电针联合滞针提拉法治疗难治性面神经麻痹的临床研究  

Clinical study of electroacupuncture plus stuckneedle lifting method for intractable facial paralysis

作　　者：范理 杨茜芸 翟伟 洪珏(翻译) FAN Li;YANG Qianyun;ZHAI Wei;HONG Jue(Hunan University of Chinese Medicine,Changsha 410008,China;Changsha Hospital of Traditional Chinese Medicine,Hunan Province,Changsha 410100,China;不详)

机构地区：[1]Hunan University of Chinese Medicine,Changsha 410008,China [2]Changsha Hospital of Traditional Chinese Medicine,Hunan Province,Changsha 410100,China [3]不详

出　　处：《Journal of Acupuncture and Tuina Science》2024年第2期134-139,共6页针灸推拿医学（英文版）

基　　金：湖南省卫生健康委员会2022年度科研立项课题,No.202203073680。

摘　　要：目的:观察基于肌筋膜理论运用电针联合滞针提拉法治疗难治性面神经麻痹的效果。方法:将90例难治性面神经麻痹患者依照随机数字表法分为对照组和观察组,每组45例。对照组给予常规电针治疗;观察组则行基于肌筋膜理论运用电针联合滞针提拉法治疗。每周治疗6次,连续4周。比较两组肌电图数据、改良Portmann临床简易评分法(MPS)评分、面神经功能指数评分(FNFI)以及总有效率。结果:两组患者治疗前MPS及FNFI评分差异无统计学意义(P>0.05)。治疗后观察组患者的总有效率、FNFI和MPS评分均明显高于对照组,差异有统计学意义(P<0.05)。两组干预前各项肌电图数据比较差异无统计学意义(P>0.05)。治疗后观察组患者的瞬目反射R1潜伏期明显低于对照组,面神经复合肌动作电位明显高于对照组,组间差异均有统计学意义(P<0.05)。结论:基于肌筋膜理论运用电针联合滞针提拉法可提高难治性面神经麻痹的治疗效果。Objective:To observe the efficacy of using electroacupuncture(EA)plus stuck-needle lifting method to treat intractable facial paralysis based on the myofascial theory.Methods:Ninety patients with intractable facial paralysis were divided into a control group and an observation group using the random number table method,with 45 cases in each group.The control group was given conventional EA treatment,and the observation group received EA plus the stuck-needle lifting method based on the myofascial theory for 4 consecutive weeks,6 sessions each week.The electromyographic results,modified Portmann scale(MPS)score,facial nerve function index(FNFI),and total effective rate were compared.Results:There were no significant differences in the MPS and FNFI scores between the two groups before treatment(P>0.05).After treatment,the total effective rate and FNFI and MPS scores were notably higher in the observation group than in the control group(P<0.05).There were no significant differences in the electromyographic readings between the two groups before the intervention(P>0.05).After the intervention,the observation group had a shorter blink reflex R1 latency and a higher facial nerve compound muscle action potential compared with the control group,and the between-group differences were statistically significant(P<0.05).Conclusion:EA plus stuck-needle lifting method based on the myofascial theory can enhance treatment efficacy for intractable facial paralysis.

关 键 词：针刺疗法 电针 滞针 肌筋膜理论 面神经麻痹 改良Portmann临床简易评分法 随机对照试验 

分 类 号：R246.6[医药卫生—针灸推拿学]