年龄与针刺频次对恢复期贝尔氏面瘫的影响及回顾性数据再分析  

Effect of Age and Acupuncture Frequency on Convalescent Bell's Palsy Based on Data Reanalysis

作　　者：茅伟 李成龙 吴海洋[2] 张国庆[2] 张君宇[2] 张利达 韩为 王颖[2] MAO Wei;LI Chenglong;WU Haiyang;ZHANG Guoqing;ZHANG Junyu;ZHANG Lida;HAN Wei;WANG Ying(Anhui University of Chinese Medicine,Hefei 230031,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230001,China;The Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,China)

机构地区：[1]安徽中医药大学,安徽合肥230031 [2]安徽中医药大学第二附属医院,安徽合肥230001 [3]广州医科大学附属脑科医院,广东广州510370

出　　处：《针灸临床杂志》2023年第11期13-19,共7页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金,编号:81973933;安徽省第十三批115产业创新团队项目,编号:皖人才办[2020]4号;安徽省名中医王颖工作室建设项目,编号:中发展[2022]5号。

摘　　要：目的:比较每日针刺1次与隔日针刺1次治疗恢复期贝尔氏面瘫(BP)患者的临床疗效,并探讨年龄对针刺治疗效果的影响。方法:将184例恢复期BP患者随机分为每日组(92例,脱落8例)与隔日组(92例,脱落10例),给予相同基础治疗,针刺取穴阳白、攒竹、四白与颧髎等,均治疗4周,其中每日组每日针刺1次,隔日组隔日针刺1次。比较两组患者治疗前后House-Brackmann(H-B)面神经功能评级、Sunnybrook(多伦多)量表及面部残疾指数(FDI)量表评分[躯体功能(FDIp)和社会功能(FDIs)],评定两组患者临床疗效;以主要疗效指标Sunnybrook评分为因变量,筛选针刺治疗影响因素。事后将年龄作为两组患者内部分层因素再次分组,即青年型(18<年龄≤35)、中年型(35<年龄≤60)和老年型(60<年龄≤80),对每日组[青年型(31例,脱落2例)、中年型(29例,脱落2例)和老年型(31例,脱落3例)]与隔日组[青年型(32例,脱落4例)、中年型(31例,脱落3例)和老年型(28例,脱落2例)]共6个亚组患者进行上述数据再分析。结果:治疗后,各组患者H-B评级及FDIs评分较治疗前下降,差异具有统计学意义(P<0.05),Sunnybrook及FDIp评分较治疗前上升,差异具有统计学意义(P<0.05),且每日组以上指标改善优于隔日组,差异具有统计学意义(P<0.05),其中每日组青年型优于隔日组青年型,差异具有统计学意义(P<0.05),每日组中老年型较隔日组同型差异无统计学意义(P>0.05);每日组治愈率为58.3%(49/84),高于隔日组的46.3%(38/82),差异具有统计学意义(P<0.05),其中每日组青年型治愈率为79.3%(23/29),高于隔日组青年型的50.0%(14/28),差异具有统计学意义(P<0.05),每日组中老年型治愈率与隔日组比较差异无统计学意义(P>0.05)。经回归分析,患者年龄、针刺频次与临床疗效间具有一定相关性(P<0.05)。结论:在基础治疗上,针刺可有效改善恢复期BP患者临床症状,提高生活质量,初步发现年龄、针刺�Objective:To compare the efficacy of different acupuncture frequency in treatment of Bell's palsy(BP)during recovery stage,and to explore the impact of age on acupuncture treatment.Methods:184 BP patients during recovery stage were randomly divided into the daily group(n=92,8 cases dropped off)and the every other day group(n=92,10 cases dropped off).Both groups were given the same basic treatment,acupuncture was applied at Yangbai(GB14),Cuanzhu(BL2),Sibai(ST2),Quanliao(SI18)and Dicang(ST4)once a day or once every other day.The treatment course was 4 weeks in the two groups.The scores of House-Brackmann(H-B),Sunnybrook,FDI(including FDIp and FDIs)were compared between before and after the treatment in the two groups.The clinical efficacy was evaluated in the two groups.The Sunnybrook score was used as a dependent variable to screen the influencing factors of acupuncture treatment.Then age was taken as a layered internal factors to subdivide the groups according to young patients(18<age≤35),middle-aged patients(35<age≤60)and elderly patients(60<age≤80).The daily group was subdivided into the young patients group(n=31,2 cases dropped off),the middle-aged patients group(n=29,2 cases dropped off),and the elderly patients group(n=31,3 cases dropped off);the every other day group was also subdivided into the young patients group(n=32,4 cases dropped off),the middle-aged patients group(n=31,3 cases dropped off),and the elderly patients group(n=28,2 cases dropped off).There were a total of six subgroups for the retrospective data analysis.Results:The scores of H-B and FDIs were decreased(P<0.05),whereas the scores of Sunnybrook and FDIp were increased after the treatment compared with those before the treatment in each group(P<0.05);of which the improvements were more significant in the daily group than those in the every other day group(P<0.05);the improvements in the young patients of the daily group were more significant than those in the young patients of the every other day group(P<0.05);there were no statistic

关 键 词：贝尔氏面瘫 针刺 频次 年龄 恢复期 回顾性 

分 类 号：R246.6[医药卫生—针灸推拿学]