西药联合揿针结合热敏灸治疗周围性面瘫44例疗效观察  

Observation on the Therapeutic Effect of 44 Cases of Peripheral Facial Paralysis Treated with Western Medicine Combined with Acupressure and Thermosensitive Moxibustion

作　　者：韩淑萍 余鹏 周燕弟 HAN Shuping;YU Peng;ZHOU Yandi(Nanchang Xinjian District People's Hospital,Nanchang 330100,China)

机构地区：[1]南昌市新建区人民医院,江西南昌330100

出　　处：《中国民族民间医药》2025年第8期110-113,共4页Chinese Journal of Ethnomedicine and Ethnopharmacy

基　　金：江西省卫生健康委科技计划(课题编号:202211700)。

摘　　要：目的:探究西药联合揿针结合热敏灸治疗周围性面瘫的效果。方法:随机将88例周围性面瘫患者分为两组,各44例。对照组采用常规西药治疗,治疗组加用揿针结合热敏灸。对比两组的疗效、面部残疾指数(FDI)、面神经功能House-Brackmann(HB)评分、面神经肌电图。结果:治疗组总有效率高于对照组(P<0.05)。治疗29 d,两组社会功能评分(FDIS)、HB评分降低,治疗组较低(P<0.05),两组躯体功能评分(FDIP)升高,治疗组比对照组高(P<0.05)。治疗29 d,两组面神经肌电图指标均改善,治疗组优于对照组(P<0.05)。结论:西药联合揿针结合热敏灸可减轻周围性面瘫患者的症状,改善其面部功能,效果显著。Objective To explore the effect of Western medicine combined with acupressure and thermosensitive moxibustion in the treatment of peripheral facial paralysis.Method 88 patients were randomly divided into two groups,with 44 patients in each group.The control group received conventional Western medicine treatment,while the treatment group received a combination of acupressure and thermosensitive moxibustion.Compare the efficacy,facial disability index(FDI),House Brackmann(HB)score of facial nerve function,and facial nerve electromyography between two groups of patients.Result The total effective rate of the treatment group was higher than that of the control group(P<0.05).After 29 days of treatment,the social function scores(FDIS)and HB scores of both groups decreased,with the treatment group having a lower score(P<0.05).The physical function scores(FDIP)of both groups increased,with the treatment group being higher than the control group(P<0.05).After 29 days of treatment,both groups showed improvement in facial nerve electromyography indicators,with the treatment group outperforming the control group(P<0.05).Conclusion The combination of Western medicine and acupressure combined with thermosensitive moxibustion can alleviate symptoms and improve facial function in patients with peripheral facial paralysis,with significant effects.

关 键 词：周围性面瘫 揿针 热敏灸 肌电图 面部残疾 

分 类 号：R246[医药卫生—针灸推拿学]