红外热成像评价针药结合治疗中枢性面瘫临床效果及量效分析  

Infrared thermography to evaluate the clinical effect and dose-effect analysis of acupuncture combined with medicine in the treatment of central facial paralysis

作　　者：刘立群[1] 彭敏红 吴海霞 朱锦隆 LIU Liqun;PENG Minhong;WU Haixia;ZHU Jinlong(Guangzhou Twelfth People's Hospital,Guangzhou 510000,China;Southern Theater Air Force Hospital,Guangzhou 510000,China)

机构地区：[1]广州市第十二人民医院,广东广州510000 [2]南部战区空军医院,广东广州510000

出　　处：《延边大学医学学报》2024年第3期332-335,共4页Journal of Medical Science Yanbian University

基　　金：2023年广州市中医药和中西医结合科研项目(编号:20232A010015)。

摘　　要：目的:分析红外热成像评价针药结合治疗中枢性面瘫的临床效果以及量效关系。方法:选取2023年3月至2024年5月到广州市第十二人民医院和南部战区空军医院诊治的中枢性面瘫150例患者,按随机数表分为6组,每组25例患者。A组:频率为16次/min电针联合60 g黄芪补阳还五汤;B组:频率为22次/min电针联合60g黄芪补阳还五汤;C组:频率为26次/min电针联合60g补阳还五汤;D组:频率为16次/min电针联合120 g黄芪补阳还五汤;E组:频率为22次/min电针联合120 g黄芪补阳还五汤;F组:频率为26次/min电针联合120 g黄芪补阳还五汤。对比6组疗效。结果:治疗后,6组患者鼻唇沟、口角静态评分均较治疗前明显下降(P<0.05);A组治疗后鼻唇沟、口角静态评分最高,其次为B组,C、D、E、F组较低(P<0.05)。6组患者张嘴微笑、耸鼻、唇吸吮随意运动评分均较治疗前明显升高(P<0.05),组间比较,A组评分最低,其次为B、C、D组,再次为E、F组(P<0.05)。治疗后,口角区温度比较,A、B组较低,C、D、E、F组较高(P<0.05);眼周区温度比较,A、B组较低,C、D、E、F组较高(P<0.05);额周区温度比较,A、B组较低,其次为C、D、F组,E组较高(P<0.05);颧周区温度比较,A、B组较低,其次为C、D组,E、F组较高(P<0.05)。结论:对于不同表现的中枢性面瘫患者,可采用相应剂量黄芪补阳还五汤及电针强度治疗即可取得较为理想的效果。红外热成像评价针药结合治疗中枢性面瘫的临床效果好,能改善患者面部微循环,提高生活能力,改善预后。Objective:To analyze the clinical effect and dose-effect relationship of acupuncture combined with medicine in the treatment of central facial paralysis by infrared thermography.Methods:A total of 150 patients with central facial paralysis who were treated in Guangzhou Twelfth People's Hospital and Southern Theater Air Force Hospital from March 2023 to May 2024 were selected and divided into 6 groups according to random number table,with 25 patients in each group.Group A:frequency 16 times/min electroacupuncture combined with 60g astragalus Buyang Huanwu decoction;group B:22 times/min frequency electroacupuncture combined with 60g astragalus Buyang Huanwu decoction;group C:26 times/min frequency electroacupuncture combined with 60g astragalus Buyang Huanwu decoction;group D:frequency 16 times/min electroacupuncture combined with 120g astragalus Buyang Huanwu decoction;group E:frequency 22 times/min electroacupuncture combined with 120g astragalus Buyang Huanwu decoction;group F:frequency 26 times/min electroacupuncture combined with 120g astragalus Buyang Huanwu decoction.The curative effect of 6 groups was compared.Results:After treatment,the static scores of nasolabial groove and corner of mouth in the six groups were significantly decreased compared with before treatment(P<0.05).The static scores of nasolabial groove and corner of mouth were the highest in group A,followed by group B,and lower in groups C,D,E and F(P<0.05).The voluntary movement scores of open mouth smiling,nose shrugging and lip sucking in the six groups were significantly higher than those before treatment(P<0.05).Among the groups,group A had the lowest score,followed by groups B,C and D,and then groups E and F(P<0.05).After treatment,the oral area temperature was lower in groups A and B,but higher in groups C,D,E and F(P<0.05).The periocular temperature was lower in groups A and B,but higher in groups C,D,E and F(P<0.05).The temperature in the perifrontal area was lower in groups A and B,followed by groups C,D and F,and higher in group E(P<

关 键 词：红外热成像 针药结合治疗 中枢性面瘫 临床效果 量效关系 

分 类 号：R741[医药卫生—神经病学与精神病学]