温通除痹汤联合针灸对风寒阻络型面神经炎患者的临床疗效观察  

Clinical efficacy observation of Wentong Chubi Decoction combined with acupuncture and moxibustion on facial neuritis of wind cold blocking collateral type

作　　者：李天发[1] 张玉 高华[2] 王二争[3] 胡玮璇 LI Tianfa;ZHANG Yu;GAO Hua;WANG Erzheng;HU Weixuan(The Second Department of Acupuncture and Tuina,Fuyang Traditional Chinese Medicine Hospital,Fuyang 236001,China;Rehabilitation Department of Mount Huangshan People's Hospital,Huangshan 245000,China;Rehabilitation Department of the Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]阜阳市中医医院针推二科,安徽阜阳236001 [2]黄山市人民医院康复科,黄山245000 [3]安徽中医药大学第二附属医院康复科,合肥230061

出　　处：《中华中医药杂志》2024年第6期3200-3203,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：安徽省重大疑难疾病中西医协同攻关项目(No.[2021]70号-6)。

摘　　要：目的:观察温通除痹汤联合针灸对风寒阻络型面神经炎患者的临床疗效。方法:选取2020年5月—2022年8月阜阳市中医医院收治的98例风寒阻络型面神经炎患者,以随机数表法分为对照组和观察组,每组49例。对照组给予西医常规治疗,观察组在对照组治疗基础上另给予温通除痹汤+针灸治疗,连续治疗3周。对比中医症状评分、面部残疾指数[面部残疾躯体功能指数(FDIP)、社会生活功能(FDIS)]、面部神经功能(H-B)评分、临床疗效、面神经肌电图情况及不良反应。结果:治疗后观察组主症口眼歪斜、眼睑闭合不全、鼻唇沟变浅,次症肌肉酸痛、鼓腮/耸肩不对称、味觉减退、耳鸣中医证候评分显著低于对照组(P<0.01)。治疗后观察组FDIP评分显著高于对照组(P<0.01),FDIS评分、H-B评分显著低于对照组(P<0.01)。观察组总有效率95.92%(47/49)显著高于对照组77.55%(38/49)(P<0.01)。治疗后观察组电位潜伏期显著低于对照组(P<0.01),波幅显著高于对照组(P<0.01)。两组总不良反应发生率比较差异无统计学意义。结论:温通除痹汤联合针灸治疗风寒阻络型面神经炎效果显著,可改善神经肌电,安全可靠。Objective:To investigate the therapeutic effect of Wentong Chubi Decoction combined with acupuncture and moxibustion on facial neuritis in wind cold obstruction type.Methods:From May 2020 to August 2022,98 patients from Fuyang Traditional Chinese Medicine Hospital with facial neuritis of wind cold obstructing collateral type were selected and randomly divided into control group and observation group,with 49 patients in each group.The control group was given Western routine treatment,and the observation group was given Wentong Chubi Decoction+acupuncture-moxibustion treatment on the basis of the control group.The effect was observed after 3 consecutive weeks of treatment.The traditional Chinese medicine symptom score,facial disability index [facial disability physical function index(FDIP),social life function(FDIS)],facial nerve function(HB) score,clinical efficacy,neuroelectromyography,and adverse reactions including compared between the two groups.Results:After treatment,the main symptoms of the observation group including mouth eye deviation,eyelid insufficiency,shallowing of the nasolabial groove,secondary muscle soreness,bulging cheek/shrugging shoulder asymmetry,the scores of Chinese medicine syndromes of hypogustia and tinnitus were lower than those of the control group(P<0.01).After treatment,the FDIP score in the observation group was higher than that in the control group(P<0.01),and the FDIS score and H-B score points in the observation group were lower than those in the control group(P<0.01).The total effective rate of the observation group was 95.92%(47/49),which was higher than that of the control group of 77.55%(38/49)(P<0.01).After treatment,the potential latency of the observation group was lower than that of the control group(P<0.01),and the amplitude was higher than that in the control group(P<0.01).There was no statistical difference between the two groups in the incidence of total adverse reactions.Conclusion:The efficacy of the combination of Wentong Chubi Decoction and acupuncture-moxibustion

关 键 词：面神经炎 风寒阻络型 温通除痹汤 针灸 神经肌电 

分 类 号：R277.7[医药卫生—中医学]