粗针神道穴平刺与传统针刺治疗不同病程面神经炎疗效比较.pdfVIP

·152· Shanghai J Acu-mox, Feb 2015, Vol 34, No 2 文章编号:1005-0957(2015)02-0152-03 ·临床研究 · 粗针神道穴平刺与传统针刺治疗不同病程面神经炎疗效比较 万意佳1,宣丽华2 (1.浙江中医药大学第一临床医学院,杭州 310053;2.浙江省中医院,杭州 310006) 【摘要】 目的 观察粗针神道穴平刺及传统针刺对不同病程面神经炎的临床疗效。方法 将220 例符合纳入标准的病例随 机分成粗针组和传统组,分别在口服西药的基础上进行治疗,2 个疗程后,通过观察House-Brackmann 分级量表及面部症状改 良Portmann 临床简易评分法(RPA)等指标的变化,进行疗效比较研究。结果 粗针组的疗效、治疗后H-B 分级及RPA 积分变 化等均优于传统组,差异有统计学意义(P＜0.05);疾病的不同病程影响疗效并且在粗针组内发病前期患者的疗效优于发病中 后期患者,差异有统计学意义(P＜0.05);粗针组发病前中期患者痊愈率高于传统组,差异有统计学意义(P＜0.05)。结论 粗 针神道穴平刺治疗面神经炎疗效肯定,安全易施,且较传统针刺有优势。 【关键词】 面神经麻痹;针刺;穴,神道;粗针 【中图分类号】 R246.6 【文献标志码】 A DOI:10.13460/j.issn.1005-0957.2015.02.0152 Comparison of the Efficacies of Transverse Insertion of A Thick Needle into Point Shendao (GV11) Versus Conventional Acupuncture in Treating Facial Neuritis of Different Durations WAN Yi-j ia1 2 , XUAN Li -hua . 1.Zhejiang University of Traditional Chinese Medicine First School of Clinical Medicine, Hangzhou 310053,China; 2.Zhejiang Hospital of Traditional Chinese Medicine, Hangzhou 310006,China [Abstract] Objective To compare the clinical efficacies of transverse insertion of a thick needle into point Shendao(GV11) versus conventional acupuncture in treating facial neuritis of different durations. Method Two hundred and twenty patients meeting the inclusion criteria were randomly allocated to thick needle and tradition groups. The two groups separately received corresponding treatment in addition to oral administration of Western medicine. The therapeutic effects were evaluated using the House-Brackmann rating scale and the Portmanns Simple Scale (RPA) for facial symptoms and compared after two courses of treatment. Result The therapeutic effect was better, posttreatment H-