可视化翳风穴位注射联合星状神经节阻滞治疗贝尔面瘫的临床疗效观察  

Clinical observation on treatment of facial paralysis of Bell by point injection of Yifeng combined with stellate gan-glion block

作　　者：王罡[1] 熊开玲 谯朗[1] 毛林[1] 王超[1] 曾月 WANG Gang;XIONG Kailin;QIAO Lang(Sichuan integrated traditional Chinese and Western medicine hospital,Chengdu 610041,China)

机构地区：[1]四川省中西医结合医院,四川成都610041

出　　处：《四川中医》2025年第4期104-108,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：四川省中医药管理局科研课题(编号:2021MS323);国家中医药管理局全国名老中医药专家传承工作室建设项目[国中医药人教函(2022)75号]。

摘　　要：目的:观察可视化翳风穴位注射联合超声引导下星状神经节阻滞治疗贝尔面瘫的疗效及安全性。方法:将符合纳入标准的64例面瘫患者随机分为对照组和观察组各32例,对照组在常规口服药物基础上联合传统盲法操作星状神经节阻滞治疗,观察组在超声引导下行可视化翳风穴位注射及星状神经节阻滞治疗。两组患者分别在治疗前、治疗第1周结束时、治疗第2周结束时进行面神经功能评估,在治疗第2周结束后进行疗效评估和安全性分析。结果:观察组在治疗第1周、治疗第2周结束时面神经功能评估均优于对照组(P<0.05);疗程结束时,观察组总有效率96.87%,明显优于对照组78.12%(P<0.05);安全性方面,观察组仅有1例出现声音嘶哑症状,未出现任何全身不适症状,而对照组有7例声音嘶哑、3例上肢症状以及多例全身症状,主要表现为血糖、血压升高,消化道不适及睡眠障碍等。结论:超声引导下可视化翳风穴位注射联合星状神经节阻滞治疗贝尔氏面瘫较传统方法疗效更佳,安全性更优。Objective:To observe the efficacy and safety of ultrasound-guided stellate ganglion block combined with Yifeng acupoint injection in the treatment of Bell's facial paralysis.Methods:64patients with facial paralysis were randomly divided into control group(n=32)and observation group(n=32).The control group was treated with stellate ganglion block on the basis of routine oral medication,the observation group was treated with stellate ganglion block and Yifeng point injection under the guid-ance of ultrasound.The facial nerve function was evaluated before treatment,at the end of the first week and at the end of the sec-ond week,and the efficacy and safety were evaluated at the end of the second week.Results:The evaluation of facial nerve function in the observation group was superior to that in the control group(P<0.05)at the end of the first week and the second week of treatment,and the total effective rate was 96.87%in the observation group at the end of the treatment course,the safety was 78.12%(P<0.05)higher than that of the control group,in the control group,there were 7cases of hoarseness,3cases of upper extremity symptoms and many cases of systemic symptoms,mainly manifested as elevated blood glucose,blood pressure,digestive tract discomfort and sleep disorders.Conclusion:The stellate ganglion block and Yi feng point injection under the guidance of ul-trasound is more effective and safer than the traditional method in the treatment of Bell's palsy.

关 键 词：超声引导 星状神经节阻滞 翳风穴位注射 贝尔氏面瘫 

分 类 号：R245[医药卫生—针灸推拿学]