循经闪罐辅助治疗急性期贝尔面瘫介入时机的临床研究  

Clinical study on the timing of intervention of meridian flash cupping to assist in the treatment of acute-phase Bell’s facial paralysis

作　　者：陈嘉杰 王频[1] 石海平[2] 高万里 李肖伟 舒玉铃 王永哲 蒋滨键 CHEN Jiajie;WANG Bin;SHI Haiping;GAO Wanli;LI Xiaowei;SHU Yuling;WANG Yongzhe;JIANG Binji(Anhui University of Chinese Medicine,Hefei 230031,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学,合肥230031 [2]安徽中医药大学第一附属医院,合肥230031

出　　处：《上海针灸杂志》2024年第9期939-944,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：安徽高校协同创新项目(GXXT-2021-083)。

摘　　要：目的观察不同时机循经闪罐辅助治疗急性期贝尔面瘫介入时机的临床疗效。方法将90例急性期贝尔面瘫患者随机分为A组、B组和C组,每组30例。3组均在发病后立即接受针刺配合药物治疗,A组在急性期(病程0~7 d)介入循经闪罐治疗,B组在亚急性期(病程8~14 d)介入,C组在恢复期(病程15~28 d)介入。观察3组治疗前及治疗至病程为7 d、14 d、28 d时House-Brackman(H-B)分级量表评分、Sunnybrook面神经评定量表评分及面部残疾指数(facial disability index,FDI)中躯体功能(FDI physical function,FDIp)评分和社会功能(FDI social life function,FDIs)评分的变化情况,比较两组临床痊愈时间及临床疗效。结果3组治疗至病程为7 d、14 d、28 d时H-B分级量表评分和FDIs评分均较同组治疗前显著降低,Sunnybrook面神经评定量表评分和FDIp评分均显著升高,差异均具有统计学意义(P<0.01)。B组治疗至病程为14 d、28 d时H-B分级量表评分和FDIs评分均明显低于A组和C组,Sunnybrook面神经评定量表评分均明显高于A组,FDIp评分均明显高于A组和C组,差异均具有统计学意义(P<0.05)。B组临床痊愈时间明显短于A组和C组,总有效率(96.7%)明显高于A组(86.7%)和C组(90.0%),差异均具有统计学意义(P<0.05)。结论在针药并用的基础上,循经闪罐辅助治疗急性期贝尔面瘫疗效明确,病程8~14 d时介入疗效最优,能明显缩短临床痊愈时间。Objective To observe the clinical efficacy of different timing of meridian flash cupping to assist in the treatment of acute-phase Bell’s facial paralysis.Method A total of 90 patients with Bell’s palsy in the acute stage were randomly divided into group A,group B and group C,30 patients in each group.All 3 groups were treated with acupuncture and medication immediately after the onset of the disease,and group A intervened in the acute stage(0-7 d of the disease course)with meridian flash cupping therapy,group B intervened in the subacute stage(8-14 d of the disease course),and group C intervened in the recovery stage(15-28 d of the disease course).The House-Brackman(H-B)grading scale scores,Sunnybrook Facial Nerve Rating Scale scores,physical function(FDIp)and social life function(FDIs)in the facial disability index(FDI)were observed in the three groups before treatment and at 7,14,and 28 d of disease duration.The clinical recovery time and clinical efficacy of the two groups were compared.Result The H-B scale and FDIs scores were significantly lower and the Sunnybrook Facial Nerve Rating Scale and FDIp scores were significantly higher in the three groups at 7 d,14 d and 28 d of the disease,compared with those in the same group before treatment,and the differences were statistically significant(P<0.01).The H-B grading scale scores and FDIs scores of group B were significantly lower than those of groups A and C at 14 d and 28 d of disease duration,the Sunnybrook Facial Nerve Rating Scale scores were significantly higher than those of group A,and the FDIp scores were significantly higher than those of group A and C,and the differences were all statistically significant(P<0.05).The time of clinical recovery in group B was significantly shorter than that in group A and C,and the total effective rate(96.7%)was significantly higher than that of Group A(86.7%)and Group C(90.0%),and the differences were all statistically significant(P<0.05).Conclusion Based on the treatment of acupuncture medication combined,the the

关 键 词：闪罐 面神经麻痹 周围性面瘫 介入时机 针刺疗法 House-Brackman分级量表 针药并用 

分 类 号：R246.6[医药卫生—针灸推拿学]