电刺激面部肌肉运动点治疗特发性面神经麻痹临床研究  

Clinical Study of Electrical Stimulation of Facial Muscle Motor Points in Treatment of Idiopathic Facial Palsy

作　　者：刘潇[1] 李崖雪[1] LIU Xiao;LI Yaxue(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《针灸临床杂志》2023年第4期41-45,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：黑龙江省自然科学基金面上项目,编号:H2015033;黑龙江省中医药科研项目,编号:ZHY2020-106。

摘　　要：目的:观察电刺激面部肌肉运动点治疗特发性面神经麻痹的临床疗效。方法:采用随机数字表法将符合研究标准的60例受试者分为治疗组和对照组,每组30例。两组均给予基础治疗,治疗组加用电刺激面部肌肉运动点治疗;对照组予常规电针治疗,7 d为1个疗程,分别在第2、第4个疗程结束后,通过记录两组中医症候评分、临床疗效、House-Brackmann(H-B)评分和面神经运动传导对患者恢复情况进行评价。结果:2个疗程后,两组患者中医症候评分与治疗前比较均下降,差异无统计学意义(P>0.05),4个疗程后,治疗组下降程度优于对照组,差异有统计学意义(P<0.05);2个疗程后,治疗组总有效率和痊愈率与对照组比较,差异均无统计学意义(P>0.05),4个疗程后,两组总有效率均为100%,差异无统计学意义(P>0.05),治疗组痊愈率73.3%(22/30),对照组痊愈率46.7%(14/30),差异有统计学意义(P<0.05);2个疗程后,两组患者的H-B评分均提高,差异无统计学意义(P>0.05),4个疗程后,治疗组提高程度优于对照组,差异有统计学意义(P<0.05);2个疗程后,两组患者面神经运动传导潜伏期、波幅均有改善,差异无统计学意义(P>0.05),4个疗程后,治疗组改善程度优于对照组,差异有统计学意义(P<0.05)。结论:电刺激面部肌肉运动点与常规针刺治疗特发性面神经麻痹均有效,但电刺激面部肌肉运动点治疗4个疗程后较常规电针法治疗,能够明显提高患者治愈率,促进面神经恢复。Objective:To observe the clinical efficacy of electrical stimulation of facial muscle motor points in treatment of idiopathic facial palsy.Methods:A total of 60 subjects who met the study criteria were randomly divided into the treatment group and the control group,with 30 subjects in each group.The two groups were all given basic treatment;on which basis,the treatment group was also treated with electrical stimulation of facial muscle motor points,whereas the control group was treated with conventional electro-acupuncture.7 days were taken as one course of treatment.TCM symptoms score,clinical efficacy,House-Brackmann(H-B)score,and facial nerve conduction were observed after two courses of treatment and after 4 courses of treatment to assess the recovery of the patients.Results:The TCM symptoms score was decreased after 2 course of the treatment compared with that before the treatment in the two groups,but there was no statistical difference in TCM symptoms score between before the treatment and after 2 courses of the treatment(P>0.05);the decrease of TCM symptoms score was more significant in the treatment group than that in the control group after 4 courses of the treatment(P<0.05).There were no statistical differences in overall effective rate and curative rate between the treatment group and the control group after 2 courses of the treatment(P>0.05);after 4 courses of the treatment,the effective rate was 100%in both groups(P>0.05),the curative rate of the treatment group was 73.3%(22/30),which was significantly higher than 46.7%(14/30)of the control group(P<0.05).H-B score was increased after 2 courses of the treatment in both groups,in which there was no statistical difference between the two groups(P>0.05);the increase of H-B score was more significant in the treatment group than that in the control group after 4 courses of the treatment(P<0.05).The latency and amplitude of facial nerve motor conduction were improved after 2 courses of the treatment in both groups,in which there were no statistical differe

关 键 词：电刺激 肌肉运动点 特发性面神经麻痹 

分 类 号：R246.6[医药卫生—针灸推拿学]