Simple Scale were used to evaluate treatment outcome,and clinical outcome was observed and compared between the two groups.Results Compared with the control group,the observation group had a significantly better improvement in House-Brackmann facial nerve function classifi-cation (odds ratio=2.303,P<0.05).After 4 weeks of treatment,compared with the control group,the observation group had significantly better improvements in the score of modified Portmann's Simple Scale and the physical functioning score of FDI and a significantly greater reduction in the social functioning score of FDI (P<0.05).The observation group had a signifi-cantly better clinical outcome than the control group (P<0.05).Conclusion Acupuncture at distal Dong's odd points com-bined with Quanliao moxibustion can effectively improve facial nerve function,facial muscle movement,somatization function,and social function in patients with peripheral facial paralysis.

Peripheral facial paralysisConvalescent stageDong's odd pointsQuanliao Moxibustion

吴玉敏、林奇清、陈婕

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广州中医药大学东莞医院,广东 东莞 523000

周围性面瘫 恢复期 董氏奇穴 颧髎灸

2024

安徽中医药大学学报
安徽中医学院

安徽中医药大学学报

CSTPCD
影响因子:0.796
ISSN:2095-7246
年,卷(期):2024.43(6)