眼轮匝肌平行直刺联合眼周穴位针刺法治疗偏侧面肌痉挛的临床疗效
唐娜 姜小涵 唐乐微 李艳 向圣锦
温州医科大学附属眼视光医院，温州 325027
Observations on the Efficacy of Parallel Direct Puncture of the Orbicularis Oculi Muscle Combined with Periocular Acupuncture for the Treatment of Partial Side Hemifacial Spasm
Na Tang, Xiaohan Jiang, Lewei Tang, Yan Li, Shengjin Xiang
Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China
文章导读
摘要 目的：观察眼轮匝肌平行直刺联合眼周穴位针刺法治疗偏侧面肌痉挛患者的疗效，为治疗面肌痉挛提供理论依据。方法：系列病例研究。收集2018 年12 月至2020 年12 月在温州医科大学附属眼视光医院中医眼科门诊诊断为偏侧面肌痉挛的患者60 例，按照随机数字表法分为治疗组和对照组，每组30 例。治疗组接受眼轮匝肌平行直刺联合眼周穴位针刺法；对照组口服盐酸硫必利片、银杏叶胶囊、甲钴胺胶囊。2 组患者治疗2 周后根据Cohen评分表评价面肌痉挛严重程度及频率。患者痉挛严重程度及频率分级在治疗前后的比较采用t检验或秩和检验。结果：治疗2 周后，治疗组与对照组患者面肌痉挛分级程度均有一定的下降。与治疗前相比，治疗组患者痉挛强度及频率分级的比较差异有统计学意义（Z=-2.67，P=0.008；Z=-2.45，P=0.014）；对照组虽然面肌痉挛强度有一定的下降，但治疗前后差异无统计学意义。治疗组较对照组痉挛强度及频率分级改善明显，差异有统计学意义（t=-2.04，P=0.042；t=-1.99，P=0.047）；治疗组总有效率为87%；对照组总有效率为53%，2 组差异有统计学意义（χ2=11.81，P=0.008）。随访3个月后，治疗组中有1例复发，复发率为3%；对照组中有6 例复发，复发率20%，2 组差异有统计学意义（χ2=4.04，P=0.044）。结论：眼轮匝肌平行直刺联合眼周穴位针刺法在治疗面肌痉挛方面有良好且确定的疗效，并且可以最大限度改善面肌痉挛症状，疗效优于传统治疗方法，适合临床应用。
关键词 ：
针灸 ,
眼轮匝肌痉挛 ,
盐酸硫必利片 ,
偏侧面肌痉挛
Abstract ：Objective: To observe and study the efficacy of parallel direct puncture of orbicularis oculi muscle
combined with periocular acupuncture in the treatment of patients with partial side hemifacial spasm,
and to provide a theoretical basis for this treatment. Methods: This was a serial case study. Sixty patients
diagnosed with partial side hemifacial spasm in the Eye Hospital, Wenzhou Medical University from
December 2018 to December 2020 were randomly divided into a treatment group and control group
according to the random number table method, with 30 patients in each group. The treatment group
were treated with parallel direct puncture of the orbicularis oculi muscle combined with periocular
acupuncture, while the control group was treated with tiapril hydrochloride tablets, ginkgo biloba capsules
Key words ：
acupuncture
orbicularis oculi spasm
tiapride hydrochloride tablet
partial side hemifacial spasm
收稿日期: 2021-08-30
基金资助:
通讯作者:
向圣锦（ORCID：0000-0001-5879-0381），Email：xsj4228@163.com
引用本文:
唐娜, 姜小涵, 唐乐微, 等. 眼轮匝肌平行直刺联合眼周穴位针刺法治疗偏侧面肌痉挛的临床疗效[J]. 中华眼视光学与视觉科学杂志, 2022, 24(2): 86-91.
Na Tang, Xiaohan Jiang, Lewei Tang,et al. Observations on the Efficacy of Parallel Direct Puncture of the Orbicularis Oculi Muscle Combined with Periocular Acupuncture for the Treatment of Partial Side Hemifacial Spasm. Chinese Journal of Optometry Ophthalmology and Visual science, 2022, 24(2): 86-91. DOI: 10.3760/cma.j.cn115909-20210830-00345
链接本文:
https://www.cjoovs.com/CN/10.3760/cma.j.cn115909-20210830-00345 或 https://www.cjoovs.com/CN/Y2022/V24/I2/86
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