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温针灸联合甲钴胺治疗周围性面瘫疗效研究

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目的 观察联合应用温针灸、甲钴胺治疗周围性面瘫(PFP)临床疗效.方法 将我院80例PFP患者随机分为治疗组与对照组各40例.对照组采用肌肉注射甲钴胺治疗,治疗组采用温针灸联合甲钴胺治疗.比较两组临床总有效率,免疫球蛋白M(IgM)、免疫球蛋白(IgG)、免疫球蛋白A(IgA),患侧额肌运动单位M波潜伏期、M波波幅、电位波幅,中医症状评分、临床面部评价量表(FACE)及随访3个月复发率.结果 治疗后,治疗组总有效率高于对照组(P<0.05);两组IgM、IgG、IgA、额肌运动单位M波潜伏期、中医症状评分低于治疗前,治疗组IgM、IgG、IgA、额肌运动单位M波潜伏期、中医症状评分低于对照组(P<0.05);两组M波波幅、电位波幅、FACE量表评分高于治疗前;治疗组M波波幅、电位波幅、FACE量表评分高于对照组(P<0.05);随访3个月治疗组复发率低于对照组(P<0.05).结论 应用温针灸联合甲钴胺治疗PFP,能显著调整患者免疫功能,改善额肌肌电活动和中医症状,降低复发率,提升疗效.
Study on the efficacy of warm acupuncture combined with methylcobalamin in treatment of peripheral facial paralysis
Objective To observe the clinical efficacy of warm acupuncture combined with methylcobalamin in treatment of peripheral facial paralysis(PFP).Methods Eighty PFP patients were randomly divided into treatment group and control group,with 40 cases in each group.Control group was treated with intramuscular methylcobalamin,while treatment group was treated with warm acupuncture on the basis of control group.The total clinical effective rate,immunoglobulin M(IgM),im-munoglobulin(IgG),immunoglobulin A(IgA),M wave latencies,M wave amplitude,potential amplitude,TCM symptom score,and clinical facial evaluation scale(FACE)were compared between the two groups and the recurrence rate was recorded at 3 months of follow-up.Results After treatment,the total effective rate of treatment group was higher than that group(P<0.05);the scores of IgM,IgG,IgA,frontalis motor unit M wave latency and TCM symptoms in both groups were lower than those before treatment,which were lower in treatment group than control group(P<0.05);the scores of M wave amplitude,potential amplitude and FACE scale in both groups were higher than those before treatment,which were higher in treatment group than control group(P<0.05).After 3 months of follow-up,the recurrence rate of treatment group was lower than control group(P<0.05).Conclusion Warm acupuncture combined with methylcobalamin can significantly adjust the immune function of patients,improve the frontal muscle electromyoelectric activity and TCM symptoms in treatment of PFP,reduce the recurrence rate,and improve the curative effect.

Peripheral facial paralysisWarm acupunctureMethylcobalamin

范正鹏、田丰玮、潘瑜、曹明星

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湖南中医药大学,湖南长沙 410208

重庆市中医院,重庆 400020

周围性面瘫 温针灸 甲钴胺

重庆市科卫联合医学科研项目

2022MSXM161

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(2)
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