针药并用对周围性面瘫患者面部功能、表情肌力量及运动传导的影响  

Effects of acupuncture medication combined on facial function and mimetic muscle strength and motor conduction in patients with peripheral facial palsy

作　　者：卜秀焕 王雷 王田 BU Xiuhuan;WANG Lei;WANG Tian(Qinhuangdao Hospital of Traditional Chinese Medicine,Hebei Province,Qinhuangdao 066000,China)

机构地区：[1]Qinhuangdao Hospital of Traditional Chinese Medicine,Hebei Province,Qinhuangdao 066000,China

出　　处：《Journal of Acupuncture and Tuina Science》2024年第4期311-319,共9页针灸推拿医学（英文版）

基　　金：2020年市级科学技术研究与发展计划,No.202004A073;河北省中医药科研计划项目,No.2022541.

摘　　要：目的:观察经筋刺法联合大秦艽汤对周围性面瘫患者面部无力的改善情况,以及对面瘫损伤功能、表情肌肉萎缩和运动传导的影响。方法:选择120例周围性面瘫患者,按随机数字表法分为中药组和针药并用组,每组60例。中药组给予大秦艽汤口服治疗,针药并用组在口服大秦艽汤基础上加用经筋刺法。治疗结束比较两组临床疗效,并观察患者面部症状评分、面部肌肉厚度、面肌肌力、面神经功能及面部残疾指数的变化情况。结果:针药并用组患者总有效率98.3%,高于中药组的85.0%(P<0.05)。针药并用组面部症状各项评分均低于中药组(P<0.05)。针药并用组患者降口角肌、额肌、降下唇肌厚度大于中药组(P<0.05);躯体功能、社会/行为功能评分低于中药组(P<0.05);徒手肌力评定(MMT)评分及Sunnybrook面神经评分均高于中药组(P<0.05);上唇方肌、额肌、眼轮匝肌的面神经运动潜伏期低于中药组(P<0.05),而M波波幅高于中药组(P<0.05)。结论:经筋刺法联合大秦艽汤治疗周围性面瘫可改善患者面部肌力、表情肌肉萎缩和面瘫功能损伤状态,改善面神经运动传导,提升临床疗效。Objective:To observe the improvement of facial weakness in patients with peripheral facial palsy treated with needling the muscle regions of meridians plus Da Qin Jiao Tang[decoction of Qin Jiao(Radix Gentianae Macrophyllae)],and the effects on facial paralysis injury function and mimetic muscle atrophy and motor conduction.Methods:A total of 120 patients with peripheral facial palsy were randomized into a Chinese medication group and an acupuncture medication combined group by the random number table method,with 60 cases in each group.The Chinese medication group was treated with Da Qin Jiao Tang,and the acupuncture medication combined group was treated with needling the muscle regions of meridians based on oral Da Qin Jiao Tang.After treatment,the clinical efficacy was compared between the two groups.The changes in the facial symptom score,facial muscle thickness,facial muscle strength,facial nerve function,and facial disability index were observed.Results:The total effective rate in the acupuncture medication combined group was 98.3%,which was higher than 85.0%in the Chinese medication group(P<0.05).Each facial symptom score in the acupuncture medication combined group was lower than that in the Chinese medication group(P<0.05).The muscle thickness of the depressor anguli oris,frontalis,and depressor labii inferioris in the acupuncture medication combined group was thicker than that in the Chinese medication group(P<0.05).The scores of physical function and social/behavioral function in the acupuncture medication combined group were lower than those in the Chinese medication group(P<0.05),while the scores of manual muscle test(MMT)and Sunnybrook facial nerve were higher than those in the Chinese medication group(P<0.05).The facial nerve motor latency of the upper lip quadrate muscle,frontalis,and orbicularis oculi in the acupuncture medication combined group was lower than that in the Chinese medication group(P<0.05),while the M-wave amplitude was higher than that in the Chinese medication group(P<0.05).Conclu

关 键 词：针刺疗法 针药并用 十二经筋 面神经麻痹 肌力 肌肉萎缩 神经传导 

分 类 号：R246.6[医药卫生—针灸推拿学]