调督和胃针法在中风后中枢性面瘫中的应用  

Application of Supervision and Gastric Acupuncture in Central Facial Paralysis after Stroke

作　　者：文人锋 招启萌 王宇彦 WEN Renfeng;ZHAO Qimeng;WANG Yuyan(Dongfang People′s Hospital,Dongfang 572600,Hainan,China)

机构地区：[1]东方市人民医院,海南东方572600

出　　处：《辽宁中医杂志》2024年第12期154-157,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：海南省卫生计生行业科研项目(19A200104)。

摘　　要：目的探究调督和胃针法对中风后中枢性面瘫者的治疗疗效。方法选取2022年1月—2022年12月在该院就诊的中风后中枢性面瘫患者109例,采用随机数表法分为观察组(56例)和对照组(53例)。对照组采用温胆汤加减治疗,观察组患者在对照组基础上联合调督和胃针法治疗。比较两组中医证候评分、面部神经功能、口唇微循环状态变化情况,以及治疗过程中不良反应发生情况。结果治疗后,观察组患者面瘫中医证候(急躁易怒、面色黯滞/淡白、少言懒语、疼痛及舌淡黯)评分均低于对照组(P<0.05)。治疗后,观察组发夹形血管、排列整齐血管、线型流态血管占比均高于对照组(P<0.05)。治疗后,观察组House-Brackmann量表(H-B)评分以及面部肌电波幅高于对照组(P<0.05),面部肌电潜伏期短于对照组(P<0.05)。两组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。结论调督和胃针法联合温胆汤加减治疗是一种非常有效的中西医结合疗法,值得推广。在治疗中风后中枢性面瘫方面,该疗法能够改善患者的神经功能,减轻肌肉麻痹,改善患者预后。Objective To explore the therapeutic effect of supervision and gastric acupuncture on central facial paralysis after stroke.Methods From January 2022 to December 2022,a total of 109 patients with central facial paralysis after stroke were randomly selected in the hospital,who were divided into observation group(56 cases)and control group(53 cases)by random number table method.The control group was treated with Wendan Decoction(温胆汤),and the observation group was combined with supervision and gastric acupuncture on the basis of the control group.TCM syndrome scores,facial nerve function,lip microcirculation status changes and the occurrence of adverse reactions during treatment were compared between the two groups.Results After treatment,the TCM syndrome scores of patients with facial paralysis in the observation group were lower than those in the control group(P<0.05).After treatment,the proportions of hairpin vessels,aligned vessels and linear flow vessels in the observation group were higher than those in the control group(P<0.05).After treatment,the score of House-Brackmann Scale(H-B)and facial electromyographic amplitude in the observation group were higher than those in the control group(P<0.05),and the facial electromyographic latency was shorter than that in the control group(P<0.05).There was no difference in the incidence of adverse reactions between two groups(P>0.05).Conclusion The combination of supervision and gastric acupuncture combined with Wendan Decoction is a very effective combination of traditional Chinese and Western medicine therapy,which is worth promoting.In the treatment of central facial paralysis after stroke,the therapy can improve the neurological function of patients,reduce muscle paralysis and improve the prognosis of patients.

关 键 词：中风后中枢性面瘫 调督和胃针法 温胆汤加减 疗效 口唇微循环状态 神经功能 

分 类 号：R255.2[医药卫生—中医内科学]