直流感应电定向透穴疗法治疗特发性面神经炎临床研究  

Clinical effect of point-to-point acupuncture with electric stimulation of direct current induction for facial nerve paralysis

作　　者：高玉红[1] 郑一[1] 

机构地区：[1]山东省东营市胜利石油管理局胜利医院中医科,257055

出　　处：《国际中医中药杂志》2017年第3期208-211,共4页International Journal of Traditional Chinese Medicine

摘　　要：目的 评价直流感应电定向透穴疗法治疗特发性面神经炎的疗效.方法 将符合入选标准的65例特发性面神经炎患者按随机数字表法分为治疗组33例和对照组32例,对照组采用西医常规疗法治疗,治疗组在对照组基础上配合地仓透颊车、阳白透太阳直流感应单向脉冲波定向透穴治疗.2组均治疗3周.分别于治疗前后行House-Brackmann面神经功能分级评估及肌电图瞬目反射检测,评价患者临床疗效及面神经功能的改善情况.结果 治疗组总有效率为66.7%（22/33）、对照组为43.8%（14/32）,2组比较差异有统计学意义（U=2.175,P=0.013）.治疗后,治疗组House-Brackmann面神经功能Ⅰ级15例、Ⅱ级4例、Ⅲ级3例,对照组Ⅰ级5例、Ⅱ级7例、Ⅲ级2例,2组比较差异有统计学意义（U=2.069,P=0.018）;治疗组瞬目反射R1、R2波检出率为87.9%（29/33）、对照组为81.3%（26/32）,2组比较差异有统计学意义（U=2.135,P=0.016）.治疗后,治疗组瞬目反射R1波[（12.28±2.55）ms比（13.84±3.07）ms,t=2.227]、R2波[（32.28±7.08）ms比（35.95±5.11）ms,t=2.396]潜伏期低于对照组（P值分别为0.030、0.020）.结论 直流感应电定向透穴疗法可缩短特发性面神经炎患者瞬目反射R1、R2波,提高临床疗效.Objective To observe the clinical effect of point-to-point acupuncture with electric stimulation of direct current induction for facial nerve paralysis. Methods A total of 65 patients with facial nerve paralysis were randomly divided into the observation group （n=33） and the control group （n=32）. The control group received routine treatment, and observation group was received Dicang （ST4）-to-Jiache （ST6） and Yangbai （GB14）-to-Taiyang （EX-HN5） by acupuncture with electric stimulation of direct current induction combined with conventional western medicine. The treatment of both groups last 3 weeks. The House-Brackmann Scale and the BR indexe at baseline and after 3 weeks treatment were observed. Results After treatment, The clinical effect of observation group was 66.7%, which was significantly higher than control group 43.8% （U=2.175, P=0.013）. After treatment, House-Brackmann facial nerve scale （Ⅰ level=15 cases, Ⅱ level=4 cases, Ⅲ level=3 cases） in the observation group was significantly better than that in the control group （Ⅰ level=5 cases, Ⅱ level=7 cases, Ⅲ level=2 cases; U=2.069, P=0.018）. After treatment, R1 latency （12.28 ± 2.55 ms vs. 13.84 ± 3.07 ms, t=2.227） and R2 latency （32.28 ± 7.08 ms vs. 35.95 ± 5.11 ms, t=2.396） in the observation group were significantly shorter than those in the control group （P=0.030, P=0.020）. Conclusions The point-to-point acupuncture with electric stimulation of direct current induction could reduce latency of R1 and R2 for facial nerve paralysis, and improve the clinical effect.

关 键 词：神经炎 面部 脉冲电针疗法 穴 地仓 穴 颊车 穴 阳白 穴 太阳 

分 类 号：R246.6[医药卫生—针灸推拿学]