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[综合疗法治疗腓总神经麻痹的临床观察]

[Clinical observation on common peroneal nerve palsy treated with comprehensive therapy].

作者信息

Yang Li-Juan, Liu Ya-Li, Wang Shu-Bin, Jin Zhi-Gao

出版信息

Zhongguo Zhen Jiu. 2014 Apr;34(4):334-6.

PMID:24946629
Abstract

OBJECTIVE

To compare the difference of the clinical efficacy on common peroneal palsy between the comprehensive therapy of electroacupuncture, moxibustion and moving cupping method and western medication.

METHODS

Ninety cases of common peroneal nerve palsy were randomized into a comprehensive therapy group and a western medication group, 45 cases in each one. In the comprehensive therapy group, electroacupuncture was applied to Yanglingquan (GB 34), Zusanli (ST 36), Xuanzhong (GB 39), Jiexi (ST 41), Taichong (LR 3), Zulinqi (GB 41) and the others, combined with warm moxibustion and moving cupping on the lateral side of the affected leg. The comprehensive therapy was used once a day. In the western medication group, vitamin B1 , 10 mg each time, 3 times a day; and mecobalamine, 0. 5 mg each time, three times a day were prescribed for oral administration. In the two groups, 15 days made one session, and the efficacy was observed after 2 sessions treatment.

RESULTS

The total effective rate of the improvement of sensory function and motor nerve function was 97. 8% (44/45) in the comprehensive therapy group and was 82. 2% (37/ 45) in the western medication. The efficacy in the comprehensive therapy group was better than that of the western medication (P<0. 01). The electrophysiological examination showed that the amplitude of motor conduction of deep peroneal nerve and that of sensory conduction of surficial peroneal nerve after treatment were improved remarkably as compared with those before treatment in the comprehensive therapy group (both P<0. 05). The amplitude of motor conduction of deep peroneal nerve was improved significantly in the comprehensive therapy group as compared with that in the western medication group (P<0. 05).

CONCLUSION

The comprehensive therapy of electroacupuncture, moxibustion and moving cupping method achieves the significant efficacy on common peroneal nerve palsy as compared with western medication.

摘要

目的

比较电针、艾灸、走罐综合疗法与西药治疗腓总神经麻痹的临床疗效差异。

方法

将90例腓总神经麻痹患者随机分为综合治疗组和西药组,每组45例。综合治疗组针刺阳陵泉(GB 34)、足三里(ST 36)、悬钟(GB 39)、解溪(ST 41)、太冲(LR 3)、足临泣(GB 41)等穴位,并结合患侧下肢外侧温灸及走罐。综合治疗每日1次。西药组口服维生素B1,每次10 mg,每日3次;甲钴胺,每次0.5 mg,每日3次。两组均以15天为1个疗程,治疗2个疗程后观察疗效。

结果

综合治疗组感觉功能及运动神经功能改善的总有效率为97.8%(44/45),西药组为82.2%(37/45)。综合治疗组疗效优于西药组(P<0.01)。电生理检查显示,综合治疗组治疗后腓深神经运动传导波幅及腓浅神经感觉传导波幅较治疗前均明显改善(均P<0.05)。综合治疗组腓深神经运动传导波幅较西药组改善明显(P<0.05)。

结论

与西药相比,电针、艾灸、走罐综合疗法治疗腓总神经麻痹疗效显著。

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