微创穴位埋线疗法治疗顽固性面瘫的临床研究

丁敏; 冯骅; 靳长旭; 徐蕾; 张婕; 林天云

微创穴位埋线疗法治疗顽固性面瘫的临床研究

南京中医药大学附属无锡市中医医院，江苏无锡 214001

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出版历程
- 刊出日期: 2016-01-10

Clinical Research on Micro-invasive Acupoint Thread-embedding Therapy in Treating Refractory Prosopoplegia

摘要

摘要: 目的比较针刺、羊肠线、PDS线3种方式治疗顽固性面瘫的疗效差异，观察2种不同材质微创埋线疗法治疗顽固性面瘫的疗效与不良反应。方法将228例顽固性面瘫患者随机分为针刺组、羊肠线组、PDS线组，每组76例。3组均取穴患侧攒竹、鱼腰、太阳、地仓、颊车、牵正、下关、风池，双侧合谷、双侧足三里。3组分别于治疗前后行Sunnybrook面神经评定系统综合评分及面神经电图(ENoG)检测以评定疗效。并对2组不同材质埋线疗法治疗后即刻、第10天、第30天、第60天不良反应作对比观察。结果 3组治疗后Sunnybrook面神经评分与治疗前比较均明显提高(P＜0.05)，患侧额肌、口轮匝肌经治疗后ENoG波幅值均较治疗前有所提高（P＜0.05）。2种材质穴位埋线治疗后即刻出现压痛、硬结、红肿等不良反应，P>0.05；2种材质穴位埋线治疗第10天，羊肠线组出现压痛、硬结、红肿等不良反应明显多于PDS线组，P<0.01；治疗第30天，羊肠线组出现压痛明显多于PDS线组，P<0.05，由于硬结、红肿发生频数较低，合并统计结果显示，硬结、红肿明显多于PDS线组，P<0.01。结论针刺、羊肠线及PDS线埋线对顽固性面瘫均有疗效，而两埋线组在面神经功能的恢复、提高疗效、缩短疗程方面更具优势，PDS线作为穴位埋线的埋植材料，其不良反应发生率低于羊肠线。
- 面神经麻痹 /
- 顽固性 /
- 穴位埋线 /
- 针刺疗法
Abstract: OBJECTIVE To compare the clinical effects of acupuncture therapy， catgut therapy and PDS therapy in treating refractory prosopoplegia. To observe the effects and side effects of the two kinds of threads. METHODS 228 patients were randomly divided into three groups: acupuncture group， PDS group and the catgut group， with 76 patients in each group. Zanzu(B2)， Yuyao(Extra)， temple， Dicang(ST4)， Jiache(S6)， Qianzheng， Xiaguan， Fengchi(G20)， Hegu(L14) on both sides， Zusanli(ST36) were chosen in the three groups. Sunnybrook facial nerve evaluation system and ENoG were used before and after the treatment to asses the effect. And the side effects of the two groups with different threads were observed right after the treatment， and after ten and thirty days. RESULTS After the treatment， scores of Sunnybrook facial nerve evaluation system of three group all improved(P<0.05). The lateral frontal muscle， orbicular muscle of mouth showed improvement in ENoG after the treatment(P<0.05).The difference between the two group in side effects like tenderness， induration and red and swollen had no statistical significance(P>0.05). Ten days after the treatment， more patients in the catgut group had tenderness， induration and red swollen than the PDS group and the difference had statistical significance(P<0.01). Thirty days after the treatment， there were more patients in the catgut group had tenderness than the PDS group and the difference had statistical significance(P<0.05). Because there were less induration and red and swollen， the results showed that there were more induration and red and swollen in the catgut group than the PDS group and the difference was of stastical significance(P<0.01). CONCLUSION Acupuncture， catgut and PDS thread-embedding therapy are all effective in treating refractory prosopoplegia. And the two threat-embedding therapies can effectively treat the disease and shorten the treating period. PDS thread is a good embedding material which can lower the risks of side effects.
- prosopoplegia /
- refractory /
- acupoint thread-embedding /
- acupuncture

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