以不同的检测方法验证针刺治疗难治性面瘫的疗效  

Efficacy Verification of Acupuncture Treatment for Refractory Facial Paralysis Using Different Detection Methods

作　　者：许萍萍 潘宾[2] 胡梦飞 杨骏[2] XU Pingping;PAN Bin;HU Mengfei;YANG Jun(Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210022,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)

机构地区：[1]南京中医药大学附属南京中医院,江苏南京210022 [2]安徽中医药大学第一附属医院,安徽合肥230031

出　　处：《针灸临床杂志》2025年第1期36-40,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：杨骏全国名中医传承工作室,编号:皖中医药发展秘[2022]19号;安徽中医药大学临床科研项目,编号:2021yfylc33。

摘　　要：目的:研究以不同检测方法作为切入点,对针刺在难治性面瘫中的应用效果进行验证。方法:将60例符合纳入标准的难治性面瘫患者,随机分为治疗组与对照组各30例,两组均接受西药口服治疗,治疗组在此基础上予以针刺治疗,治疗1次/d,5次/周,两周为1个疗程,共治疗两个疗程。分别于治疗前及治疗4周时比较H-B面神经功能分级、表面肌电和红外热像仪指标,并评价两组临床疗效,记录不良事件发生情况。结果:最终纳入患者统计共有56例,治疗组29例,对照组27例。经治疗,两组患者的H-B面神经功能分级较治疗前呈显著提升趋势,差异有统计学意义(P<0.05);表面肌电患健侧波幅比值较治疗前增加(P<0.05);TMT医用红外热像仪健患侧温度差异较前降低,差异有统计学意义(P<0.05);治疗组总有效率为89.66%(26/29),对照组为44.44%(12/27),治疗组优于对照组,差异有统计学意义(P<0.05)。治疗组不良事件的发生率为3.45%(1/29),对照组发生率为3.70%(1/27),两组比较差异无统计学意义(P>0.05)。结论:针刺治疗顽固性面瘫疗效肯定,可有效地改善患者面神经功能和临床症状。Objective:To verify the efficacy of acupuncture in treating refractory facial paralysis using different detection methods.Methods:60 patients with refractory facial paralysis,who met the inclusion criteria,were randomly divided into the treatment group and the control group,with 30 patients in each group.Both groups received oral administration of Western medication;on which basis,the treatment group was also treated with acupuncture,once a day,five times a week for four weeks.The grade of H-B facial nerve function,surface electromyography(sEMG),infrared thermal imager indicators were compared between before and after four weeks of treatment in the two groups.The clinical efficacy was evaluated,and the occurrence of adverse events was recorded in the two groups.Results:A total of 56 cases were finally included,29 in the treatment group and 27 in the control group.The grade of H-B facial nerve function was significantly improved(P<0.05),the ratio of amplitude of the affected side of the sEMG was increased(P<0.05),and the temperature difference between the healthy and affected sides was decreased after the treatment in the two groups(P<0.05).The total effective rate was 89.66%(26/29)in the treatment group,which was significantly higher than 44.44%(12/27)in the control group(P<0.05).The occurrence of adverse events was 3.45%(1/29)in the treatment group and 3.70%(1/27)in the control group,with no statistically significant difference observed between the two groups(P>0.05).Conclusion:Acupuncture treatment for refractory facial paralysis is highly effective,which can effectively improve facial nerve function and clinical symptoms in the patients.

关 键 词：难治性面瘫 针刺 H-B量表 表面肌电 红外热像仪 

分 类 号：R246.6[医药卫生—针灸推拿学]