摘要
目的观察"经筋刺法"配合推拿治疗对周围性面瘫患者面神经功能的影响。方法将60例周围性面瘫(恢复期)患者随机分为治疗组("经筋刺法"配合推拿组)和对照组(常规针刺组),每组30例。结果治疗后两组患者面神经肌电图运动潜伏期、面神经运动传导波幅与治疗前比较差异均有统计学意义(P<0.05),说明在恢复面神经功能方面两组均有疗效,但"经筋刺法"配合推拿治疗疗效优于常规针刺治疗。治疗组不同介入时间周围性面瘫多伦多积分比较差异有统计学意义(P<0.05),说明针刺治疗周围性面瘫的介入时机愈早,疗效愈显著。结论 "经筋刺法"配合推拿治疗对恢复周围性面瘫患者面神经功能优于常规针刺治疗。
Objective To observe the effect of acupuncture at the muscle region of meridians plus tuina on facial nerve function in peripheral facial paralysis.Method Sixty patients with peripheral facial paralysis（recovery stage） were randomized into a treatment group（intervened by acupuncture at the muscle region of meridians plus tuina） and a control group（intervened by conventional acupuncture）,30 cases in each group.Result The facial nerve electromyography（EMG） showed that the action potential latency and amplitude were changed significantly after the treatment in both groups（P〈0.05）,indicating that the two methods were both effective in recovering facial nerve function,while acupuncture at the muscle region of meridians plus tuina produced a more significant treatment effect compared to conventional acupuncture.In the treatment group,same treatment with different intervention times produced significantly different effects on the Toronto facial grading system（TFGS）（P〈0.05）,indicating that the earlier the intervention,the more significant the therapeutic efficacy.Conclusion Acupuncture at the muscle region of meridians plus tuina can produce a more significant effect in recovering facial nerve function in peripheral facial paralysis compared to conventional acupuncture.
作者
赵忠辉
黄香红
成建平
罗高俊
ZHAO Zhong-hui HUANG Xiang-hong CHENG Jian-ping LUO Gao-jun(Xiangtan Hospital of Chinese Medicine, Xiangtan 411100,China)
出处
《上海针灸杂志》
2016年第10期1197-1199,共3页
Shanghai Journal of Acupuncture and Moxibustion
基金
湘潭市医学会科研项目(xtyxky201348)
关键词
针刺
推拿
面神经麻痹
经筋
Acupuncture
Tuina
Facial paralysis
Musculature of meridians
