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补气通络针法治疗眼睑痉挛的疗效观察

[Efficacy observation of acupuncture method of tonifying-qi and dredging-meridian for blepharospasm].

作者信息

Liu Jian, Xu Hong, Zhang Ren

出版信息

Zhongguo Zhen Jiu. 2014 Jan;34(1):37-40.

PMID:24673052
Abstract

OBJECTIVE

To compare differences of therapeutic effect between acupuncture method of tonifying-qi and dredging-meridian and conventional acupuncture method.

METHODS

Seventy cases of blepharospasm were randomly divided into an observation group and a control group, 35 cases in each one. Cuanzhu (BL 2), Yuwei (Extra) through Yuyao (EX-HN 4), Xinming 1 (Extra), Sibai (ST 2) and Yintang (GV 29) were selected as main acupoints. The acupuncture method of tonifying-qi and dredging-meridian was applied in the observation group, which was an acupuncture manipulation that could achieve strong needling sensation of qi arrival combined with electric-impulse stimulation. The conventional acupuncture method was applied in the control group. The treatment was given once every other day, 10 times as a session for continuous three sessions in both groups. The severity of blepharospasm was compared before and after treatment in two groups and clinical therapeutic effect was assessed. Follow-up visit was performed after half a year to observe the recurrence rate.

RESULTS

The cured and markedly effective rate was 77.1% (27/35) in the observation group, which was superior to 51.4% (18/35) in the control group (P < 0.05). Among cured and markedly effective patients in both groups, the recurrence rate was 20.0% (4/20) in the observation group, which was inferior to 54.5% (6/11) in the control group (P < 0.05) in the follow-up visit.

CONCLUSION

The acupuncture method of tonifying-qi and dredging-meridian could effectively improve severity of blepharospasm, which has superior short-term and long-term effects to conventional acupuncture method.

摘要

目的

比较益气通络针法与传统针刺法的治疗效果差异。

方法

将70例睑痉挛患者随机分为观察组和对照组,每组35例。选取攒竹(BL 2)、鱼腰透鱼腰(奇穴)、新明1(奇穴)、四白(ST 2)、印堂(GV 29)为主穴。观察组采用益气通络针法,即能达到气至强烈针感并结合电脉冲刺激的针刺手法。对照组采用传统针刺法。两组均隔日治疗1次,10次为1个疗程,连续治疗3个疗程。比较两组治疗前后睑痉挛的严重程度,并评估临床治疗效果。半年后进行随访,观察复发率。

结果

观察组的痊愈显效率为77.1%(27/35),优于对照组的51.4%(18/35)(P<0.05)。两组痊愈显效患者中,随访时观察组的复发率为20.0%(4/20),低于对照组的54.5%(6/11)(P<0.05)。

结论

益气通络针法能有效改善睑痉挛的严重程度,其短期和长期效果均优于传统针刺法。

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