【摘要】 目的寻找提高治疗面肌痉挛临床疗效的最佳方法。方法选择面肌痉挛患者76例,随机分为穴位皮下埋线组25例、电针对照组26例、药物对照组25例。穴位皮下埋线组取患侧迎香、神庭,健侧合谷,双足三里,双神门,阿是穴(扳机点),将5-0号医用羊肠线埋于穴位皮下,每周1次;电针对照组取穴同皮下埋线组,选用1.5寸针灸针针刺得气后接电针仪,采用密波,电流强度以患者耐受为度,留针30min,每日1次;药物对照组采用口服卡马西平0.1g,每日3次。从面肌痉挛强度分级和频度分级等方面判断其疗效。结果穴位皮下埋线组能明显降低面肌痉挛的强度和频度,与其他两对照组比较差异有统计学意义(P<0.01)。结论穴位皮下埋线治疗面肌痉挛能提高疗效,是目前治疗本病较好的疗法。更多还原

【Abstract】 Objective To search for the best method of improving clinical therapeutic effect of facial spasm.Methods The selected 76 cases of facial spasm were randomized into a subcutaneous catgut-embedding group(25 cases),an electroacupuncture control group(26 cases)and a carbamazepine control group(25 cases).Yingxiang(LI 20),Shenting(GV 24),Hegu(LI 4,healthy side),Zusanli(ST 36,bilateral),Shenmen(HT 7,bilateral),and Ashi(trigger point)were selected for catgut-embedding.The 5-0 medical catgut was embedded subcutaneously once a week.The same points were used for the electroacupuncture control group.The 1.5 cun needles were inserted.After arrival of qi,the electroacupuncture apparatus was used,dense wave,bearable intensity,30 minutes,once a day.The carbamazepine control group was treated with carbamazepine 0.1g,three times a day.The therapeutic effect was evaluated by the changes of severity and frequency of facial spasm.Results The severity and frequency of facial spasm significantly decreased in the subcutaneous catgut-embedding group,the difference was significant as compared with the other two groups(P<0.01).Conclusion The subcutaneous catgut-embedding treatment is a good method and effective in improving the therapeutic effect of facial spasm.更多还原