【摘要】 目的:比较刺络拔罐疗法治疗热证型周围性面瘫三期的疗效,探讨热证型面瘫介入刺络拔罐疗法的最佳时期。方法:选取我院2017年1月-2019年9月,辨证为热证型的周围性面瘫患者90例,随机分为三组,各30例,三组患者均在体针的基础上,介入刺络拔罐疗法,根据介入时期的不同,分为急性期组、静止期组、恢复期组,体针每周5次,刺络拔罐每周2次,共治疗4周,观察三组患者的有效所需次数、面部神经功能分级(House-Brackmann,H-B)评分和综合疗效等。结果:通过急性期、静止期、恢复期三组患者治愈所需的治疗次数,H-B分级评分及痊愈率的比较,显示出急性期组痊愈所需治疗次数最少,H-B分级评分最高、痊愈率最高,而静止期组与恢复期组疗效相差不大,H-B分级评分无明显差异(P> 0.05),而恢复期组痊愈率最低,与另两组相比差异具有统计学意义(P <0.05)。结论:热证型周围性面瘫,在常规体针的基础性上加入刺络拔罐疗法,能提高疗效,缩短疗程,而在急性期时介入刺络拔罐是提高疗效、缩短病程的最佳时期。更多还原

【Abstract】 Objective: To compare the efficacy of pricking and cupping on peripheral facial paralysis of the Re syndrome( 热证), and study the optimal time for the intervention on peripheral facial paralysis of the Re syndrome. Methods: 90 cases were randomly divided into three groups, 30 cases in each. Three groups of patients were treated by body acupuncture, interventional pricking and cupping therapy. Depending on the intervention period, they were divided into acute phase, stationary phase, the recovery plase groups. Results: The number of treatments, H-B classification scores and recovery rates in the three groups were compared. Recovery times in the acute phase group were least, H-B scale score and the cure rate were the highest, and curative effect in the stationary phase group and recovery phase group were similar, H-B scale score has no obvious difference(P>0.05). Compared with the other two groups, recovery rate in the recovery plase group is lowest, with statistically significant difference(P<0.05). Conclusion: Body acupuncture and pricking plus cupping on peripheral facial paralysis of the Re syndrome can improve efficacy, shorten course of treatment, especially in the acute phase.更多还原