作　　者： (虞彬艳）; (万意佳）; (王俊）; (宣丽华）;

机构地区： 浙江省中医院

出　　处： 《中华中医药杂志》 2017年第8期3816-3818,共3页

摘　　要： 目的:观察粗针神道穴平刺治疗不同损伤节段面神经炎的临床疗效。方法:采用分层随机对照的方法,将面神经损伤在3个不同节段的面神经炎患者随机分为粗针平刺组(A组)、传统针刺组(B组)及单纯西药组(C组),各组采用其相应治疗方法,疗程共4周。观察患者治疗前后改良Portmann临床简易评分(RPA)及House-Brkmann面神经功能分级(HBGS)。结果:各节段3组治疗后RPA及HBGS均较治疗前有明显改善(P<0.01),在节段2中A组改善情况明显优于其他两组(P<0.01)。结论:粗针疗法可有效改善面神经炎患者的临床症状,通过分节段治疗分析,在节段2疗效最显著,值得推广。 Objective: To observe and evaluate the clinical effects on the facial neuritis of different injured levels. Methods: The facial neuritis patients at 3 different injured levels were randomly divided into thick needle group(Group A), traditional needle group(Group B) and western medicine group(Group C) in accordance with randomized controlled trial design. Each group was treated with corresponding methods. The total treatment course lasted for 4 weeks. Reformative Portmann Clinical Accumulation(RPA) and House-Brackmann facial nerve grading system(HBGS) with different injured levels were observed and evaluated before and after treatment. Results: The treatment could significantly improve RPA and HBGS of facial neuritis patients at different injured levels(P<0.01). And, at level 2, the improvement in the Group A was superior to that in the other two groups(P<0.01). Conclusion: The thick needle therapy could effectively improve the symptoms of facial neuritis patients, especially in level 2, and is worth promoting.

关 键 词： 面神经炎 针刺疗法 临床研究 随机对照试验