针刺结合小续命汤治疗急性周围性面瘫患者的效果  

Effect of Acupuncture Combined with Xiaoxuming Decotion in the Treatment of Patients with Acute Peripheral Facial Paralysis

作　　者：张艳玲 梁静 魏珂 胡明德 ZHANG Yanling;LIANG Jing;WEI Ke;HU Mingde(Beijing First Hospital of Integrated Chinese and Western Medicine,Beijing 100026,China;不详)

机构地区：[1]北京市第一中西医结合医院,北京100026 [2]北京市丰台中西医结合医院 [3]北京市仁和医院

出　　处：《中外医学研究》2024年第26期66-70,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨针刺结合小续命汤治疗急性周围性面瘫患者的效果。方法:选取2020年1月—2023年5月北京市第一中西医结合医院收治的80例急性周围性面瘫患者作为研究对象。根据随机数表法将其分为参照组和研究组,各40例。参照组给予针刺治疗,研究组给予针刺结合小续命汤治疗。比较两组临床疗效,治疗前后面神经功能、面部残疾情况、生活质量。结果:研究组总有效率高于参照组,差异有统计学意义(P<0.05)。治疗后,两组May评分升高,研究组May评分高于参照组,差异有统计学意义(P<0.05)。治疗后,两组社会功能评分(FDIS)、躯体功能评分(FDIP)均升高,研究组FDIS、FDIP均高于参照组,差异有统计学意义(P<0.05)。治疗后,两组面部感觉、眼睛感觉、口腔功能、泪液分泌、面部运动、社会功能评分均升高,研究组面部感觉、眼睛感觉、口腔功能、泪液分泌、面部运动、社会功能评分均高于参照组,差异有统计学意义(P<0.05)。结论:针刺结合小续命汤用于急性周围性面瘫患者治疗,可显著提高临床有效性,促进患者面部神经功能更好恢复,有助于患者生活质量得到更大程度改善。Objective:To investigate the effect of acupuncture combined with Xiaoxuming Decotion in the treatment of patients with acute peripheral facial paralysis.Method:A total of 80 patients with acute peripheral facial paralysis treated in Beijing First Hospital of Integrated Chinese and Western Medicine from January 2020 to May 2023 were selected as the study objects.According to the method of random number table,they were divided into reference group and research group,40 cases in each group.The reference group was given acupuncture treatment,and the study group was given acupuncture combined with Xiaoxuming Decoction.The clinical efficacy,facial nerve function,facial disability and quality of life before and after treatment were compared between the two groups.Result:The total effective rate of the study group was higher than that of the reference group,and the difference was statistically significant(P<0.05).After treatment,the May scores of the two groups increased,and the May score of the study group was higher than that of the reference group,the differences were statistically significant(P<0.05).After treatment,the social function score(FDIS)and physical function score(FDIP)of the two groups were increased,and the FDIS and FDIP scores of the study group were higher than those of the reference group,the differences were statistically significant(P<0.05).After treatment,the scores of facial sensation,eye sensation,oral function,tear secretion,facial movement and social function scores were all increased in both groups,and the scores of facial sensation,eye sensation,oral function,tear secretion,facial movement and social function in the study group were higher than those in the reference group,the differences were statistically significant(P<0.05).Conclusion:Acupuncture combined with Xiaoxuming Decotion can significantly improve clinical effectiveness,promote better recovery of facial nerve function,and contribute to greater improvement of quality of life of patients with acute peripheral facial paralysis.

关 键 词：急性周围性面瘫 针刺 小续命汤 面部神经功能 

分 类 号：R277.7[医药卫生—中医学]