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Clinical study of acupuncture combined with self-designed prescription for clearing heat and regulating collaterals in treating wind-heat type peripheral facial paralysis |
LIU Haiyong1 MENG Hongmei2 LI Yanjie2 LIU Yong2 GAO Zhian2 LI Rui2 XUE Zhihui2 LI Chunxia1 |
1.Department of Traditional Chinese Medicine, Sanhe City Hospital, Hebei Province, Sanhe 065200, China;
2.Department Internal Medicine, Sanhe City Hospital, Hebei Province, Sanhe 065200, China |
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Abstract Objective To explore the clinical application effect of acupuncture combined with self-designed prescription for clearing heat and regulating collaterals in treating wind-heat type peripheral facial paralysis. Methods From April 2017 to December 2018, 120 patients with wind-heat peripheral facial paralysis in Sanhe City Hospital of Hebei Province were selected. They were divided into observation group and control group by random number table method, with 60 cases in each group. The observation group was treated with acupuncture combined with self-designed prescription for clearing heat and regulating collaterals, while the control group was treated with conventional Western medicine. Both groups were treated with 1 course of treatment for 10 days, with 2 courses of treatment. Facial nerve function evaluation system, facial nerve simple clinical scoring method and facial nerve muscle strength test were used to evaluate the efficacy. Adverse events occurred during treatment were recorded and analyzed statistically. Results After treatment, the scores of facial nerve function in the two groups were lower than before treatment (P < 0.01), and the observation group was lower than that in the control group (P < 0.01). After treatment, the index of muscle strength level in the two groups was increased compared with that before treatment (P < 0.01), the observation group was higher than that of the control group (P < 0.05). After treatment, the simple scoring index of the two groups was increased compared with that before treatment (P < 0.01), the observation group was higher than that of control group (P < 0.05). The effective rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P < 0.05). Conclusion Acupuncture combined with self-designed heat-clearing and collateral-activating prescription has a significant effect in treating wind-heat type peripheral facial paralysis, which can effectively improve patients′ facial functions and improve their quality of life, and has a good safety, which can be popularized in clinical practice.
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[1] 王念宏,宣植,杨铭,等.针刺治疗周围性面瘫概述[J].针灸临床杂志,2016,32(8):89-92.
[2] 王声强,王子臣.周围性面瘫针刺临床路径的研究[J].河北中医药学报,2017,32(4):50-54.
[3] 刘思,刘晓娜,马忠.针刺治疗周围性面瘫临床进展[J].新疆中医药,2017,35(5):142-144.
[4] 陈贵廷,杨思澍.实用中西医结合诊断治疗学[M].北京:中国医药科技出版社,1991:1025.
[5] 曾红文,黄毅平.分期针刺治疗周围性面瘫40例[J].江西中医药,2017,48(1):56-58.
[6] 陈燕,杨旭.针刺结合情志护理治疗周围性面瘫疗效观察[J].山西中医,2016,32(1):61-62.
[7] 于滋杰,马祖彬.针刺配合刮痧治疗急性期周围性面瘫验案1则[J].湖南中医杂志,2017,33(2):90-91.
[8] 单爱萍.针刺人迎穴对周围性面瘫疗效的影响[J].中西医结合心血管病电子杂志,2017,5(29):23.
[9] 李文豪,张岩,李响,等.分期针刺治疗周围性面瘫30例疗效观察[J].湖南中医杂志,2017,33(8):93-95.
[10] 冯珊.中西医结合配合针刺治疗周围性面瘫临床观察[J].临床医学研究与实践,2016,1(7):52,54.
[11] 杨士杰.鼠神经生长因子联合针刺治疗重度周围性面瘫的效果观察[J].河南医学研究,2018,27(11):2033-2034.
[12] 肖淦辰,李绚.针刺结合白脉软膏治疗风寒型周围性面瘫的临床效果观察[J].临床合理用药杂志,2017,10(26):41-43.
[13] 王明明,蔡圣朝,黄雪珍.针刺“面八针”治疗急性期周围性面瘫的临床疗效观察[J].云南中医学院学报,2016, 39(2):50-52.
[14] 王健,曹凤梅,陈拥军.针刺配合内服中药治疗周围性面瘫的临床观察[J].中医临床研究,2016,8(10):34-35.
[15] 陈名涛,刘美,徐向勇.针刺联合中西药治疗复发性周围性面瘫的效果观察[J].世界中医药,2018,13(3):731-734.
[16] 岳进,黎芳,马玲,等.朱链兴奋手法针刺治疗周围性面瘫85例[J].中医研究,2018,31(4):52-54.
[17] 曾红文,黄毅平.分期针刺治疗周围性面瘫40例[J].江西中医药,2017,48(1):56-58.
[18] 路树超,刘裔荣,徐明珠.针刺结合中药从少阳论治风寒型周围性面瘫的临床体会[J].中国民间疗法,2018, 26(11):42-43.
[19] 周书玉,章蕾,陈章妹.“通脱法”针刺结合局部药物涂擦治疗急性期周围性面瘫150例[J].中西医结合研究,2018,10(4):188-190.
[20] 孙荣丽.牵正散联合针刺治疗急性期周围性面瘫临床观察[J].光明中医,2018,33(11):1610-1611.
[21] 杨芳,姚庆华.针刺人迎穴联合祛风解毒活络汤治疗周围性面瘫的效果[J].中国医药导报,2018,15(33):114-117. |
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