首页|"平肝行气"针法治疗面肌痉挛的临床研究

"平肝行气"针法治疗面肌痉挛的临床研究

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目的:观察在"平肝行气"原则指导下选穴、实施操作手法在治疗面肌痉挛方面的临床疗效.方法:将招募的面肌痉挛患者随机分为两组,针刺组44例采用"平肝行气"针法治疗,西药组32例采用卡马西平联合甲钴胺治疗.1疗程为15天,共治疗2个疗程.治疗结束后观察并比较两组患者的临床疗效.结果:经过2疗程治疗,针刺组治愈7例,显效28例,有效8例,无效1例,显效率为79.5%,总有效率为97.7%;西药组治愈0例,显效4例,有效21例,无效7例,显效率为12.5%,总有效率为78.1%.治疗结束1月后回访,针刺组治愈10例,显效24例,有效8例,无效2例,显效率为77.3%,总有效率为95.5%;西药组治愈0例,显效0例,有效13例,无效19例,总有效率为.40.6%.治疗结束3月后回访,针刺组治愈5例,显效21例,有效10例,无效8例,显效率为59.1%,总有效率为81.2%;西药组治愈0例,显效0例,有效5例,无效27例,显效率为0%,总有效率为15.6%.针刺组在疗程结束时、1月后随访时、3月后随访时总有效率均明显高于西药组(P<0.05,P<0.01,P<0.01).结论:采用"平肝行气"针法治疗面肌痉挛临床效果明显,且短期疗效和长期疗效均显著优于卡马西平联合甲钴胺,值得临床推广应用.
Clinical Study on the Treatment of Hemifacial Spasm by"Pinggan Xingqi"Acupuncture
Objective:To observe the clinical effect of acupoint selection and manipulation in the treatment of hemifacial spasm under the guidance of"Pinggan Xingqi"principle.Methods:The patients with hemifacial spasm were randomly divided into two groups.44 cases in the acupuncture group were treated with"Pinggan Xingqi"acupuncture,and 32 cases in the western medicine group were treated with carbam-azepine combined with mecobalamine.1 course of treatment lasted 15 days,and a total of 2 courses of treatment were performed.The clinical efficacy of the two groups was observed and compared after treatment.Results:After 2 courses of treatment,7 cases were cured,28 cases were effective,8 cases were effective,1 case was ineffective,the significant efficiency was 79.5%,the total effective rate was 97.7%;In the western medicine group,0 cases were cured,4 cases were effective,21 cases were effective,7 cases were ineffective,the significant efficien-cy was 12.5%,the total effective rate was 78.1%.In the acupuncture group,10 cases were cured,24 cases were effective,8 cases were effec-tive,and 2 cases were ineffective.The significant efficiency was 77.3%,and the total effective rate was 95.5%.In the western medicine group,0 cases were cured,0 cases were effective,13 cases were effective,19 cases were ineffective,and the total effective rate was 40.6%.3 months after the end of treatment,5 cases were cured,21 cases were obvious,10 cases were effective,8 cases were ineffective,the significant efficiency was 59.1%,the total effective rate was 81.2%;In the western medicine group,0 cases were cured,0 cases were obvious,5 cases were effective,27 cases were ineffective,the significant efficiency was 0%,the total effective rate was 15.6%.The total effective rate of acu-puncture group was significantly higher than that of western medicine group at the end of treatment,1 month follow-up and 3 months follow-up(P<0.05,P<0.01,P<0.01).Conclusion:The clinical effect of"Pinggan Xingqi"injection in the treatment of hemifacial spasm is obvi-ous,and the short-term and long-term curative effect is significantly better than carbamazepine combined with mecobalamine,which is wor-thy of clinical application.

Hemifacial spasmPinggan XingqiAcupunctureCurative effect observation

王俊富、王燕茹

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山西医科大学附属忻州市人民医院康复医学科 山西 忻州 034000

面肌痉挛 平肝行气 针刺 疗效观察

2024

内蒙古中医药
内蒙古自治区中医药学会,内蒙古自治区中蒙医研究所

内蒙古中医药

影响因子:0.444
ISSN:1006-0979
年,卷(期):2024.43(8)