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  本文關(guān)鍵詞： 火針 巨刺法 頑固性面癱　出處：《黑龍江中醫(yī)藥大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的:觀察火針結(jié)合巨刺法治療頑固性面癱的臨床療效,從而為頑固性面癱患者提供更為有效的治療方法。方法:收集60例符合納入標準的頑固性面癱患者,使用區(qū)組隨機法分為治療組和對照組。在常規(guī)針刺的基礎(chǔ)上,治療組采用火針結(jié)合巨刺法治療,對照組僅采用常規(guī)針刺治療。對量表評價者和統(tǒng)計人員設(shè)盲。療效評價標準采用面神經(jīng)功能分級2.0(FNGS2.0)和改良Portmann評分法(RPA)。分別于治療前、治療2個療程(8周)后,進行信息采集,整理后錄入SPSS 22.0統(tǒng)計軟件做出統(tǒng)計學分析,對所得結(jié)果進行描述性分析。結(jié)果:1.面神經(jīng)功能分級2.0比較(秩均值):治療組26.00,對照組35.00。差異具有統(tǒng)計學意義(P0.05)。2.RPA比較(均數(shù)±標準差):治療組13.47±5.818,對照組9.43±5.776。差異具有統(tǒng)計學意義(P0.05)。3.臨床療效比較:治療組痊愈5例、顯效8例、有效1 3例、總有效率86.67%,對照組痊愈2例、顯效3例、有效1 8例、總有效率76.67%。差異具有統(tǒng)計學意義(P0.05)。結(jié)論:1.在降低頑固性面癱的面神經(jīng)功能等級上,火針結(jié)合巨刺法優(yōu)于常規(guī)針刺。2.在提高頑固性面癱的RPA評分上,火針結(jié)合巨刺法優(yōu)于常規(guī)針刺。3.火針結(jié)合巨刺法的臨床療效優(yōu)于常規(guī)針刺。
[Abstract]:Objective: to observe the clinical effect of fire needle combined with giant puncture in the treatment of intractable facial paralysis, so as to provide a more effective treatment method for the patients with refractory facial paralysis. Methods: 60 patients with refractory facial paralysis who met the inclusion criteria were collected. The treatment group was randomly divided into treatment group and control group. On the basis of routine acupuncture, the treatment group was treated with fire acupuncture combined with giant puncture. In the control group, routine acupuncture treatment was used only, and blindness was established for the evaluators and statisticians of the scale. The curative effect was evaluated by using the facial nerve function grading 2.0 FNGS 2.0) and the modified Portmann scoring method (. RPA. Before treatment. After 2 courses of treatment (8 weeks), the information was collected and recorded into SPSS 22.0 statistical software for statistical analysis. Descriptive analysis of the results. Results: 1. Comparison of facial nerve function score 2.0 (rank mean: treatment group 26.00). The control group was 35.00.The difference was statistically significant (P 0.05). 2. RPA was compared (mean 鹵standard deviation: treatment group 13.47 鹵5.818). Control group 9.43 鹵5.776. The difference was statistically significant (P 0.05). Comparison of clinical efficacy: 5 cases were cured, 8 cases were effective and 13 cases were effective in the treatment group. The total effective rate was 86.67. In the control group, 2 cases were cured, 3 cases were markedly effective and 18 cases were effective. The total effective rate was 76.67. The difference was statistically significant (P 0.05). Conclusion: 1. In reducing the grade of facial nerve function of intractable facial paralysis. Fire needle combined with giant puncture was superior to conventional acupuncture. 2. In improving RPA score of refractory facial paralysis, fire needle combined with giant needle was superior to conventional acupuncture. 3. The clinical effect of fire needle combined with giant puncture was better than that of routine acupuncture.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R246.6

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