汤峥冬 崔花顺 沈卫东

    [摘要] 目的 觀察针刺联合补阳还五汤治疗难治性面瘫的临床效果与安全性。 方法 选择2013年1月～2016年12月上海中医药大学附属曙光医院收治的难治性面瘫患者70例，按照随机数字表法将其分为治疗组(35例)和对照组(35例)。对照组给予针刺治疗，治疗组在对照组的基础上联合补阳还五汤治疗，两组患者均连续治疗1个月。记录两组患者的中医症状评分、面神经功能分级量表评分和面部残疾指数量表评分，观察两组患者治疗后总有效率以及不良反应事件发生率。 结果 治疗1个月后，治疗组临床总有效率为88.57%，高于对照组的74.29%，差异有统计学意义(P 0.05)。 结论 针刺联合补阳还五汤能够明显改善难治性面瘫患者中医症状、面神经功能、面部残疾指数，其确切的疗效与良好的安全性为该治疗方案的广泛推广奠定了坚实的基础。

    [关键词] 难治性面瘫；针刺；补阳还五汤；治疗效果

    [中图分类号] R255.2 [文献标识码] A [文章编号] 1673-7210(2018)06(c)-0127-04

    [Abstract] Objective To observe the clinical efficacy and safety of acupuncture combined with Buyang Huanwu Decoction in the treatment of refractory facial paralysis. Methods Seventy patients treated for refractory facial paralysis in Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from January 2013 to December 2016 were selected， and divided into treatment group (35 cases) and control group (35 cases) by random number table method. The control group was treated with acupuncture therapy， while the treatment group was treated with Buyang Huanwu Decoction based on the treatment of control group ......