盛氏面三针治疗周围性面瘫临床研究  

Clinical Study on Sheng's Facial Three-Needle Therapy for Peripheral Facial Paralysis

作　　者：庄晟坚 胡立丹 李佩佩 盛俊 孔凡盛 周围 ZHUANG Shengjian;HU Lidan;LI Peipei;SHENG Jun;KONG Fansheng;ZHOU Wei(Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou Zhejiang 325000,China)

机构地区：[1]温州市中西医结合医院,浙江温州325000

出　　处：《新中医》2024年第19期148-151,共4页New Chinese Medicine

摘　　要：目的:观察盛氏面三针治疗周围性面瘫的临床疗效。方法:选取88例周围性面瘫患者,采用随机数字表法分为对照组及观察组各44例。对照组采用普通针刺治疗,观察组采用盛氏面三针治疗。比较2组临床疗效,比较2组治疗前后面神经功能、中医证候评分,以及躯体及社会功能。结果:总有效率观察组95.45%,高于对照组72.73%,差异有统计学意义(P<0.05)。治疗后,2组House-Brackmann(H-B)评分均降低,观察组H-B评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组额纹消失、目不能闭、口眼歪斜、眼裂增大、眼干流泪、鼻唇沟变浅中医证候评分均降低,观察组上述各项评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2组面部残疾指数躯体功能评分(FDIP)均升高,观察组FDIP评分高于对照组,差异均有统计学意义(P<0.05);2组面部残疾指数社会生活功能评分(FDIS)均降低,观察组FDIS评分低于对照组,差异均有统计学意义(P<0.05)。结论:盛氏面三针治疗周围性面瘫有较好的临床效果,不仅能改善患者面神经功能,减轻中医症状,还能提高其躯体及社会功能。Objective:To observe the clinical effect of Sheng's facial three-needle therapy on peripheral facial paralysis.Methods:A total of 88 cases of patients with peripheral facial paralysis were selected and divided into the control group and the observation group by the random number table method,with 44 cases in each group.The observation group was treated with normal acupuncture,and the observation group was treated with Sheng's facial three-needle therapy.Clinical effects were compared between the two groups.The neurological function,traditional Chinese medicine syndrome scores,and physical and social functions were compared between the two groups before and after treatment.Results:The total effective rate was 95.45%in the observation group,higher than that of 72.73%in the control group(P<0.05).After treatment,the scores of the House-Brackmann(H-B)in the two groups were decreased(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,traditional Chinese medicine syndrome scores of the disappearance of forehead wrinkles,inability to close eyes,deviation of mouth and eyes,enlarged eye fissures,dry eyes and tearing,and shallower nasolabial folds in the two groups were declined(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After treatment,the scores of Facial Disability Index-Physical Function(FDIP)in the two groups were increased(P<0.05),and the scores in the observation group were higher than those in the control group(P<0.05);the scores of Facial Disability Index-Scocial Function(FDIS)in the two groups were reduced(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).Conclusion:Sheng's facial three-needle therapy has better clinical effects on the treatment of peripheral facial paralysis.Not only can it improve patients'facial nerve function and alleviate traditional Chinese medicine symptoms,but it can also enhance their physical and social functions.

关 键 词：周围性面瘫 盛氏面三针 面神经功能 中医证候评分 面部残疾指数 

分 类 号：R246.6[医药卫生—针灸推拿学]