尹杰　吕秋玉　刘海永

[摘要] 目的 观察牵正散加麻黄、生石膏治疗周围性面瘫的临床效果。 方法 将2015年9月～2016年6月在河北省三河市医院中医科治疗的周围性面瘫患者120例随机分為治疗组（60例）和对照组（60例）。治疗组给予牵正散加麻黄、生石膏治疗，对照组予常规西药治疗。以House-Brackmann（H-B）评分作为观察指标，20 d为1个疗程，1个疗程后评价疗效。 结果 治疗组和对照组治疗后H-B评分[（3.46±1.13）、（8.23±3.01）分]均较治疗前[（14.50±6.89）、（15.78±6.65）分]显著下降（P < 0.05），且治疗组治疗后H-B评分低于对照组，差异有统计学意义（P < 0.05）。治疗组和对照组总有效率分别为95%和75%，差异有统计学意义（P < 0.05）。 结论 牵正散加麻黄、生石膏治疗周围性面瘫疗效肯定。

[关键词] 周围性面瘫；牵正散；麻黄；生石膏

[中图分类号] R745.12 [文献标识码] A [文章编号] 1673-7210（2016）12（c）-0179-04

[Abstract] Objective To observe the efficacy of Qianzheng Powder added with Herba Ephedrae and hydrated gypsum in the treatment of peripheral facial paralysis. Methods One hundred and twenty patients with peripheral facial paralysis treated in Department of Traditional Chinese Medicine of Sanhe Hospital from September 2015 to June 2016 were randomly divided into treatment group （60 cases） and control group （60 cases）. The treatment group was treated by Qianzheng Powder added with Herba Ephedrae and hydrated gypsum， while the control group was treated by the conventional western medicine treatment. House Brackmann （H-B） scores were taken as observation indexes， 20 days was as a course of treatment. The curative effect was evaluated after a course of treatment. Results The H-B scores [（3.46±1.13）， （8.23±3.01） points] after treatment in the treatment group and control group were lower than those before treatment [（14.50±6.89）， （15.78±6.65） points] （P < 0.05）， and the H-B scores of the treatment group after treatment were lower than those of control group， the difference was statistically significant （P < 0.05）. The total effective rate of treatment group and control group was 95% and 75% respectively， there was a statistically significant difference （P < 0.05）. Conclusion Qianzheng Powder added with Herba Ephedrae and hydrated gypsum in the treatment of peripheral facial paralysis has exact curative effects.

[Key words] Peripheral facial paralysis； Qianzheng Powder； Herba Ephedrae； Hydrated gypsum

周围性面瘫是临床常见病，归属中医学“口眼歪斜”范畴。本病与着凉、劳累、情绪波动等有关，导致面神经水肿受压，神经功能障碍，出现一侧面部表情肌完全或部分瘫痪，严重影响患者的形象、生活与工作，给患者带来很大痛苦。本病中西医治疗方法较多，西医主要予激素抗炎、抗病毒、营养神经等药物治疗或手术治疗，疗效尚不理想，且副作用较多。中医治疗本病历史悠久，治法颇多，其中针灸、中药口服及综合治疗效果较理想。牵正散是治疗面瘫的效方，本研究采用牵正散加麻黄、生石膏治疗周围性面瘫，临床疗效较满意，现报道如下：

1 资料与方法

1.1 一般资料

选取2015年9月～2016年6月就诊于河北省三河市医院中医科的周围性面瘫患者120例，采用随机数字表法将其随机分为治疗组（60例）和对照组（60例）。治疗组男33例，女27例；年龄10～75岁，平均（39.15±12.14）岁；病程1～10 d，平均（3.20±0.50）d。对照组男34例，女26例；年龄10～75岁，平均（38.66±13.64）岁；病程0.5～10 d，平均（3.15±0.70）d。两组患者性别、年龄、病程等一般资料经统计学分析，差异无统计学意义（P > 0.05），具有可比性。……