火针结合药物治疗风寒型周围性面瘫恢复期患者的疗效及对面神经传导功能的影响  

Effect of Fire-Needling Combined with Western Medication Treating Convalescent Peripheral Facial Paralysis of Wind-Cold Pattern and Its Influence on Facial Nerve Conduction

作　　者：任景 俞华 李俐依 李涛 REN Jing;YU Hua;LI Liyi;LI TaoA(Urumqi Hospital of Traditional Chinese Medicine,Urumqi 830000,Chin)

机构地区：[1]乌鲁木齐市中医医院,新疆乌鲁木齐830000

出　　处：《针灸临床杂志》2018年第8期58-62,共5页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:观察火针结合药物治疗风寒型周围性面瘫恢复期患者的疗效,并分析其对面神经传导功能的影响。方法:将120例风寒型周围性面瘫恢复期患者采用随机数字法分为对照组与观察组,每组各60例。对照组给予药物和物理治疗,观察组在对照组基础上给予火针疗法,统计两组的临床治疗总有效率,对两组患者治疗前后的中医主要症状和Sunnybrook面神经评定系统量表进行评分,并监测面神经M波波幅和运动潜伏期。结果:观察组治疗总有效率显著高于对照组,组间比较差异有显著性(P<0.05)。两组治疗后的口眼歪斜、面部板滞、畏风恶寒和舌苔薄白的症状积分均显著少于治疗前(P<0.05),且观察组于治疗后的症状积分均显著低于对照组(P<0.05)。两组治疗后的Sunnybrook评分均较治疗前显著升高(P<0.05),且观察组的得分显著高于对照组(P<0.05)。两组治疗后的额肌、眼轮匝肌、口轮匝肌和上唇方肌M波波幅较治疗前显著升高(P<0.05),运动潜伏期显著降低(P<0.05);且观察组治疗后的额肌、眼轮匝肌、口轮匝肌和上唇方肌M波波幅和运动潜伏期均优于对照组(P<0.05)。结论:火针结合药物治疗风寒型周围性面瘫恢复期患者疗效确切,可有效改善患者风寒证的症候,提高面神经功能,并改善面神经异常的M波波幅和运动潜伏期,促进神经传导功能的恢复。Objective： To observe the curative effect of fire-needling combined with western medication treating convalescent peripheral facial paralysis of wind-cold pattern and to analyze its influence on facial nerve conduction function. Methods： A total of 120 patients with convalescent peripheral facial paralysis were randomly divided into the control group（ n = 60） and the observation group（ n = 60）. The control group was given routine western medication and physiotherapy; on which basis,the observation group was also treated with fire-needling. The total effective rate,scores of the main TCM symptoms and Sunnybrook Facial Nerve System,as well as M wave amplitude and motor latency were observed and compared in the two groups. Results： The total effective rate of the observation group was significantly higher than that of the control group（ P〈0. 05）. The scores of TCM symptoms,such as facial paralysis,aversion to wind-cold,and thin white tongue,were significantly decreased after treatment than those before treatment（ P〈0. 05）,and the decrease was more obvious in the observation group than that in the control group（ P〈0. 05）. The Sunnybrook scores were significantly increased in both groups（ P〈0. 05）,and the increase in the observation group was more obvious than that in the control group（ P〈0. 05）. The amplitudes of M waves in the frontal muscle,orbicularis oculi muscle,orbicularis muscle of mouth,and musculi quadratus labii superioris were significantly heightened（ P〈0. 05）;however,the motor lantency was shortened in the two groups after treatment（ P〈0. 05）; the observation group was superior to the control group in terms of above improvements of M wave amplitudes and motor lantency（ P〈0. 05）. Conclusion： Fire-needling combined with western medication is effective in treating convalescent peripheral facial paralysis. It can effectively improve the symptoms of cold syndrome,improve facial nerve function,improve M wave amplitude and motor latency of facial n

关 键 词：火针 风寒型 周围性面瘫 恢复期 面神经传导功能 

分 类 号：R246.6[医药卫生—针灸推拿学]