药线点灸联合针刺治疗卒中后中枢性面瘫患者的效果  

Effects of medicated thread moxibustion combined with acupuncture on patients with central facial paralysis after stroke

作　　者：徐晴 林兴成 林世达 张家艳 曾春英 XU Qing;LIN Xingcheng;LIN Shida;ZHANG Jiayan;ZENG Chunying(Lingshan County People’s Hospital,Department of Traditional Chinese Medicine,Qinzhou 535400 Guangxi,China;Lingshan County People’s Hospital,Department of Neurology,Qinzhou 535400 Guangxi,China)

机构地区：[1]灵山县人民医院中医科,广西钦州535400 [2]灵山县人民医院神经内科,广西钦州535400

出　　处：《中国民康医学》2025年第5期122-124,131,共4页Medical Journal of Chinese People’s Health

基　　金：药线点灸结合针刺治疗脑卒中后中枢性面瘫的临床研究(20223627)。

摘　　要：目的:观察药线点灸联合针刺治疗卒中后中枢性面瘫患者的效果。方法:选取2022年12月至2023年12月该院收治的100例卒中后中枢性面瘫患者进行前瞻性研究,采用随机数字表法将其分为对照组与观察组各50例。对照组采用针刺联合悬灸治疗,观察组采用药线点灸联合针刺治疗,比较两组临床疗效,治疗前后面神经功能[House-Brackmann(H-B)面神经功能分级]、疾病严重程度[面部残疾指数(FDI)]评分,以及不良反应发生率。结果:观察组治疗总有效率为90.00%(45/50),高于对照组的74.00%(37/50),差异有统计学意义(P<0.05);治疗后,两组H-B面神经功能分级均优于治疗前,且观察组优于对照组,差异有统计学意义(P<0.05);治疗后,两组躯体功能评分均高于治疗前,且观察组高于对照组,两组社会生活功能评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:药线点灸联合针刺治疗卒中后中枢性面瘫患者可提高治疗总有效率,改善面瘫痪分级与疾病严重程度评分的效果优于针刺联合悬灸治疗。Objective:To observe effects of medicated thread moxibustion combined with acupuncture in treatment of patients with central facial paralysis after stroke.Methods:A prospective study was conducted on 100 patients with central facial paralysis after stroke admitted to this hospital from December 2022 to December 2023.They were divided into control group and observation group by using the random number table method,50 cases in each group.The control group was treated with acupuncture combined with suspended moxibustion,while the observation group was treated with medicated thread moxibustion combined with acupuncture.The clinical efficacy,the facial nerve function before and after the treatment [House-Brackmann(H-B) facial nerve function grading],the disease severity [facial disability index(FDI)] score,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the observation group was 90.00%(45/50),which was higher than 74.00%(37/50) in the control group,and the difference was statistically significant(P<0.05).After the treatment,the H-B facial nerve function of the two groups were better than those before the treatment,that in the observation group was better than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the physical function scores of the two groups were higher than those before the treatment,and that in the observation group was higher than that in the control group;the social life function scores of the two groups were lower than those before the treatment,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Medicated thread moxibustion combined with acupuncture can improve the total effective rate of treatment,the facial nerve function and the disease severity scores in the pati

关 键 词：卒中 中枢性面瘫 药线点灸 针刺 面神经功能分级 疾病严重程度 不良反应 

分 类 号：R246[医药卫生—针灸推拿学]