牵正散加减联合面部功能训练治疗风痰阻络型周围性面瘫患者的临床研究  

Clinical Study of Qianzheng Powder Addition and Subtraction Combined with Facial Function Training in the Treatment of Patients with Wind-Phlegm-Blocked Collaterals Type Peripheral Facial Palsy

作　　者：孙永峰 刘雯雯 朱俊明 谢明 SUN Yongfeng;LIU Wenwen;ZHU Junming;XIE Ming(Department of Rehabilitation Medicine,Yudu County People’s Hospital,Ganzhou 342300,China;Department of Traditional Chinese Medicine,Yudu County People’s Hospital,Ganzhou 342300,China)

机构地区：[1]江西省于都县人民医院康复医学科,江西赣州342300 [2]江西省于都县人民医院中医科,江西赣州342300

出　　处：《中国伤残医学》2024年第17期117-120,共4页Chinese Journal of Trauma and Disability Medicine

基　　金：江西省中医药管理局科技计划(2022B126)。

摘　　要：目的:探讨牵正散加减联合面部功能训练治疗风痰阻络型周围性面瘫患者的临床效果。方法:选取于都县人民医院2023年1—12月收治的96例风痰阻络型周围性面瘫患者为研究对象,按随机数字表法将其分为对照组与研究组,各48例。两组均进行常规治疗,对照组在此基础上采用面部功能训练治疗,研究组在对照组基础上联合牵正散加减治疗,比较两组临床疗效、中医证候评分、面肌功能及面神经功能分级。结果:研究组治疗总有效率为97.92%,高于对照组的83.33%,差异有统计学意义(P<0.05)。治疗后,研究组House-Brackman面神经功能分级优于对照组,差异有统计学意义(P<0.05)。治疗后,两组中医症状评分均较治疗前降低,且研究组低于对照组,两组Portmann评分均较治疗前提高,且研究组高于对照组,差异均有统计学意义(P<0.05)。结论:牵正散加减联合面部功能训练治疗风痰阻络型周围性面瘫效果良好,可有效改善患者的临床症状、面肌功能及面神经功能状态。Objective:To explore the clinical effect of Qianzheng Powder addition and subtraction combined with facial function training in the treatment of patients with wind-phlegm-blocked collaterals type peripheral facial palsy.Methods:A total of 96 patients with wind-phlegm-blocked collaterals type peripheral facial paralysis treated in Yudu County People’s Hospital from January to December 2023 were selected as the research objects,and were divided into a control group and a study group according to random number table method,with 48 cases in each group.Both groups received conventional treatment,the control group received facial function training on the basis of this treatment,the study group combined with Qianzheng Powder addition and subtraction treatment on the basis of the control group,and the clinical efficacy,traditional Chinese medicine symptom score,facial muscle function and facial nerve function grades of the two groups were compared.Results:The total effective rate of the study group was 97.92%,which was higher than 83.33%of the control group,the difference was statistically significant(P<0.05).After treatment,the House-Brackman facial nerve function grade of the study group was better than that of the control group,the difference was statistically significant(P<0.05).After treatment,TCM symptom scores in both groups were lower than before treatment,and the study group was lower than that of the control group;Portmann scores in both groups were higher than before treatment,and the study group was higher than that of the control group,with statistical significances(P<0.05).Conclusion:Qianzheng Powder addition and subtraction combined with facial function training has a good effect on the treatment of wind-phlegm-blocked collaterals type peripheral facial paralysis,and can effectively improve the clinical symptoms,facial muscle function and facial nerve function of patients.

关 键 词：周围性面瘫 牵正散 面部功能训练 风痰阻络型 

分 类 号：R745[医药卫生—神经病学与精神病学]