“气至而有效”理论在急性周围性面瘫患者中医干预中的促进效果研究  

Research on the Promotion Effect of“Qi Arrives and Is Effective”Theory in TCM Intervention in Patients with Acute Peripheral Facial Paralysis

作　　者：吴慧文 郑全成[1] 肖淑红[1] 刘建浩[1] Wu Huiwen;Zheng Quancheng;Xiao Shuhong;Liu Jianhao(Sanya Traditional Chinese Medicine Hospital,Hainan,Sanya 572000,China)

机构地区：[1]海南省三亚市中医院,海南三亚572000

出　　处：《中国中医急症》2023年第12期2116-2118,2126,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：海南省重点研发项目(ZDYF2022SHFZ129);海南省卫生健康行业科研项目(20A200199)。

摘　　要：目的观察急性周围性面瘫患者中医干预中“气至而有效”理论的介入及促进效果。方法将124例急性周围性面瘫患者采取双色球随机法分为观察组与对照组各62例。对照组给予常规护理,观察组给予“气至而有效”理论主导的中医综合干预方案。对比不同护理方案对临床疗效、面部肌运动电位波幅及护理评价差异。结果两组患者治疗前面神经功能分级无明显差异(P>0.05),治疗后观察组分级情况明显优于对照组(P<0.05);治疗后观察组面肌肌电图M波潜伏期明显短于对照组,M波波幅以及运动单位电位波幅相比对照组明显提高(P<0.05);治疗后观察组临床总有效率为87.10%,显著高于对照组的66.13%(P<0.05);观察组护理满意度评分高于对照组(P<0.01)。结论“气至而有效”理论主导的中医综合干预方案能够改善急性周围性面瘫患者的面神经功能、面肌功能,提高临床效果,患者满意度高。Objective:To observe the intervention and promotion effect of the theory of“Qi arrives and is effec⁃tive”in TCM intervention in patients with acute peripheral facial paralysis.Methods:A total of 124 patients with acute peripheral facial paralysis were randomly divided into observation group and control group using a bicolor ball method,62 cases per group.The control group was given routine nursing care,and the observation group was given a comprehensive TCM intervention program dominated by the theory of“Qi arrives and is effective”.The dif⁃ferences in clinical efficacy,facial muscle motor potential amplitude and nursing evaluation of different nursing programs were compared.Results:There was no significant difference in the classification of neurological function between the two groups before intervention(P>0.05).After intervention,the classification of the observation group was significantly better than that of the control group(P<0.05);after intervention,the M wave latency of facial muscle EMG in the observation group was significantly shorter than that of the control group,and the M wave am⁃plitude and motor unit potential amplitude were significantly higher than those in the control group(P<0.05),and the total clinical effective rate of the observation group(87.10%)was significantly higher than that in the control group(66.13%)(P<0.05);the score of nursing satisfaction in the observation group was higher than that in the control group(P<0.01).Conclusion:The comprehensive intervention program of traditional Chinese medicine led by the theory of“Qi arrives and is effective”can improve the facial nerve function and facial muscle function of patients with acute peripheral facial paralysis,improve the clinical effect,and have high patient satisfaction.

关 键 词：急性周围性面瘫 中医护理 临床效果 护理评价 

分 类 号：R745.12[医药卫生—神经病学与精神病学]