目的 观察滞动针联合隔姜灸与丛针毛刺治疗顽固性面瘫的临床疗效.方法 将 60 例顽固性面瘫患者随机分为滞动针组和电针组,每组30 例.滞动针组透刺入针后使用滞动针手法治疗,电针组透刺入针后使用电针治疗.2 组取穴相同,均配合隔姜灸与丛针毛刺为基础治疗.结果 滞动针组有效率及痊愈率均高于电针组;2 组均可提高多伦多面神经评定系统(Sunnybrook)评分,滞动针组对Sunnybrook评分的提高明显优于电针组(P<0.05);6 个月后随访,且滞动针组后遗症发生率明显低于电针组(P<0.05).结论 滞动针组治疗顽固性面瘫疗效显著,后遗症发生率低,明显优于电针组.
Objective To observe the clinical efficacy of stuck-moving needling combined with ginger-separated moxibustion and cluster needle burr in treating intractable facial paralysis.Methods 60 cases with intractable facial paralysis were randomly divided into stuck-moving needling group and electroacupuncture group,with 30 cases in each group.They were treated by stuck-moving needling and electroacupuncture correspondingly after penetrating the needle.Both groups selected the same acupoints and received ginger-separated moxibustion and cluster needle burr as the basic treatment.Results The effective rate and recovery rate of stuck-moving needling group were higher than those of electroacupuncture group.Sunnybrook score could be improved in both groups,and the Sunnybrook score in stuck-moving needling group was significantly better than that in electroacupuncture group(P<0.05).After 6 months follow-up,the incidence of sequelae in stuck-moving needling group was significantly lower than that in electroacupuncture group(P<0.05).Conclusion The therapeutic effect of stuck-moving needling group on intractable facial paralysis is significant,the incidence of sequelae is lower,which was significantly better than that of electroacupuncture group.