电针加温针灸治疗对周围性及中枢性面瘫患者临床疗效

崔永攀

[摘要] 目的 為有效改善周围性、中枢性面瘫患者症状，临床探讨电针、温针灸联合用于疾病治疗的有效性。 方法 以我院2014年1月～2017年1月期间门诊部门收治的86例中枢性、周围性面瘫患者为研究对象，按门诊号单双数将面瘫者分为传统组（药物+电针治疗）、观察组（加用温针灸治疗），组数均为43例，观察治疗后患者面瘫症状改善情况，对疾病治疗效果进行评估，同时检测治疗前后患者免疫学指标（IgG、IgM）变化情况，统计患者面瘫治疗时间。 结果 观察组周围性面瘫、中枢性面瘫治疗率依次为96.4%、85.7%，明显高于传统组82.8%、66.7%，观察组治疗效果好，差异有统计学意义（P<0.05）；入院时指标组间比较差异无统计学意义（P>0.05），用药后观察组IgG、IgM水平改善效果优于传统组，差异有统计学意义（P<0.05）。 结论 面瘫患者临床以温针灸、电针联合治疗，症状显著改善，疗效好，可临床推广应用。

[关键词] 面瘫；疗效；温针灸；电针

[中图分类号] R246 [文献标识码] A [文章编号] 2095-0616（2017）11-207-04

Clinical effect of electroacupuncture combined with warming acupuncture in treatment of patients with peripheral and central facial paralysis

CUI Yongpan

Zhaoqing Second People's Hospital，Zhaoqing 526060，China

[Abstract] Objective To research the efficacy of electroacupuncture combined with warming acupuncture in treatment of patients with peripheral and central facial paralysis for improving symptoms of those patients. Methods 86 patients with central and peripheral facial paralysis who were admitted to outpatient department of our hospital from January 2014 to January 2017 were selected as research objects.They were divided into the traditional group （drug combined wtih electroacupuncture for treatment） and the observation group （adding warming acupuncture at basis of the traditional group for treatment） according to the odd and even number of outpatient numbers，with 43 patients in each group.Symptom improvement of facial paralysis after treatment were observed and clinical effects were evaluated.In addition， changes of immunological indexes （IgG，IgM） before and after treatment were tested.Curative time of facial paralysis was also recorded. Results Treatment rates of peripheral facial paralysis and central facial paralysis in the observation group was 96.4% and 85.7% respectively，which were significantly higher than those of the traditional group 82.8% and 66.7%.Clinical effect of the observation group was better，P<0.05.Difference in indexes on admission between two groups had no significance，P>0.05.After medication， levels of IgG and IgM in the observation group were better than those of the traditional group，P<0.05. Conclusion Electroacupuncture combined with warming acupuncture in treatment of patients with peripheral and central facial paralysis has a significant symptom improvement and good clinical effect，which can be of clinical promotion and application.

[Key words] Facial paralysis；Curative effect；Warming acupuncture；Electroacupuncture

面瘫根据其发病性质的不同可分为周围性、中枢性面瘫，后者病因为内囊内中枢神经、皮质、皮质脑干纤维受损所致，前者为炎症和病毒感染导致面神经血管痉挛、局部缺血、面神经水肿所致[1]。疾病会造成面部肌肉瘫痪引发挛缩，若不及时治疗不仅影响患者外观，同时对患者日常生活、工作、学习等均会造成严重影响，由于目前临床关于疾病发病机制尚未完全了解，因此疾病无特异性治疗，常见疾病治疗方式包括药物治疗、激光、穴位注射、电针、理疗等[2-3]。不同治疗方法临床获得的疗效也有一定差异，疾病在中医学中属于歪嘴风、口眼斜、吊线风等范畴，病因为外邪侵入阳明、少阳之脉，造成脉络经气阻滞、失养，从而造成肌肉纵缓不收，出现面瘫症状，目前临床多以电针进行治疗[4]。……