首页|温针灸联合中药穴位贴敷干预对风寒袭络型周围性面瘫患者面神经功能的影响

温针灸联合中药穴位贴敷干预对风寒袭络型周围性面瘫患者面神经功能的影响

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目的 探讨温针灸联合中药穴位贴敷干预对风寒袭络型周围性面瘫患者面神经功能的影响.方法 选择2021年10月—2023年10月六盘水市钟山区人民医院收治的60例风寒袭络型周围性面瘫患者为研究对象,按随机数字表法将其分为对照组和观察组,各30例.对照组采用常规方法治疗,观察组在对照组基础上增加温针灸联合中药穴位贴敷治疗.比较两组的中医证候积分、多伦多(Sunnybrook)面神经评分、面动脉收缩期峰值流速(Vs)、面动脉舒张末期流速(Vd)、面动脉阻力指数(RI)、面部功能障碍指数(FDI).结果 治疗2个疗程后,观察组口眼歪斜、眼裂增大、患侧额纹消失、眼睑难以闭合评分均较对照组低,Sunnybrook评分较对照组高,面动脉Vs、面动脉Vd较均对照组快,面动脉RI水平较对照组低,FDI评分较对照组高,组间差异有统计学意义(P<0.05).结论 温针灸联合中药穴位贴敷干预对风寒袭络型周围性面瘫患者面神经功能的恢复具有促进作用,同时能改善面部血液循环,减轻症状和面瘫程度.
Effect of Warming Acupuncture and Moxibustion Combined with Acupoint Application of Traditional Chinese Medicine on Facial Nerve Function in Patients with Peripheral Facial Paralysis of Wind Cold Attacking Collateral Type
Objective To explore the effect of warming acupuncture and moxibustion combined with acupoint application of traditional Chinese medicine on facial nerve function in patients with peripheral facial paralysis of wind cold attacking collateral type. Methods Selecting 60 patients with peripheral facial paralysis of wind cold attacking collateral type admitted to Zhongshan District People's Hospital in Liupanshui City from October 2021 to October 2023 as the research subjects,divide them into a control group and an observation group using a random number table method,with 30 cases in each group. The control group was treated with conventional methods,while the observation group added warming acupuncture and moxibustion combined with acupoint application of traditional Chinese medicine on the basis of the control group. Compare the traditional Chinese medicine syndrome scores,Sunnybrook Facial Nerve Score,peak systolic velocity (Vs) of facial artery,end diastolic velocity (Vd) of facial artery,resistance index (RI) of facial artery,and Facial dysfunction Index (FDI) between two groups. Results After two courses of treatment,the observation group had lower scores in terms of mouth and eye deviation,increased eye fissures,disappearance of affected frontal folds,and difficulty in closing eyelids compared to the control group,the Sunnybrook score was higher than that of the control group,the Vs and Vd of facial artery were faster than those in the control group,the RI of facial artery level was lower than that of the control group,FDI score was higher than that in the control group,the differences between groups were statistically significant (P<0.05). Conclusion Warm acupuncture and moxibustion combined with acupoint application of traditional Chinese medicine intervention can promote the recovery of facial nerve function in patients with peripheral facial paralysis of wind cold attacking collateral type,improve facial blood circulation,reduce symptoms and facial paralysis degree.

Peripheral facial paralysisWind cold attacking collateral typeWarming acupuncture and moxibustionAcupoint application of traditional Chinese medicineFacial nerve function

赵道先、蒋艳

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六盘水市钟山区人民医院中医科,贵州六盘水 553000

周围性面瘫 风寒袭络型 温针灸 中药穴位贴敷 面神经功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)