摘要
目的探讨揿针联合雷火灸治疗风寒袭络型周围性面瘫的临床效果。方法采用随机数表法将2021年1月至2023年6月长春中医药大学附属第三临床医院收治的100例风寒袭络型周围性面瘫患者分为试验组和对照组,每组各50例。对照组予以雷火灸治疗,1次/d,7 d为1个疗程;试验组在对照组基础上加用揿针治疗,1次/d,7 d为1个疗程,两组均治疗3个疗程。比较两组治疗后临床疗效及治疗前后面瘫等级评分、面瘫生活质量评分、中医症候积分、面部肌电图。结果治疗后,试验组总有效率高于对照组,差异有统计学意义(P<0.05);试验组House-Brackmann(H-B)面神经功能评分、面部残疾指数(FDI)量表评分、中医症候积分均低于对照组,差异有统计学意义(P<0.05);试验组面神经复合肌动作电位波幅高于对照组,差异有统计学意义(P<0.05);试验组瞬目反射R1波潜伏期低于对照组,差异有统计学意义(P<0.05)。结论揿针联合雷火灸治疗风寒袭络型周围性面瘫可提高临床疗效,改善面部残疾,提高生活质量。
Objective To explore the clinical effect of thumb-tack needle combined with thunder-fire moxibustion on peripheral facial paralysis with syndrome of wind-cold attacking collaterals.Methods A total of 100 patients with peripheral facial paralysis with syndrome of wind-cold attacking collaterals from January 2021 to June 2023 who were admitted to the Third Affiliated Hospital of Changchun University of Chinese Medicine were divided into the experimental group and the control group according to the random number table method,with 50 cases in each group.The control group was treated with thunder-fire moxibustion once a day for 7 days as a course of treatment,while the experimental group was treated with thumb-tack needle once a day for 7 days as a course of treatment on this basis.Both groups were treated for 3 courses.The clinical efficacy of the two groups was compared,and the facial paralysis grading,facial paralysis-related quality of life score,traditional Chinese medicine symptom score and facial electromyography were compared between the two groups before and after treatment.Results After treatment,the total effective rate of the experimental group was higher,with statistically significant differences(P<0.05).The House-Brackmann(H-B)facial nerve function score,facial disability index(FDI)scale score,and traditional Chinese medicine symptom score of the test group were lower than those of the control group,with statistically significant differences(P<0.05).The amplitude of compound muscle action potential of facial nerve in the experimental group was higher,with statistically significant differences(P<0.05).The latency of blink reflex R1 wave in the experimental group was lower,with statistically significant differences(P<0.05).Conclusion Thumb-tack needle combined with thunder-fire moxibustion can increase the clinical efficacy,improve facial disability and raise the quality of life.
作者
朱雪娇
李莹
白雪娇
张瀚元
ZHU Xuejiao;LI Ying;BAI Xuejiao;ZHANG Hanyuan(Acupuncture and Moxibustion Massage Center,the Third Affiliated Hospital of Changchun University of Chinese Medicine,Jilin,Changchun 130022,China)
出处
《中国医药科学》
2024年第9期109-112,126,共5页
China Medicine And Pharmacy
基金
吉林省中医药科技项目(2023047)。
关键词
周围性面瘫
揿针
雷火灸
风寒袭络
Peripheral facial paralysis
Thumb-tack needle
Thunder-fire moxibustion
Wind-cold attacking collaterals
