常规针刺联合中药熏蒸治疗急性期风寒型面神经炎的临床疗效观察

Observation of the Clinical Efficacy of Conventional Acupuncture Combined with Traditional Chinese Medicine Fumigation in the Treatment of Acute Wind-Cold Facial Neuritis

摘要: 目的：观察常规针刺联合中药熏蒸治疗急性期风寒型面神经炎的疗效。通过对针刺联合中药熏蒸和单纯针刺治疗急性期风寒型面神经炎的疗效进行比较，继而探索出更有效的诊疗方法，为该病的治疗提供新的思路。方法：采取随机对照法，将60例急性期风寒型面神经炎患者随机分为治疗组和对照组，每组30例。两组均接受常规药物治疗，治疗组在此基础上采用常规针刺联合中药熏蒸患侧面部治疗15 d，并再采用电针治疗；对照组仅采用常规针刺治疗。两组治疗前，在恢复期(发病后15 d)前分别采用国际面神经外科专题研究研讨会研究推出的House-Brackmann (H-B)面神经功能评分标准及疗效评价进行评估，并比较两组临床疗效。结果：两组治疗后H-B分级比较差异具有统计学意义(P < 0.05)。治疗组总有效率和治愈率分别为96.7%和83.3%，对照组分别为86.7%和60%。两组临床疗效比较差异具有统计学意义(P < 0.05)。结论：常规针刺联合中药熏蒸相较于单纯针刺对治疗急性期风寒型面神经炎的疗效更加显著。

Abstract: Objective: To observe the efficacy of conventional acupuncture combined with traditional Chinese medicine fumigation in the treatment of acute wind-cold facial neuritis. By comparing the efficacy of acupuncture combined with traditional Chinese medicine fumigation and acupuncture alone in the treatment of acute wind-cold facial neuritis, more effective diagnosis and treatment methods were explored, which provided new ideas for the treatment of this disease. Method: A total of 60 patients with wind-chilled facial neuritis in the acute phase were randomly divided into treatment group and control group, with 30 cases in each group. Both groups received conventional drug treatment, and the treatment group was treated with conventional acupuncture combined with traditional Chinese medicine fumigation on the affected side for 15 days, and then treated with electroacupuncture. The control group was treated with conventional acupuncture only. Before treatment, the House- Brackmann (H-B) facial nerve function scoring criteria and efficacy evaluation developed by the International Symposium on Facial Neurosurgery were used to evaluate the two groups before the recovery period (15 days after the onset of the disease), and the clinical efficacy of the two groups was compared. Result: There was a statistically significant difference in H-B grade between the two groups after treatment (P < 0.05). The overall response rate and cure rate were 96.7% and 83.3% in the treatment group and 86.7% and 60% in the control group, respectively. There was a statistically significant difference in clinical efficacy between the two groups (P < 0.05). Conclusion: Compared with acupuncture alone, conventional acupuncture combined with traditional Chinese medicine fumigation has a more significant effect on the treatment of acute wind-cold facial neuritis.