首页|火龙罐综合灸法治疗急性期周围性面瘫(风寒袭络证)的临床观察

火龙罐综合灸法治疗急性期周围性面瘫(风寒袭络证)的临床观察

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目的 评价火龙罐综合灸法治疗急性期周围性面瘫(PFP)(风寒袭络证)的临床疗效及对面部神经电生理和面部血流量变化的影响.方法 将104例患者随机分为对照组与观察组各52例.对照组采用西医综合治疗措施;观察组在对照组的基础上加用火龙罐综合灸法,疗程均为7 d.进行治疗前后神经电生理检查和面部血流动力检测;比较治疗前后医生报告结局指标和患者报告结局;进行安全性评价.结果 观察组患者额肌、眼轮匝肌、口轮匝肌的动作电位M波的异常率和眼轮匝肌R1的异常率低于对照组(P<0.05);观察组PFP患者额肌、眼轮匝肌、口轮匝肌动作电位M波的波幅高于对照组、潜伏期低于对照组(P<0.05);观察组Vs、Vd高于对照组,RI低于对照组(P<0.05);观察组PFP患者H-B量表评分和Sunnybrook面神经评分高于对照组(P<0.05);观察组风寒袭络积分低于对照组(P<0.05);观察组PFP患者WHOQOL-BREF、FDIP和FDIS评分高于对照组(P<0.05);观察组愈显率高于对照组(P<0.05).结论 火龙罐综合灸法治疗PFP(风寒袭络证)患者可改善面部神经电生理和面部血流量,从而促进神经功能的恢复,临床疗效确切及安全性高.
Clinical Observation of Fire Dragon Cupping Comprehensive Moxibustion in the Treatment of Acute Peripheral Facial Paralysis of Wind and Cold Attacking Meridians Type
Objective:To evaluate the clinical efficacy of fire dragon cupping comprehensive moxibustion in the treatment of acute peripheral facial paralysis(PFP)of wind and cold attacking meridians type and its impact on fa-cial neuroelectrophysiology and facial blood flow changes.Methods:A total of 104 patients were randomly divid-ed into a control group and an observation group,with 52 patients in each group.The control group received com-prehensive western medicine treatment measures;on the basis of the control group,the observation group was treat-ed with fire dragon cupping comprehensive moxibustion for 7 days.The neuroelectrophysiological examinations,fa-cial hemodynamic tests,physician reported outcome indicators,patient reported outcomes and safety evaluation were recorded.Results:The abnormal rates of action potential M-waves and R1 in the frontal muscle,orbicularis oculi muscle,and orbicularis oris muscle in the observation group were lower than those in the control group(P<0.05);the amplitude of the M wave of the action potential in the frontal muscle,orbicularis oculi muscle,and orbicu-laris oris muscle of PFP patients in the observation group was higher than that in the control group,and the laten-cy was lower than that in the control group(P<0.05);the Vs and Vd of the observation group were higher than those of the control group,while the RI was lower than that of the control group(P<0.05);the H-B scale score and Sunnybrook facial nerve score of PFP patients in the observation group were higher than those in the control group(P<0.05);the score of wind and cold attack on meridians in the observation group was lower than that in the control group(P<0.05);the WHOQOL-BREF,FDIP,and FDIS scores of PFP patients in the observation group were higher than those in the control group(P<0.05);the recovery rate of the observation group was higher than that of the control group(P<0.05).Conclusion:The comprehensive moxibustion method of fire dragon cupping can improve facial neuroelectrophysiology and facial blood flow in PFP patients with wind and cold attacking me-ridians,thereby promoting the recovery of nerve function.The clinical efficacy is good and the application is safe.

Peripheral facial paralysis(PFP)Acute phaseWind and cold attacking meridiansFire dragon cup-ping comprehensive moxibustion methodNeuroelectrophysiologyBlood flow

郁明明、张秀红、杨媛媛、郑琳芳

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浙江中医药大学附属杭州市中医院,浙江 杭州 310007

周围性面瘫 急性期 风寒袭络 火龙罐综合灸法 神经电生理 血流量

浙江省中医药科技计划

2023ZL103

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(3)
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