刺血拔罐加针刺治疗急性期肝胆湿热型面瘫伴耳后疼痛的临床研究

目的:观察常规针刺配合刺血治疗急性面瘫伴耳后疼痛的临床疗效。方法:120例急性面瘫患者随机分为治疗组及对照组,各60例。治疗组急性期采用刺血加常规针刺治疗,针刺选患侧攒竹、丝竹空、四白、地仓等穴,刺血拔罐选患侧阳白、颧髎、大椎、翳风,恢复期采用针刺治疗,10d为1个疗程,共治疗3个疗程。对照组采用单纯针刺治疗。观察两组治疗前后耳后疼痛积分、急性期疼痛持续时间、多伦多面神经功能评分、面神经功能恢复时间及总体疗效。结果:两组疼痛及多伦多面神经功能评分较治疗前均改善,均能缩短患者疼痛持续时间及患者病程,治疗组的改善作用优于对照组(均P0.01),治疗组总体疗效优于对照组(P0.05)。结论:刺血配合针刺治疗急性面瘫伴耳后疼痛有很好的临床疗效。

Clinical Trials of Treatment of Acute Facial Paralysis with Pain by Blood-letting plus Acupuncture in Patients

Objective To observe the clinical therapeutic effect of blood-letting plus acupuncture intervention for acute facial paralysis with pain(damp-heat type of liver and gallbladder).Methods A total of 120 cases of acute facial paralysis with pain were randomly and equally divided into control group and treatment group.Patients of the control group were treated by simple acupuncture therapy only,and patients of the treatment group treated by acupuncture plus bloodletting at the ipsilateral Yangbai(GB 14)and Quanliao(SI 18),and Dazhui(GV 14)and Yifeng(TE 17),alternatively.Shallow-acupuncture stimulation of ipsilateral Cuanzhu(BL 2),Sizhukong(TE 23),Sibai(ST 2),Dicang(ST 4),Jiache(ST 6),Yingxiang(SP 9),and bilateral Hegu(LI 4),Yanglingquan(GB 34)and Xingjian(LR 2)was administered for 30 min,once daily for one month.The patients' facial pain degree was evaluated by visual analogue scale(VAS),and the pain duration during acute stage was recorded.The facial nerve function and facial nerve function recovery(grade II)time were determined by using Sunnybrook Facial Grading scale and House-Brackmann(HB)grading scale,respectively.Results In comparison with pre-treatment,the post-aurem pain scores after the first treatment and after the acute stage were significantly decreased,and the facial nerve function scores after the treatment were significantly increased in both control and treatment groups(P<0.01),and the effects of the treatment group were significantly superior to those of the control group(P<0.01).The post-aurem pain duration and the time of facial nerve function recovery(HB)of the treatment group were considerably lower than those of the control group(P<0.01).Of the 58 and 59facial palsy patients in the control and treatment groups,16(27.6%)and 24(40.7%)were cured,18(31.0%)and 23(39.0%)experienced marked improvement,15(25.9%)and 10(16.9%)were improved,and 9(15.5%)and 2(3.4%)were failed,with the effective rate being 85.0% and 96.6%,respectively.Conclusion Bloodletting combined acupuncture is effective in the treatment of acute facial paralysis with pain.