针灸在顽固性面瘫治疗中的效果观察(1)
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[摘要] 目的：探讨针灸治疗顽固性面瘫的效果。方法：选取我院收治的顽固性面瘫患者200例，将其随机分为针灸组和对照组，每组各100例。针灸组患者头体针并用，对照组采取药物治疗方案。对比两组患者的临床治疗效果。结果：针灸组治愈33例，显效51例，有效15例，无效1例，总有效率为99%；对照组治愈20例，显效33例，有效27例，无效20例，总有效率为80%，两组患者总有效率比较，差异有统计学意义(P<0.05)。结论：针灸对于顽固性面瘫治疗效果十分显著，具有极大的临床应用及推广价值。
[关键词] 针灸；顽固性面瘫；药物治疗；效果
[中图分类号] R745.12 [文献标识码] A [文章编号] 1673-7210(2012)01(a)-096-03
Effect observation on acupuncture in the treatment of stubborn facial paralysis
LI Ming1, YANG Yixiang2, XIE Juan3
Department of Acupuncture, the Centre Hospital of Loudi City, Hu'nan Province, Luodi 417000, China
[Abstract] Objective: To discuss the effect on acupuncture in the treatment of stubborn facial paralysis. Methods: 200 patients with stubborn facial paralysis in our hospital were selected who were divided into acupuncture group and control group, each group had 100 cases. The patients of acupuncture group were given scalp and body acupuncture combined with partial electroacupuncture therapy and TDP illumination; the patients of control group were given pharmacological treatment plan. The clinical effect results of two groups were compared. Results: Acupuncture group cured 33 cases, showed results had 51 cases, the effective had 15 cases, 1 cases was invalid, the total effective rate was 99%; the control group cured 20 cases, the significance respectively was 33 cases and 27 cases had effective, 20 cases were invalid, the total effective rate was 80%, the total effective rate of two groups was compared, there was statistical significance (P<0.05). Conclusion: Acupuncture is very remarkable in the treatment of stubborn facial paralysis, and has the enormous clinical practice and the promoted value.
[Key words] Acupuncture; Stubborn facial paralysis; Pharmacological treatment; Effect
面瘫，即面部神经麻痹，也就是面部表情肌群发生运动功能障碍，患者常表现为眼斜嘴歪。面瘫一般发病较为突然，并且与年龄的关系不大，任何年龄阶段的人群均有发生面瘫的可能性，且临床治疗实践中一侧面瘫较为常见[1]。手太阳经与足阳明经都经上头面部，一旦面部经络受到病邪的阻滞，特别是手太阳经以及足阳明经出现功能失调，就会引发面瘫[2]。面瘫会在一定程度上影响了患者的面部形象，再加上缺乏足够的认识，往往会使患者感到茫然，延误治疗或者是采取的治疗措施不当，进而导致顽固性面瘫，大部分患者还同时出现耳后部位疼痛、舌前味觉减退、眼睛干涩以及听觉功能受影响等诸多并发症[3]。顽固性面瘫的治疗难度较大，简单的选择药物治疗措施难以取得理想的治疗效果。笔者对我院2007年1月~2010年1月收治的200例顽固性面瘫患者实施了头体针并用，并采取局部透穴电针疗法以及TDP照射的针灸治疗方案，临床治疗效果十分显著，现报道如下：
1 资料与方法
1.1 一般资料
选取我院2007年1月～2010年1月所收治的顽固性面瘫患者200例 ......
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