经筋刺联合加兰他敏穴位注射治疗顽固性面瘫临床研究  

Clinical Study on Meridian-Sinew Acupuncture Combined with Galantamine Acupoints Injection in Treatment of Refractory Facial Paralysis

作　　者：王荣芸 李佩芳[2] 葛逊 洪凌祥 冯建伟 WANG Rongyun;LI Peifang;GE Xun;HONG Lingxiang;FENG Jianwei(Anhui University of Chinese Medicine,Hefei 230038,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《针灸临床杂志》2025年第4期24-28,共5页Journal of Clinical Acupuncture and Moxibustion

基　　金：安徽省临床医学研究转化专项项目,编号:皖科社秘[2023]310号;安徽省名老中医李佩芳传承工作室建设项目,编号:皖卫中医药发[2019]8号;安徽省第13批“115”产业创新团队“针药结合防治脑病产业创新团队”项目,编号:皖人才办[2020]4号。

摘　　要：目的:观察经筋刺联合加兰他敏穴位注射治疗顽固性面瘫患者的临床疗效。方法:选取96例顽固性面瘫患者根据其治疗方法的不同,将普通针刺的患者纳入对照1组,进行经筋刺治疗的患者纳入对照2组,进行经筋刺联合加兰他敏穴位注射治疗的患者纳入观察组,每组32例,1次/2 d,10次为1个疗程,共治疗3个疗程。比较3组患者治疗前后的House-Brackmann(H-B)分级情况、眼轮匝肌和口轮匝肌的波幅(Amp)及潜伏期(Lat)在肌电图(EMG)中的变化,观察3组患者治疗前后的临床疗效差异。结果:治疗前3组患者H-B分级及面部肌电图检查差异均无统计学意义(P>0.05),治疗后3组患者H-B分级整体比较均较前降低,组间观察差异有统计学意义(P<0.05),观察组的H-B分级明显优于对照1组和对照2组,差异具有统计学意义(P<0.01);3组患者的患侧眼轮匝肌、口轮匝肌在治疗后均表现出波幅升高、潜伏期缩短,差异有统计学意义(P<0.05),观察组在改善面肌电图波幅、潜伏期方面更为明显,差异具有统计学意义(P<0.01);观察组、对照1组和对照2组治疗总有效率分别为93.75%(30/32)、87.50%(28/32)和87.50%(28/32),观察组临床疗效优于对照1组和对照2组,差异具有统计学意义(P<0.05)。结论:在常规疗法的基础上加用经筋刺联合加兰他敏穴位注射治疗顽固性面瘫患者具有良好的临床效果,可有效减轻面神经损伤程度,改善面部功能和神经兴奋的传导,促进面部功能的恢复,在治疗顽固性面瘫方面临床疗效显著。Objective:To observe the clinical effect of meridian-sinew acupuncture combined with Galantamine acupoints injection in treatment of refractory facial paralysis.Methods:The clinical data of 96 patients with refractory facial paralysis was selected.The patients who received ordinary acupuncture were included in the control group 1,the patients who received meridian-sinew acupuncture were included in the control group 2,and the patients who received-meridian sinew acupuncture combined with Galantamine acupoints injection were included in the observation group.Each group had 32 patients,and they were treated every other day.Ten treatments were considered as one course,and the groups were treated for a total of three courses.The House-Brackmann(H-B) grading,the amplitude(Amp) and latency(Lat) of orbicularis oculi and orbicularis oris in electromyography(EMG) were observed before and after the treatment in the three groups.The differences in clinical effects were also observed among the three groups.Results:There were no statistical differences in H-B grading and facial EMG examination among the three groups before the treatment(P>0.05);after the treatment,the H-B grading decreased in the three groups,and there were statistically significant differences among the groups(P<0.05);the H-B grading in the observation group was significantly better than that in the control group 1 and the control group 2(P<0.01).The amplitude of orbicularis oculi and orbicularis oris increased and the latency shortened after the treatment in the three groups(P<0.05);the improvements in EMG amplitude and latency were more significant than the other two groups(P<0.01).The total effective rate was 93.75%(30/32) in the observation group,87.50%(28/32) in the control group 1,and 87.50%(28/32) in the control group 2;the clinical effect of the observation group was better than that of the control group 1 and the control group 2(P<0.05).Conclusion:On the basis of conventional therapy,the combination of meridian-sinew acupuncture and Galantamine acup

关 键 词：顽固性面瘫 经筋刺 穴位注射 加兰他敏 H-B分级 

分 类 号：R246.6[医药卫生—针灸推拿学]