温针灸翳风穴治疗特发性面瘫伴耳周疼痛临床研究  

Clinical Study on Warming-Needle Moxibustion on Yifeng Point for Facial Paralysis with Pain Around Ears

作　　者：周骏奥 贾健玮 朱文韫 无 ZHOU Jun'ao;JIA Jianwei;ZHU Wenwen

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]金华文荣医院针灸理疗科,浙江金华321000 [3]金华文荣医院康复医学科,浙江金华321000

出　　处：《新中医》2023年第6期150-154,共5页New Chinese Medicine

摘　　要：目的:观察温针灸翳风穴治疗特发性面瘫伴耳周疼痛的临床疗效。方法:选择74例风寒证特发性面瘫伴耳周疼痛患者,随机分为对照组和观察组各37例。对照组采用常规药物治疗,观察组在对照组的基础上给予温针灸翳风穴治疗,2组均治疗4周后评价疗效。比较2组治疗前后House-Brackmann面神经功能分级(H-B)、面部残疾指数(FDI)[躯体(FDIP)、社会生活功能(FDIS)]、耳周疼痛数字分级法(NRS)评分,评估H-B分级疗效以及临床症状疗效。结果:观察组H-B分级总有效率为94.59%,对照组为72.97%,2组比较,差异有统计学意义(P<0.05)。观察组临床症状总有效率为91.89%,对照组为70.27%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组H-B分级比较,差异无统计学意义(P>0.05);治疗后,2组H-B分级均较治疗前显著改善,且观察组H-B分级改善优于对照组,经秩和检验,差异均有统计学意义(P<0.05)。治疗前,2组NRS、FDIP、FDIS评分比较,差异无统计学意义(P>0.05)。治疗后,2组NRS、FDIS评分均较治疗前降低(P<0.05),FDIP评分均较治疗前升高(P<0.05);且观察组NRS、FDIS评分低于对照组(P<0.05),FDIP评分高于对照组(P<0.05)。结论:温针灸翳风穴治疗特发性面瘫伴耳周疼痛能够有效减轻耳周疼痛症状,改善面神经功能,提高临床治疗效果。Objective: To observe the clinical effect of warming-needle moxibustion on Yifeng point(SJ17) on facial paralysis with pain around ears. Methods:A total of 74 patients with facial paralysis with wind-cold syndrome with pain around ears were selected and randomly divided into the control group and the observation group,with 37 cases in each group. The control group was given routine medicine,and the observation group was additionally treated with warming-needle moxibustion on Yifeng point based on the treatment of the control group. After the two groups were treated for 4 weeks,the curative effects in both groups were evaluated. Before and after treatment,House-Brackmann(H-B) Grading of facial nerve function,and Facial Disability Index(FDI),including the scores of FDI-Physical(FDIP),and FDI-Social(FDIS), as well as Numerical Rating Scale of pain around ears in both groups were compared, and the applied criteria of therapeutic effects of H-B grading and clinical symptoms were also evaluated. Results:The total effective rate of H-B grading in treatment was 94.59% in the observation group,and 72.97% in the control group,and there was no significant difference being found in the comparison of total effective rate of H-B grading between the two groups(P>0.05). The total effective rate of clinical symptoms was91.89% in the observation group,and 70.27% in the control group,and there was no significant difference being found in the comparison of total effective rate of clinical symptoms between the two groups(P>0.05). Before treatment,there was no significant difference being found in the comparison of H-B grading between the two groups(P>0.05). By the rank sum test,the H-B score of the two groups after treatment was significantly improved compared with that before treatment,and the H-B score of the observation group was better than that of the control group,with a statistically significant difference(P<0.05). Before treatment,there was no significant difference being found in the comparisons of scores of NRS,FDIP and FDI

关 键 词：面瘫 温针灸 翳风穴 耳周疼痛 House-Brackmann面神经功能分级 面部残疾指数 

分 类 号：R745.12[医药卫生—神经病学与精神病学]