电针结合特定电磁波治疗器照射治疗特发性面神经麻痹临床观察  

Clinical Observation on Electroacupuncture Combined with Irradiation by Special Electromagnetic Spectrum Therapeutic Apparatus for Idiopathic Facial Paralysis

作　　者：王康 WANG Kang

机构地区：[1]义乌市第二人民医院康复医学科,浙江义乌322002

出　　处：《新中医》2018年第10期159-162,共4页New Chinese Medicine

摘　　要：目的:观察电针结合特定电磁波治疗器(TDP)照射治疗特发性面神经麻痹的临床疗效。方法:收集针灸门诊治疗的56例特发性面神经麻痹患者,随机分为治疗组和对照组各28例,治疗组以电针结合TDP照射治疗,对照组以单纯针刺治疗,不行电针。2组均治疗4疗程。观察2组患者治疗前后House-Brackmann分级量表总体分级、局部评分和面神经麻痹程度分级评分的变化,比较2组的临床疗效。结果:治疗后,治疗组总有效率为71.43%,对照组总有效率为50.00%,2组比较,差异有统计学意义(P <0.05)。2组House-Brackmann分级量表总体分级结果均较治疗前改善,差异均有统计学意义(P <0.05);治疗组总体分级结果与对照组比较,差异均有统计学意义(P <0.05);2组House-Brackmann分级量表局部评分均较治疗前下降,差异均有统计学意义(P <0.05);治疗组局部评分低于对照组,差异有统计学意义(P <0.05)。2组面神经麻痹程度分级评分均较治疗前下降,差异均有统计学意义(P <0.05);治疗组评分低于对照组,差异有统计学意义(P <0.05)。结论:应用电针结合TDP照射治疗特发性面神经麻痹的临床疗效优于单纯的针刺治疗,可增加对穴位的刺激,加快局部肿胀消退,更好地改善面部痉挛症状。Objective： To observe the clinical effect of electroacupuncture combined with irradiation by special electromagnetic spectrum therapeutic apparatus（Teding Diancibo Pu, TDP） for idiopathic facial paralysis. Methods： Divided 56 cases of patients with idiopathic facial paralysis admitted in the acupuncture-moxibustion clinic into the treatment group and the control group randomly,28 cases in each group. The treatment group was treated with electroacupuncture combined with irradiation by TDP, while the control group was treated with simple acupuncture. The treatment of the two groups lasted for four courses. Observed the changes of both overall gradings and partial scores of House-Brackmann scale（HBS）,and changes of scores in the degree of facial nerve paralysis of patients in the two groups before and after treatment. Compared the clinical effect in the two groups. Results：After treatment,the total effective rate was 71.43% in the treatment group and 50.00% in the control group,the difference being significant（P〈0.05）. The overall gradings of HBS in the two groups were improved when compared with those before treatment,differences being significant（P〈0.05）. Compared the overall grading in the treatment group with that in the control group,differences were significant（P〈0.05）. The partial scores of HBS in the two groups were decreased when compared with those before treatment,differences being significant（P〈0.05）. The partial score in the treatment group was lower than that in the control group,the difference being significant（P〈0.05）. Scores in the degree of facial nerve paralysis in the two groups were decreased when compared with those before treatment,differences being significant（P〈0.05）, and the score in the treatment group was lower than that in the control group, the difference being significant（P〈0.05）.Conclusion： The therapy of electroacupuncture combined with TDP has better therapeutic effect than that of simple acupuncture in treating idiopathic fa

关 键 词：特发性面神经麻痹 中医疗法 针刺 电针 特定电磁波治疗器(TDP) 

分 类 号：R245.97[医药卫生—针灸推拿学]