穴位贴敷配合梅花针叩刺治疗周围性面瘫的疗效观察  

Therapeutic effect observation of acupoint application together with plum blossom needle snapping in the treatment of peripheral facial paralysis

作　　者：王润芳 吕翔 裴志勇 WANG Runfang;LÜXiang;PEI Zhiyong(Linfen People’s Hospital,Linfen 041000,China)

机构地区：[1]临汾市人民医院,临汾041000

出　　处：《上海针灸杂志》2024年第9期945-950,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：山西省中医药管理局科研课题(2020ZYYC083)。

摘　　要：目的观察穴位贴敷配合梅花针叩刺治疗周围性面瘫的临床疗效。方法将90例周围性面瘫患者随机分为治疗组和对照组,每组45例。治疗组采用穴位贴敷配合梅花针叩刺治疗,对照组采用单纯穴位贴敷治疗。观察两组治疗前后面神经兴奋阈值、面神经功能指数(facial nerve functional index,FNFI)、面部表情肌(额肌、降口角肌及降下唇肌)弹性、各项实验室指标[血清胶质细胞源性神经营养因子(glial-cell-line-derived neurotrophic factor,GDNF)、神经生长因子(nerve growth factor,NGF)、总抗氧化能力(total antioxidant capacity,TAOC)水平]及面部残疾指数(facial disability,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,比较两组临床疗效。结果治疗组总有效率为91.1%,明显高于对照组的73.3%(P<0.05)。两组治疗后面神经兴奋阈值和FDIs评分均较同组治疗前显著降低,FNFI、各项面部表情肌弹性、各项实验室指标及FDIp评分均显著升高,差异均具有统计学意义(P<0.05)。治疗组治疗后面神经兴奋阈值和FDIs评分均明显低于对照组,FNFI、各项面部表情肌弹性、各项实验室指标及FDIp评分均明显高于对照组,差异均具有统计学意义(P<0.05)。结论穴位贴敷配合梅花针叩刺治疗周围性面瘫疗效确切,可有效改善面神经兴奋阈值及面神经功能,提高面部表情肌弹性,升高血清GDNF、NGF及TAOC水平。Objective To observe the clinical efficacy of acupoint application combined with plum blossom needle snapping in the treatment of peripheral facial paralysis.Method A total of 90 patients with peripheral facial paralysis were randomly divided into the treatment group and the control group,45 cases in each group.The treatment group was treated with acupoint application therapy and plum blossom needle snapping,and the control group was treated with acupoint application therapy alone.The changes in the facial nerve excitation threshold,facial nerve functional index(FNFI),elasticity of facial expression muscles(frontalis muscle,descending coracoid muscle,and descending lower lip muscle),and laboratory indexes[serum glial cell-derived neurotrophic factor(GDNF),human nerve growth factor(NGF),and total antioxidant capacity(TAOC)],and the FDI physical function(FDIp)and FDI social life function(FDIs)of the facial disability index(FDI)were observed in the two groups before and after treatment.The clinical efficacy of the two groups was compared.Result The total effective rate of the treatment group was 91.1%,which was significantly higher than that of the control group,which was 73.3%(P<0.05).The nerve excitation threshold and FDIs scores of the two groups were significantly lower than those of the same group before treatment,and the FNFI,all facial expression muscle elasticity,all laboratory indexes and FDIp scores were all significantly higher than those before treatment,with the differences statistically significant(P<0.05).The nerve excitation threshold and FDIs scores of the treatment group were significantly lower than those of the control group,and the FNFI,elasticity of facial expression muscles,all laboratory indicators and FDIp scores were significantly higher than those of the control group,and the differences were all statistically significant(P<0.05).Conclusion Acupoint application therapy combined with plum blossom needle acupuncture for peripheral facial paralysis has a precise efficacy,which can effectively

关 键 词：穴位贴敷法 梅花针疗法 面神经麻痹 周围性面瘫 叩刺 面神经兴奋阈值 面神经功能 总抗氧化能力 

分 类 号：R246.6[医药卫生—针灸推拿学]