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[目的]观察针刺推拿+心理疏导+康复训练联合西药治疗多发性末梢周围神经炎疗效。[方法]使用随机平行对照方法,将80例住院患者按病志号抽签简单随机分为两组。对照组40例泼尼松龙100ug/次,口服;维生素B12100ug/次,口服;维生素B1100mg+0.9%生理盐水150m L,静滴,1次/d;川芎嗪注射液60mg+5%葡萄糖溶液200m L,静滴,1次/d;面神经炎巯丁二钠270μg、氯化亚锡-680μg、二巯丁二钠0.5g+0.9%生理盐水200m L,静滴,1次/d;根据神经炎范围和部位半导体激光物理调节适合的剂量模式,20min/次,1次/d。治疗组40例针刺印堂、四白、牵正、风池、合谷、下关、太冲、颊车、翳风、曲池、承浆、迎香等,合谷、风池、太冲),泻法,徐进疾出;下关、颊车、迎香平刺,平补平泻;其他面部腧穴,补法,轻轻抽动面部穴位,留针20min,1次/d,疼痛严重穴位注射普鲁卡因;按摩太阳、阳白、颧髎、颊车、地仓、合谷、三阴交、曲池、足三里、阿是穴等;轮刮上、下眼睑各30次,再按揉眼皮30次,10min/d,局部腧穴得气为度;心理疏导:与患者交流沟通,讲解相关知识和注意事项,帮助患者树立治疗信心;康复训练:引导患者进行正确的按摩、运动面部肌肉、肢体训练,如闭眼、皱眉、鼓腮等,远端麻木肢体辅助运动;西药治疗同对照组。连续治15d为1疗程。观测临床症状、神经功能、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组痊愈19例,显效13例,有效7例,无效1例,总有效率97.50%;对照组痊愈10例,显效14例,有效8例,无效8例,总有效率80.00%;治疗组疗效优于对照组(P<0.05)。[结论]针刺推拿+心理疏导+康复训练联合西药治疗多发性末梢周围神经炎,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of acupuncture, massage, psychological counseling and rehabilitation training combined with Western medicine on multiple peripheral peripheral neuritis. [Methods] Using randomized parallel control method, 80 inpatients were randomly divided into two groups randomly according to the patient’s lot number. The control group of 40 cases of prednisolone 100ug / times, oral; vitamin B12100ug / times, oral; vitamin B1100mg +0.9% saline 150m L, intravenous infusion, 1 time / d; Ligustrazine injection 60mg + 5% glucose solution 200m L, intravenous drip, 1 time / d; facial neuritis Sulfobulu disodium 270μg, stannous chloride -680μg, sodium dimercaptosuccinate 0.5g + 0.9% saline 200m L, intravenous infusion, 1 time / d; Inflammatory range and site of semiconductor laser physical adjustment suitable dose mode, 20min / times, 1 time / d. The treatment group of 40 acupuncture Yin Tong, Si Bai, pull right, Fengchi, Hegu, Shimonoseki, Taichong, buccal car, wind, Quchi, Cheng pulp, Ying Xiang, etc., Xie law, Xu Jin scrape out; Shimonoseki, buccal car, Ying Xiang Ping thorn, flat fill diarrhea; other facial acupoints, make up, gently twitch facial acupuncture, needle 20min, 1 / d, severe acupuncture points injection proca Massage; the sun, Yang white, zygomaticus, buccal car, to the warehouse, Hegu, Sanyinjiao, Quchi, Zusanli, A is the acupuncture; round scraping the upper and lower eyelids each 30 times, and then rub the eyelids 30 times, 10min / d, local acupoints for the degree of gas; psychological counseling: communication and communication with patients to explain the relevant knowledge and precautions to help patients establish confidence in treatment; rehabilitation training: to guide patients with the right massage, facial muscles, body training, such as closed Eye, frown, drums, etc., distal numbness limbs supporting exercise; western medicine treatment with the control group. Continuous treatment of 15d for a course of treatment. Observation of clinical symptoms, neurological function, adverse reactions. Continuous treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 19 cases, 13 cases markedly effective, 7 cases effective, 1 case ineffective, the total effective rate was 97.50%; The control group cured 10 cases, markedly effective in 14 cases, effective in 8 cases, ineffective in 8 cases, the total effective rate was 80.00% The treatment group was better than the control group (P <0.05). [Conclusion] Acupuncture plus massage + psychological counseling + rehabilitation training combined with Western medicine in the treatment of multiple peripheral peripheral neuritis has satisfactory curative effect and no serious adverse reactions, which deserves promotion.