中药穴位注射治疗后天性外展神经麻痹临床观察

目的：探索中药和针灸有机结合治疗外展神经麻痹的有效疗法。方法：将76例外展神经麻痹患者随机分为穴位注射组和西药组，穴注组以患侧睛明、阳白、四白、瞳子醪，双侧肝俞为基础穴，复方当归注射液为主药，再据辨证分型配合相应的腧穴和注射药物。西药组采用常规西医治疗。治疗36天统计疗效。结果：穴位注射组总有效率为94．7％，西药组为76．3％，经统计学分析，疗效差异有显著性意义（P〈0．05）；眼球运动度、外直肌的恢复2组比较，P〈0．05。结论：中药穴位注射治疗后天性外展神经麻痹疗效确切，疗效优于常规西药治疗。

Clinical observation on Chinese drug acupoint-injection for treatment of acquired abducent paralysis

OBJECTIVE: To seek for an effective therapy for abducent paralysis. METHODS: Seventy-six cases of abducent paralysis were randomly divided into an acupoint-injection group and a western medicine group. The acupoint-injection group were treated by point-injection therapy, with Jingming (BL 1), Yangbai (GB 14), Sibai (ST 2), Tongziliao (GB 1) on the affected side, and bilateral Ganshu (BL 18) used as basic points and compound Danggui Injection as the principal injected medicine, and in combination with corresponding acupoints and injected medicine according to different syndrome types. The western medicine group were treated with routine western medicine therapy. After treatment for 36 days, the therapeutic effects were recorded and analyzed statistically. RESULTS: The total effective rate was 94.7% in the acupoint-injection group and 76.3% in the western medicine group with a significant difference between the two groups (P < 0.05); there was a significant difference between the two groups in eyeball moving rate and restoration of cateral rectus (P < 0.05). CONCLUSION: Chinese drug acupoint-injection therapy has a definite therapeutic effect on acquired abducent paralysis, which is better than that of routine western medicine.