摘要
观察氦氖激光配合针灸疗法对周围性面瘫患者的治疗效果,寻求最行之有效的治疗方法;探索叠加法治疗的优势,为治疗周围性面瘫的进一步发展提供理论数据。选择病程在急性期[(1～7)d内)]符合纳入标准的患者40例,随机分为治疗组、对照组各20例,对照组采用氦氖激光治疗仪照射单项治疗方法,治疗组在常规氦氖激光单项疗法的同时加用针灸治疗,分别于治疗14d后和21d后评定疗效。以抬额、皱眉、闭眼、耸鼻、患侧面肌肌力、鼻唇沟、鼓腮、示齿、吹口哨、降下唇等体征的程度变化为观察指标,对两组患者治疗前后的病情均予以评分及分级,运用spss13.0软件进行统计学分析,对临床资料和疗效进行χ2分析,对计量资料进行T检验。在用两种方法治疗14d及21d后,两组均见明显缓解症状,较显著的改善患者面神经功能评分,前后差值比较有统计学意义(P<0.01),且治疗组在促进患者面神经功能恢复方面优于对照组。经统计学分析,治疗14d后治疗组总有效率为80%,对照组总有效率为60%;21d后治疗组总有效率为95%,痊愈率为80%,对照组总有效率为90%,痊愈率为50%,两组比较有显著性差异(P<0.05),治疗组疗效优于对照组。说明:(1)氖激光照射单项疗法和针灸与氦氖激光配合治疗的方法对周围性面瘫均有治疗作用。(2)针灸与氦氖激光配合治疗的方法与氦氖激光照射单项疗法相比,在改善患者面神经功能方面具有显著优势,能增强疗效、缩短病程、提高患者生活质量,同时减少副作用、改善预后,是周围性面瘫的优选治疗手段。
Observation of helium-neon laser with acupuncture therapy on patients with peripheral facial paralysis of the treatment, seek the most effective treatment method to explore the advantages of superposition method for the treatment of peripheral facial paralysis for the further development of theoretical data, select the course in the acute phase （1 to 7 days） meet the standards included in the 40 cases of patients were randomly divided into treatment group and the control group of 20 cases, the control group using helium-neon laser radiation treatment for individual treatment, the conventional treatment group in the helium-neon laser individual therapy and acupuncture treatment at the same time. In 14 days after treatment and 21 days to be in effect to raise the amount, frowning, eyes closed, large nose, with side muscle, and nasolabial fold, the dark gills, showing tooth, whistling, lower lip, and other signs of the degree of change for the observation of indicators, the two groups of patients before and after treatment of disease are to score and grade, spss13.0 use of statistical analysis software, and clinical data on the efficacy of a 2＇2 , the measurement data t-test. It is resulted that in two ways for 14 days and 21 days later, the two groups can be significantly ease the symptoms, more notable improvement in patients with facial nerve function score, before and after the margin more significant （ P 〈 0.01 ）, and the treatment group in the promotion of patients facial nerve function recovery than the control group. Through statistical analysis, for 14 days after the treatment group overall response rate was 80 percent, the total effective control of 60 percent of the total 21 days after the effective rate was 95 percent, the cure rate is 80 percent, the total efficiency of the control group 90%, the cure rate is 50 percent, were more significant difference （P 〈 0.05 ）, effect of the treatment group than the control group. It is conclused that the results from the experiment for statistical analysis, individual helium-neon laser therapy and acupuncture and helium-neon laser with the method of treatment of peripheral facial paralysis have therapeutic effects. With the helium-neon laser acupuncture treatment with the methods and individual helium-neon laser therapy compared to the improvement of patients with facial nerve function has significant advantages, to enhance the efficacy, shorten the course and improve quality of life while reducing side effects and improve the prognosis is around optimization of facial paralysis treatment.
出处
《科学技术与工程》
2009年第12期3222-3228,共7页
Science Technology and Engineering
关键词
周围性面瘫
症状评定
临床治疗
针灸
peripheral facial paralysis symptoms evaluation clinical treatment acupuncture
