电针联合鼠神经生长因子穴位注射治疗儿童周围性面瘫的临床研究  

Electroacupuncture combined with mouse nerve growth factor acupoint injection in treatment of children with peripheral facial paralysis:a clinical research

作　　者：刘春雷[1] 王跑球[1] 罗伟[1] 黄超[1] 谭龙泽[1] L IU Chunlei WANG Paoqiu LUO Wei HUANG Chao TAN Longze.(The Rehabilitation Center of Hunan Children＇s Hospital, Changsha 410007, China)

机构地区：[1]湖南省儿童医院康复中心,长沙410007

出　　处：《中国中西医结合儿科学》2017年第1期70-73,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的研究和分析电针结合鼠神经生长因子穴位注射治疗儿童周围性面瘫的临床疗效。方法选取湖南省儿童医院儿科门诊2015年6月至2016年6月收治的周围性面瘫患儿80例作为研究对象,随机分成观察组和对照组,每组40例。对照组患儿予以电针治疗,连续治疗6d,休息1d,7d为1个疗程,治疗3个疗程。观察组患儿在对照组治疗基础上给予鼠神经生长因子穴位注射治疗,每周治疗3次,3次为1个疗程,治疗3个疗程。治疗前后采用Sunnybrook面神经评定系统(SFGS)进行疗效评价。结果两组组内治疗前后SFGS评分比较,差异有统计学意义(P<0.05);治疗后观察组SFGS评分显著高于对照组,差异有统计学意义(P<0.05)。两组患儿治疗后,表情肌瘫痪、口眼歪斜、吹气漏气等面部神经功能均明显改善,观察组患儿治疗效果明显优于对照组,差异有统计学意义(P<0.05)。结论电针联合鼠神经生长因子穴位注射治疗儿童性周围性面瘫优于传统针灸治疗方式,对改善患儿面部神经功能具有良好的功效,具有一定的临床意义。Objective To study and analyze the clinical effect of electroacupuncture combined with mouse nerve growth factor acupoint injection in treatment of children with peripheral facial paralysis.Methods Eighty children treated in Hunan Children＇s Hospital for peripheral facial paralysis from June 2015 to June 2016 were included as the research subjects,and they were randomly divided into two groups：the observation group and control group,with 40 cases in each group.The children in the control group were treated with electroacupuncture,continuously for 6days with 1day rest,7days as a treatment course,for 3courses.The children in the observation group were treated with mouse nerve growth factor acupoint injection in addition to the treatment for control group,3time a week as one course,for 3courses.Before and after treatment,SFGS was used to evaluate the effect.Results Before and after treatment,SFGS score had statistical difference within each group（P〈0.05）.After treatment,the score of observation group was significantly higher than that of control group（P〈0.05）.After treatment,some facial nervous functions were improved a lot in both groups,such as mimetic muscle paralysis,facial distortion and air blow and leak.The effect in the observation group was much better than that in the control group with statistical difference（P〈0.05）.Conclusion Electroacupuncture combined with mouse nerve growth factor acupoint injection is better than the conventional acupuncture in the treatment of children with peripheral facial paralysis.It can improve the facial nervous function of children,which is of clinical significance.

关 键 词：周围性面瘫 鼠神经生长因子 穴位注射 儿童 

分 类 号：R729[医药卫生—儿科]