疏风散邪针法联合推拿治疗面瘫的效果及对面神经肌电图的影响  

Effect of Dispersing Wind and Evils Acupuncture Therapy Combined with Tuina in Treatment ofF acial Paralysis and The Influence on Facial Nerve Electromyogram

作　　者：余月飞 金霞 应俊 金瑛 YU Yuefei;JIN Xia;YING Jun;JIN Ying(Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China;Zhejiang Medical Health Quzhou Hospital,Quzhou 324004,Zhejiang,China;Quzhou Hospital of Traditional Chinese Medicine,Quzhou 324000,Zhejiang,China)

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]浙医健衢州医院,浙江衢州324004 [3]衢州市中医医院,浙江衢州324000

出　　处：《辽宁中医杂志》2025年第2期149-152,共4页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的研究疏风散邪针法联合推拿治疗面瘫效果及对面神经肌电图的影响。方法选取2021年9月-2022年12月在该院就诊的72例面瘫患者,按随机数字表法分为试验组和对照组,每组36例。对照组采用常规西药治疗,试验组采用疏风散邪针法联合推拿治疗,比较两组患者疗效、面神经肌电图指标、面神经麻痹证状评分和面部残疾指数。结果试验组治疗总有效率高于对照组(P<0.05);治疗后,两组眼轮匝肌、口轮匝肌、鼻肌等处神经传导波幅均有不同程度上升,试验组眼轮匝肌、口轮匝肌、鼻肌等处神经传导波幅均高于对照组(P<0.05);治疗后,两组抬额、皱眉、闭眼等症状评分均有不同程度上升,试验组抬额、皱眉、闭眼等症状评分均高于对照组(P<0.05);治疗后,试验组躯体功能指数量表(facial disability index-physical,FDIP)评分高于对照组,而社会生活功能量表(facial disability index-social,FDIS)评分低于对照组(P<0.05)。结论疏风散邪针法联合推拿治疗面瘫能够显著提高疗效,改善患者面神经肌电图、麻痹症状和预后。Objective To study the effect of dispersing wind and evilsacupuncture therapy combined with Tuinain the treatment of facial paralysis and the influence on facial nerve electromyogram.Methods A total of 72 patients with facial paralysis who were treated in the hospital from September 2021 to December 2022 were selected and divided into the treatment group and the control group by random number table method,with 36 patients in each group.The control group was treated with conventional western medicineand the treatment group was treated withdispersing wind and evilsacupuncture therapy combined with Tuina.Efficacy,facial nerve electromyogram indicators,facial nerve paralysis symptom scores and facial disability indexwere compared between the two groups.Results The total effective rate in the treatment group was higher than that in the control group(P<0.05).After treatment,the nerve conduction amplitudes of orbicularis oculi muscle,orbicularis orismuscle and nasal musclein the two groups increasedand these indicators in the treatment group were greater than those in the control group(P<0.05).After treatment,the scores offorehead lifting,frowningand eye closure in the two groups increased,andthe scores in the treatment group were higher than those in the control group(P<0.05).After treatment,the Facial Disability Index-Physical(FDIP)score of the treatment group was higher than that of the control groupand the Facial Disability Index-Social(FDIS)score was lower than that of the control group(P<0.05).Conclusion Dispersing wind and evilsacupuncture therapy combined with Tuinacan significantly improve the efficacy,the patients′facial nerve electromyogram,paralysis symptoms and the prognosisin the treatment of facial paralysis.

关 键 词：面瘫 疏风散邪针法 面神经功能 面神经肌电图 

分 类 号：R246.6[医药卫生—针灸推拿学]