牵正补阳还五汤联合电针治疗风寒型儿童特发性面神经麻痹临床研究  

Clinical Study on Qianzheng Buyang Huanwu Decoction(牵正补阳还五汤)Combined with Electroacupuncture in Treating Children with Wind-Cold Type Idiopathic Facial Nerve Paralysis

作　　者：何婷 吴文康 李志豪 HE Ting;WU Wenkang;LI Zhihao(Dongguan Eighth People’s Hospital,Dongguan Children’s Hospital,Dongguan 523325,China)

机构地区：[1]东莞市第八人民医院东莞市儿童医院,广东东莞523325

出　　处：《山东中医杂志》2024年第8期842-846,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：2021年东莞市社会发展科技面上项目(编号:20211800900302)。

摘　　要：目的:探究牵正补阳还五汤联合电针治疗风寒型儿童特发性面神经麻痹的临床疗效。方法:选取80例儿童风寒型特发性面神经麻痹患者进行前瞻性研究,按随机数字表法分为观察组(牵正补阳还五汤联合电针治疗)40例、对照组(甲钴胺联合电针治疗)40例,均治疗4周,比较两组面部神经功能(SFGS评分)、临床疗效、恢复状况、不良反应发生情况的差异。结果:两组SFGS评分的时点、组间、交互比较差异均有统计学意义(P<0.05)。与本组治疗前相比,治疗2周后、治疗4周后两组SFGS评分均升高(P<0.05);组间比较,观察组治疗2周后、治疗4周后SFGS评分更高(P<0.05)。与治疗2周后相比,两组治疗4周后疗效、总有效率均升高(P<0.05),与对照组相比,观察组治疗2周后总有效、治疗4周后总有效率均更高(P<0.05)。与对照组相比,观察组痊愈时间、面部表情肌肉瘫痪消失时间、味觉丧失消失时间、睑裂变大消失时间均更短(P<0.05)。两组不良反应发生情况比较差异无统计学意义(P>0.05)。结论:牵正补阳还五汤联合电针治疗风寒型儿童特发性面神经麻痹的临床疗效较好,可有效提高面部神经功能,促进各项临床症状恢复,且安全性较好。Objective:To explore the clinical study of Qianzheng Buyang Huanwu Decoction(牵正补阳还五汤)combined with electroacupuncture in treating children with wind-cold type idiopathic facial nerve paralysis.Methods:A total of 80 children with wind-cold type idiopathic facial paralysis were selected for a prospective study.According to random number table method,they were divided into the observation group(40 cases,Qianzheng Buyang Huanwu Decoc⁃tion combined with electroacupuncture treatment)and the control group(40 cases,methcobalamin combined with electroacupuncture treatment),both groups were treated for 4 weeks.The differences of facial nerve function(SFGS score),clinical efficacy,recovery status and occurrence of adverse reactions were compared between the two groups.Results:There were statistically significant differences in SFGS scores at time points,between groups,and interaction comparisons between the two groups(P<0.05).Compared with those before treatment,SFGS scores in both groups were increased after 2 weeks and 4 weeks of treatment(P<0.05).Compared with those of the control group,SFGS scores of the observation group were higher after 2 weeks and 4 weeks of treatment(P<0.05).Rank-sum test of hierarchical data showed that compared with those 2 weeks after treatment,the efficacy and total effective rate of both groups were increased after 4 weeks of treatment(P<0.05).Compared with that of the control group,the total effective rate of the observation group after 2 weeks of treatment and the total effective rate of the observation group after 4 weeks of treatment were better(P<0.05).Compared with those of the control group,the recovery time,the disappearance time of facial expression muscle paralysis,the disappearance time of taste loss and the disappearance time of palpebral fission in the observation groups were shorter(P<0.05).There was no statistically significant difference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusions:Qianzheng Buyang Huanwu Decoction combined w

关 键 词：特发性面神经麻痹 风寒型 儿童 牵正补阳还五汤 电针 

分 类 号：R246.4[医药卫生—针灸推拿学] R745.12[医药卫生—中医临床基础]