乳突刺骨术、面部拨针与经筋刺法并用对贝尔氏麻痹面神经功能的恢复作用研究  

Study on the Recovery of Facial Nerve Function in Bell's palsy by Mastoid Bone Puncture,Facial Dial Needle and Meridian Acupuncture

作　　者：滕治江 TENG Zhijiang(Baiyin Second People's Hospital,Baiyin 730900,Gansu,China)

机构地区：[1]白银市第二人民医院,甘肃白银730900

出　　处：《系统医学》2024年第17期187-190,共4页Systems Medicine

摘　　要：目的探讨乳突刺骨术、面部拨针与经筋刺法并用对贝尔氏麻痹面神经功能的恢复作用。方法回顾性选取2022年8月—2023年5月白银市第二人民医院收治的40例贝尔氏麻痹患者的临床资料。以不同治疗方法分组,每组20例,对照组采用单纯针刺治疗,治疗组联合乳突刺骨术、面部拨针与经筋刺法治疗。对比两组中医证候积分、面神经功能、面部功能损害情况。结果治疗后,治疗组中医证候积分低于对照组,差异有统计学意义(P均<0.05)。治疗后,治疗组面神经功能分级优于对照组,差异有统计学意义(P<0.05)。治疗组面部功能损害评分总分(33.67±2.29)分低于对照组(40.31±3.33)分,差异有统计学意义(t=7.348,P<0.05)。结论乳突刺骨术、面部拨针与经筋刺法并用对贝尔氏麻痹面神经功能的恢复具有显著效果,相较于单纯针刺治疗,能够更有效地改善患者的症状,促进面神经功能的恢复。Objective To explore the effect of mastoid bone puncture,facial needle and meridian acupuncture on the recovery of facial nerve function in Bell's palsy.Methods The clinical data of forty patients with Bell's palsy admit-ted to the Second People's Hospital of Baiyin from August 2022 to May 2023 were retrospectively selected.Grouped by different treatment methods,twenty cases in each group.The control group was treated with simple acupuncture,and the treatment group was combined with mastoid bone surgery,facial needle and meridian acupuncture.The TCM syndrome scores,facial nerve function and facial function damage were compared between the two groups.Results Af-ter treatment,the scores of traditional chinese medicine syndromes in the treatment group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the facial nerve function classification in the treatment group was better than that in the control group,and the difference was statistically sig-nificant(P<0.05).The score of facial function damage in the treatment group was 33.67±2.29,which was lower than 40.31±3.33 of the control group,and the difference was statistically significant(t=7.348,all P<0.05).Conclusion The combination of mastoid bone puncture,facial dial needle and meridian sinew acupuncture has a significant effect on the recovery of facial nerve function in Bell's palsy.Compared with simple acupuncture treatment,it can more effec-tively improve the symptoms of patients and promote the recovery of facial nerve function.

关 键 词：贝尔氏麻痹 乳突刺骨术 面部拨针 经筋刺法 

分 类 号：R246.6[医药卫生—针灸推拿学]