梅花针配合电针治疗不同时期周围性面瘫患者的疗效观察(1)
 |
| 第1页 |
参见附件。
【摘要】目的:探讨梅花针叩击配合电针治疗对不同时期周围性面瘫的疗效。方法:对2007年6月―2009年1月60例住院的周围性面瘫患者予以梅花针配合电针治疗，根据患者入院时的发病时间，分为急性期、静止期、恢复期、后遗症期4组，均使用梅花针配合电针治疗，观察不同时期面瘫患者的治疗效果。结果:治疗3个疗程后急性期患者总有效率达94%；静止期患者总有效率为75%；恢复期患者总有效率为66%；后遗症期患者总有效率为33%；梅花针叩击配合电针治疗对面瘫的急性期、静止期、恢复期治疗都有治疗意义，但对后遗症期的面瘫无明显治疗意义。结论:在周围性面瘫急性期、静止期、恢复期予梅花针配合电针治疗是一种有效的治疗方法。
【关键词】梅花针；电针；周围性面瘫
【Abstract】Objective To investigate the effect of plum-blossom needle tapping with Electro-Acupuncture therapy on peripheral facial paralysis in different periods .Methods:60 cases in hospitalized patients with peripheral facial paralysis in June 2007 -January 2009 to be treated by plum-blossom needle tapping with Electro-Acupuncture.according to the onset of admission ,the patients were divided into the acute phase, stationary, recovery, sequelae of 4,all of them were treated by plum-blossom needle tapping with Electro-Acupuncture , observed The efficacy during the treatment of patients with facial paralysis in different stages .Results: after 3 courses of treatment ,the acute phase total effective rate was 94%; quiescent total effective rate was 75% ; recovery in patients with total effective rate was 66%; sequelae of patients with total effective rate was 33%; with plum-blossom needle tapping and electroacupuncture treatment of the acute phase, stationary phase, recovery phase has therapeutic significance, but there was no clear effect on the sequelae phase.Conclusion:In the phase ofacute , resting, recovery of peripheral facial paralysis, the plum-blossom needle tapping with electroacupuncture treatmentis an effective treatment.
【Keywords】 Plum blossom needle; electroacupuncture; peripheral facial paralysis
【中图分类号】R335 【文献标识码】B 【文章编号】1005-0515(2011)05-0260-02
周围性面瘫中医称口眼歪斜症，面僻，国外称Bell麻痹。可发生于任何年龄，是临床上常见病、多发病。据流行病学调查，周围性面瘫在我国发病率高达42.5/100万[1]。我科2007年6月―2009年1月收治60例周围性面瘫患者，对不同发病时期的患者采用梅花针配合电针治疗。
1 临床资料
本组60例全部为住院患者，全部符合实用神经病学的诊断标准[2]，根据患者人院时发病的时间(急性期：发病1～7 d；静止期：发病8～14 d；恢复期：发病15~30 d；后遗症期：发病30 d以上到数年不等[3])分为4组。其中急性期组18例，静止期组12例，恢复期组15例，后遗症期组15例。四季均有发病，感冒、长时间吹风或空调受凉后发病多见。4组患者在性别、年龄、病程方面差异均无统计学意义。
2 方法
2.1 梅花针治疗梅花针又叫皮肤针，由针盘与针柄构成，针柄有弹性，长约15～19 cm，针盘下散嵌着不锈钢短针5支，呈松针形。使用时将针柄末端固定在掌心，针尖对准部位，使用手腕之力，将针尖垂直叩打在皮肤上，并立刻弹起，反复进行。
2.1.1 嘱患者卧位 ......
您现在查看是摘要介绍页，详见PDF附件(4028kb)。