电兴奋与周围性面瘫预后相关性的研究  

A Study on the Correlation Between Electrical Excitability and the Prognosis of Peripheral Facial Paralysis

作　　者：郑毅 李珊珊 方筱钦 徐世芬[1] 宓轶群[1] ZHENG Yi;LI Shanshan;FANG Xiaoqin;XU Shifen;MI Yiqun(Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属市中医医院,上海200071

出　　处：《世界科学技术-中医药现代化》2024年第11期2822-2829,共8页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：上海市卫生健康委员会中医药传承创新发展三年行动计划[ZY(2021-2023)-0204-04]:中医非药物疗法示范中心建设,负责人:宓轶群。

摘　　要：周围性面瘫明确面神经损伤程度,对判断预后和治疗方案的选择有重要指导意义。电生理检查已广泛用于周围性面瘫的预后推断,神经兴奋性试验作为电生理检查的方法之一,相对于神经电图和肌电图更易于被患者接受。而电针治疗周围性面瘫时,根据电兴奋性观察面部肌群随电流频率收缩的幅度,同样可得到可靠的预后评价。电针电兴奋性和神经兴奋性试验概称为电兴奋,二者检查原理类似,都是通过电兴奋来检测周围性面瘫的面神经损伤情况,进而推断该病的预后。但是,电兴奋相关的研究较少,尚未在临床广泛运用。本文收集整理了近20年来相关的文献,从电兴奋的认识、电针电兴奋性、神经兴奋性试验等方面全面梳理电兴奋与周围性面瘫预后相关性的研究,以期提高临床对电兴奋的重视,为临床研究和应用提供重要参考。Clarifying the degree of facial nerve injury in peripheral facial paralysis(PFP)is crucial for predicting prognosis and selecting treatment plans.Electrophysiological tests have been widely used for prognostic inference of PFP.As one of the methods of electrophysiological tests,nerve excitability test(NET)is more easily accepted by patients compared to electroneurography(ENoG)and electromyography(EMG).When treating PFP with electroacupuncture(EA),observing the contraction amplitude of facial muscle group with varying current frequency based on electrical excitability can also provide a reliable prognostic evaluation.The EA excitability and NET are collectively referred to as electrical excitability.The principles of both tests are similar,as they detect facial nerve damage in PFP through electrical excitability and infer the prognosis of the disease.However,there is limited research on electrical excitability and it has not yet been widely used in clinical practice.This article collects and organizes relevant literature in the past 20 years,comprehensively reviewing studies on the correlation between electrical excitability and the prognosis of PFP from the aspects of understanding of electrical excitability,EA excitability,NET,etc.,in order to improve the clinical attention to electrical excitability and provide important references for clinical research and application.

关 键 词：周围性面瘫 电针 电兴奋性 神经兴奋性试验 预后 

分 类 号：R277.7[医药卫生—中医学]