论著地仓透颊车针刺治疗周围性面瘫口角歪斜的临床疗效张燕陈敏张华琳∗(上海交通大学医学院附属仁济医院宝山分院针灸科,上海２００４４４)[摘要]【目的】探讨地仓透颊车针刺治疗周围性面瘫口角歪斜患者的疗效.【方法】本院收治的６０例周围性面瘫口角歪斜患者,随机分为两组,每组３０例.观察组采取地仓透颊车针刺,对照组接受常规针刺,比较各组患者的疗效、治疗前后中医证候积分、生活质量(SFＧ３６)评分.【结果】观察组治疗总有效率为９３．３３％(２８/３０),明显高于对照组的７３．３３％(２２/３０),且差异有统计学意义(P＜０．０５).治疗前,两组患者证候积分和SFＧ３６评分比较,差异均无统计学意义(P＞０．０５).治疗后,两组各项证候积分均低于治疗前(P＜０．０５),且观察组各项证候积分显著低于对照组(P＜０．０５);治疗后,两组SFＧ３６评分均高于治疗前(P＜０．０５),且观察组各项评分均显著高于对照组(P＜０．０５).【结论】地仓透颊车针刺治疗周围性面瘫,较常规针刺的效果更好,可促进患者症状快速消失,有效改善病情,提高患者生活质量.[关键词]面神经麻痹/针灸疗法;针刺穴位;治疗结果ClinicalEfficacyofDicangThroughJiacheAcupunctureTherapyinTreatingPeripheralFacialParalysiswithDeviationoftheMouthZHANGYan,CHENMin,ZHANGHualin(DepartmentofAcupuncture,BaoshanBranch,RenjiHospital,ShanghaiJiaotongUniversitySchoolofMedicine,Shanghai２００４４４)[Abstract]【Objective】ToexplorethetherapeuticeffectofDicangthroughJiacheacupuncturetherapyonpatientswithperipheralfacialparalysisanddeviationofthemouth．【Methods】SixtypatientswithperipheralfaＧcialparalysisandmouthdeviationtreatedinourhospitalwererandomlydividedintotwogroups,with３０paＧtientsineach．TheobservationgroupreceivedDicangthroughJiacheacupuncture,whilethecontrolgroupreＧceivedconventionalacupuncture．Thetherapeuticeffects,TraditionalChineseMedicine(TCM)syndromescores,andqualityoflife(SFＧ３６)scoreswerecomparedbetweenthegroupsbeforeandaftertreatment．【ReＧsults】Thetotaleffectiverateoftreatmentintheobservationgroupwas９３．３３％(２８/３０),whichwassignifiＧcantlyhigherthanthe７３．３３％(２２/３０)inthecontrolgroup,withastatisticallysignificantdifference(P＜０．０５)．Therewerenosignifica...
