针灸治疗周围性面瘫的疗效及对患者面部表情肌弹性的影响  

Effect of acupuncture and moxibustion in the treatment of peripheral facial paralysis and influence on facial expression muscle elasticity

作　　者：郑婷 徐玉萍 蔡明慧 吴君怡[2] 郑洁 ZHENG Ting;XU Yuping;CAI Minghui;WU Junyi;ZHENG Jie;无(General Practice Department of Pengpuxincun Community Health Service Center of Jingan District,Shanghai 200435,China;Acupuncture and Moxibustion Department of Shanghai Traditional Chinese Medicine Hospital,Shanghai 200435,Cina;Department of Traditional Chinese Medicine of Guangzhonglu Community Health Service Center of Hongkou District,Shanghai 200083)

机构地区：[1]上海市静安区彭浦新村街道社区卫生服务中心全科,上海200435 [2]上海市中医医院针灸科,上海200435 [3]上海市虹口区广中路街道社区卫生服务中心中医科,上海200083

出　　处：《上海医药》2024年第16期29-32,55,共5页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨针灸在周围性面瘫治疗中的应用效果,并着重分析针灸对患者面部表情肌弹性的影响。方法:收集2020年1月至2022年12月接诊的98例周围性面瘫患者,按照随机数字表法分为对照组和研究组各49例。对照组采用常规西医治疗;研究组在对照组基础上增加针灸治疗,治疗周期28 d。比较两组临床疗效、治疗前后患侧表情肌的弹性模量值、咀嚼功能。采用多伦多分级法(TFGS)评估治疗前后两组患者面神经功能恢复情况。结果:研究组总有效率为93.88%(46/49),高于对照组的79.59%(39/49,P<0.05)。治疗后两组额肌、降口角肌、降下唇肌弹性模量值均明显高于治疗前,且研究组高于对照组(P<0.05)。与治疗前比较,治疗2周和4周时,两组TFGS评分均逐渐升高,且同一时间点研究组明显高于对照组(P<0.05)。治疗后两组咀嚼效率指数均明显高于治疗前,且研究组高于对照组(P<0.05)。结论:针灸可明显改善周围性面瘫患者患侧肌肉松弛症状,更有助于患侧肌肉弹性和面神经功能的恢复,改善患者咀嚼功能,提高整体疗效。Objective:To explore the application effect of acupuncture and moxibustion in the treatment of peripheral facial paralysis,and focus on the analysis of the impact of acupuncture and moxibustion on facial expression muscle elasticity of patients.Methods:Ninety-eight patients with peripheral facial paralysis who received treatment from January 2020 to December 2022 were selected and divided into a control group and research group with 49 patients in each group by random number table method.The control group was treated with conventional western medicine,the research group added acupuncture and moxibustion on the basis of the control group,and treatment cycle was 28 days.The clinical efficacy after treatment,the elastic modulus values of the affected facial muscles,and chewing function before and after treatment were compared between the two groups.the Toronto facial gmaing system(TFGS)was used to evaluate the recovery of facial nerve function before and after treatment in both groups of patients.Results:The total effective rate after treatment in the research group was 93.88%(46/49),which was higher than that in the control group 79.59%(39/49,P<0.05).The elastic modulus values of the frontal muscles,angle depressor muscles,and lower lip muscles after treatment in both groups were significantly higher than those before treatment,and the research group was higher than the control group(P<0.05).Compared with those before treatment,the TFGS scores of patients in both groups gradually increased at 2 and 4 weeks of treatment,and the TFGS scores of patients in the research group at the same time point were significantly higher than those in the control group(P<0.05).The chewing efficiency index after treatment in both groups was significantly higher than that before treatment,and the research group was higher than the control group(P<0.05).Conclusion:Acupuncture and moxibustion can significantly improve the muscle relaxation symptoms of the affected side of patients with peripheral facial paralysis,more conducive to the r

关 键 词：周围性面瘫 面部表情肌弹性 面神经功能 咀嚼功能 

分 类 号：R245[医药卫生—针灸推拿学]