磁刺激翳风穴联合针灸治疗面瘫的临床研究  

Clinical study on the treatment of facial paralysis by magnetic stimulation of Yifeng acupoint combined with acupuncture

作　　者：潘文秀[1,2] 王继先 姚小玲[1] 杨帅 徐珮珮[1] 崔光卫 谢青 崔立军[1] Pan Wenxiu;Wang Jixian;Yao Xiaoling;Yang Shuai;Xu Peipei;Cui Guangwei;Xie Qing;Cui Lijun(Department of Rehabilitation and Medicine,Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Rehabilitation and Medicine,Shanghai Ruijin Rehabilitation Hospital,Shanghai 200023,China)

机构地区：[1]上海交通大学医学院附属瑞金医院康复医学科,上海200025 [2]上海市瑞金康复医院康复医学科,上海200023

出　　处：《现代仪器与医疗》2024年第1期79-83,共5页Modern Instruments & Medical Treatment

基　　金：科技部重点研发项目(2022YFC3602704);上海市卫健委青年基金(20234Y0292)。

摘　　要：目的 观察翳风穴体表重复磁刺激联合针灸治疗面瘫的临床疗效。方法 选取瑞金医院康复科门诊收治的80例首发中重度面瘫患者,分为治疗组和对照组,每组40例。治疗组给予翳风穴重复磁刺激联合针灸治疗,对照组则仅给予针灸治疗,观察其临床疗效。治疗前后选用肌电图及House-Brackmann(H-B)分级量表、Sunnybrook面部评分系统(SFGS)评价面神经功能恢复情况。结果 治疗组的治疗有效率为85.00%,明显优于对照组60.00%。干预后两组的面神经功能均较前改善(P<0.05),且治疗组的面神经功能及H-B、SFGS评分优于对照组(P<0.05)。结论 重复磁刺激翳风穴联合针灸是治疗中重度面瘫的一种安全有效的治疗方法,可加快面神经功能恢复,为进一步改善面瘫患者预后提供了新的治疗思路。Objective To observe the clinical effect of repetitive magnetic stimulation of Yifeng acupoint combined with acupuncture on facial paralysis.Methods Eighty patients from the Rehabilitation Clinic of Ruijin Hospital with first-episode moderate to severe facial paralysis were divided into an treatment group and a control group,with 40 cases in each group.The treatment group was treated with repeated magnetic stimulation of Yifeng acupoint combined with acupuncture,while the control group was only treated with acupuncture to observe its clinical efficacy.The recovery of facial nerve function was evaluated using electromyography,the House Brackmann(H-B)grading scale,and the Sunnybrook facial scoring system(SFGS).Results The effective rate of treatment in the treatment group was 85.00%,significantly better than the control group(60.00%).After intervention,the facial nerve function of both groups improved compared to before(P<0.05),and the facial nerve function,H-B,SFGS scores of the treatment group were better than those of the control group(P<0.05).Conclusion Repetitive magnetic stimulation of Yifeng acupoint combined with acupuncture is a safe and effective treatment for moderate and severe facial paralysis,which can accelerate the recovery of facial nerve function and provide a new treatment idea for further improving the prognosis of patients with facial paralysis.

关 键 词：重复磁刺激 翳风穴 针灸 面瘫 疗效 

分 类 号：TH77[机械工程—仪器科学与技术] R49[机械工程—精密仪器及机械]