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1、中醫(yī)針灸推拿結(jié)合中藥治療面癱病的臨床研究楊冰四川省彭州市中醫(yī)醫(yī)院針灸科四川彭州611930【摘要】目的:研宄中醫(yī)針灸推拿結(jié)合中藥治療面癱的臨床效果。方法:選取在2012年9月-2015年3月于我院針灸康復(fù)科就診的面癱患者140例,將140例患者隨機(jī)均分為試驗(yàn)組和對照組,每組各70例,對照組患者行針灸、推拿治療,試驗(yàn)組患者行針灸、推拿、中藥湯劑U服治療,整個(gè)療程結(jié)朿后比較兩組患者的治療時(shí)間和臨床療效。結(jié)果:試驗(yàn)組患者的治療時(shí)間為10.23±2.14天,而對照組則為17.24±2.56天,組間比較差異顯著(P<
2、0.01),具有統(tǒng)計(jì)學(xué)意義;試驗(yàn)組的臨床總有效率為84.28%,對照組的總有效率為61.43%,試驗(yàn)組的療效顯著高于對照組,組間差異(P<0.05)具有統(tǒng)計(jì)學(xué)意義。結(jié)論:中醫(yī)針灸推拿結(jié)合中藥治療面癱臨床療效很好,且療程大大縮短,可廣泛應(yīng)用于臨床?!娟P(guān)鍵詞】針灸;推拿;中藥;面癱;臨床研究【中圖分類號】R745.1+2【文獻(xiàn)標(biāo)識碼】B【文章編號】1764-8999(2015)7-0482-01【Abstract】Objective:tostudytheTCMacupunctureandmassagecombinedwithChinese
3、medicinefortreatmentoffacialparalysis.SelectionmethodsinSeptember2012■March2015inourhospitalacupunctureandrehabilitationclinic,140casesofpatientswithfacialparalysis,140patientswererandomlydividedintoexperimentalgroupandcontrolgroup,70casesineachgroup,controlgrouppatientswi
4、thacupuncture,massagetherapy,treatmentgrouppatientswithacupunctureandmoxibustion,massage,Chinesemedicinemedicinalbrothoforaltreatment,comparedtwogroupsofpatientsaftercompletionoftheentirecourseoftreatmenttimeandclinicalcurativeeffect.Results:thetreatmentofpatientswithtrial
5、timewas10.23+/-2.14days,whilethecontrolgroupwas17.24+/-2.56days,moresignificantdifferencebetweengroups(P<0.01),statisticallysignificant;Experimentalclinicaltotaleffectiveratewas84.28%,controlgrouptotaleffectiveratewas61.43%,thecurativeeffectoftreatmentgroupissignificant
6、lyhigherthanthecontrolgroup,thedifferencebetweengroups(P<0.05)withstatisticalsignificance.Conclusion:acupunctureandmassagecombinedwithChinesetraditionalmedicineinthetreatmentoffacialparalysisclinicalcurativeeffectoftraditionalChinesemedicineisverygood,andshortenthecours
7、eandcanbewidelyusedinclinical.【Keywords]acupunctureandmassagefacialparalysisclinicalChinesemedicineresearch面癱,中醫(yī)稱“口眼歪斜”、“口僻”、“喁噼”等,是由莖乳突孔內(nèi)或面神經(jīng)管內(nèi)的神經(jīng)炎癥導(dǎo)致的周圍性面神經(jīng)麻痹,常見于W爾麻痹,面癱的發(fā)生常與勞作過度、正氣不足、風(fēng)寒或風(fēng)熱乘虛而入等因素有關(guān)。本病病位在面部,與少陽、陽明經(jīng)筋相關(guān)。基本病機(jī)是氣血痹阻,經(jīng)筋功能失調(diào)。該病是臨床常見病、多發(fā)病,多見于夏、冬兩季,,臨床表現(xiàn)以u歪眼斜為主要特
8、點(diǎn),突然出現(xiàn)患側(cè)面部肌肉板滯、麻木、癱瘓,額紋消失,眼裂增大,流淚露晴,,鼻唇溝變淺,u角下垂歪向健側(cè),病側(cè)無法完成抬眉、蹙額、閉眼、露齒、鼓腮、吹口哨等面部動作。面癱發(fā)病較急,