不同穴位的电针电兴奋性与贝尔面瘫预后的相关性研究  

Correlation of the electric excitability treated with electroacupuncture at different acupoints and the prognosis of Bell's palsy

作　　者：杨联胜 张昆[1] 章闻[1] 庄子齐[2] YANG Liansheng;ZHANG Kun;ZHANG Wen;ZHUANG Ziqi(Department of Acupuncture and Moxibustion,the Third Hospital Affiliated to Sun Yat-Sen University,Guangzhou 510630,Guangdong Province,China;Department of Acupuncture and Moxibustion,the First Hospital Affiliated to Guangzhou University of TCM)

机构地区：[1]中山大学附属第三医院中医针灸科,广东广州510630 [2]广州中医药大学第一附属医院针灸科

出　　处：《中国针灸》2018年第12期1288-1292,共5页Chinese Acupuncture & Moxibustion

摘　　要：目的:运用Logistic回归分析探讨面部不同穴位的电针兴奋性与贝尔面瘫预后相关性差异。方法:回顾性分析93例贝尔面瘫患者,针刺穴取患侧攒竹、阳白、迎香、地仓、下关、牵正,以攒竹-阳白为A组、迎香-地仓为B组、牵正-下关为C组,予电针治疗,连续波,频率1 Hz,治疗时间30 min,隔日1次,治疗至面神经功能完全恢复或于起病16周时进行终点结局评价。收集患者起病第8天A组、B组、C组的电兴奋性分级及性别、年龄、面神经病变节段、2型糖尿病等可能影响预后的相关指标,与预后作Logistic回归分析。结果:单因素Logistic回归分析显示,性别、年龄及C组电针的电兴奋性与预后的相关性无统计学意义(P>0.05);2型糖尿病、面神经病变节段,A组及B组电针电兴奋性与预后相关(P<0.05)。多因素Logistic回归分析显示,A组及B组电兴奋性是贝尔面瘫预后的独立预测因子(P<0.05),OR值分别为8.410(1.176-60.113)、12.589(1.355-116.922)。结论:攒竹-阳白、迎香-地仓的电针电兴奋性反应可成为贝尔面瘫预后评估的指标之一,可早期鉴别面神经损伤程度较重的患者,调整治疗方案,提高临床疗效。Objective To explore the correlation of the electric excitability treated with electroacupuncture (EA) at different acupoints and the prognosis of Bell's palsy, using the Logistic regression analysis. Methods A total of 93 patients of Bell's palsy were collected in the retrospective analysis. Acupuncture was applied to Cuanzu (BL 2), Yangbai (GB 14), Yingxiang (LI 20), Dicang (ST 4), Xiaguan (ST 7) and Qianzheng (Extra point) on the affected side. The electric stimulation was added at the three pairs of points, named Cuanzu (BL 2) and Yangbai (GB 14) (A group), Yingxiang (LI 20) and Dicang (ST 4) (B group) and Qianzheng (Extra point) and Xiaguan (ST 7) (C group), continue wave, 1 Hz at current frequency, for 30min in one treatment. EA was given once every two days. The endpoint outcome evaluation was conducted when the facial nerve function was recovered completely after treatment or in 16 weeks after onset. On the 8th day of onset, the prognosis-relatedindexes were collected, such as the electric excitability grade in the A, B and C groups, gender, age, the facial nerve lesion segment and type 2 diabetes mellitus (T2DM). The Logistic regression analysis was conducted on these indexes and the prognosis. Results The single factor Logistic regression analysis showed that the gender, age and the electric excitability of the C group were negatively correlated with the prognosis statistically (P>0.05). T2DM, the facial nerve lesion segment and the electric excitability of the A and B groups were positively correlated with the prognosis statistically (P<0.05). The multivariate Logistic regression analysis indicated that the electric excitability in the A and B groups was the independent predictor of Bell’s palsy prognosis (P<0.05). OR values were 8.410 (1.176-60.113) and 12.589 (1.355-116.922) respectively. Conclusion The electric excitability of EA at the pairs of Cuanzu (BL 2) and Yangbai (GB 14), and of Yingxiang (LI 20) and Dicang (ST 4) is one of the indexes for the prognosis evaluation of Bell's palsy. It contr

关 键 词：贝尔面瘫 面神经损伤 电兴奋性 电针 预后 

分 类 号：R246.6[医药卫生—针灸推拿学]