首页|温针灸联合醋酸泼尼松治疗急性周围性面瘫疗效研究

温针灸联合醋酸泼尼松治疗急性周围性面瘫疗效研究

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目的 观察温针灸联合醋酸泼尼松治疗急性周围性面瘫(APFP)临床疗效.方法 将我院92例APFP患者随机分为对照组与观察组各46例.对照组口服醋酸泼尼松治疗,观察组采用温针灸联合醋酸泼尼松治疗.比较两组临床疗效,病情恢复时间、痊愈时间,症状评分,面部残疾指数(FDI)-社会和躯体评分,House-Brackmann面神经功能分级(H-B),患侧表情肌M波波幅,免疫指标(CD3+、CD4+、CD8+百分率).结果 治疗后,观察组总有效率高于对照组(P<0.05);观察组病情恢复时间、痊愈时间短于对照组(P<0.05);两组症状评分低于治疗前,观察组症状评分低于对照组(P<0.05);两组FDI-社会评分低于治疗前,FDI-躯体评分、患侧表情肌M波波幅高于治疗前,观察组FDI-社会评分低于对照组,FDI-躯体评分、患侧表情肌M波波幅低于对照组(P<0.05);两组H-B评级轻于治疗前,观察组H-B评级低于对照组(P<0.05);两组CD3+、CD4+高于治疗前,CD8+低于治疗前;观察组CD3+、CD4+高于对照组,CD8+低于对照组(P<0.05).结论 温针灸联合醋酸泼尼松治疗APFP疗效较好,提高面神经和患侧表情肌功能,调节免疫功能.
Study on the efficacy of warm acupuncture combined with prednisone acetate in treatment of acute peripheral facial paralysis
Objective To observe the efficacy of warm acupuncture combined with prednisone acetate in treatment of acute peripheral facial paralysis(APFP).Methods A total of 92 patients with APFP were randomly divided into control group and observation group,with 46 cases in each group.Control group was treated with oral prednisone acetate,while observation group was treated with warm acupuncture on the basis of control group.The efficacy,recovery time,recovery time,facial disability index(FDI)-social and somatic scores,House-Brackmann facial nerve function classification(H-B),M wave amplitude of expression muscle on the affected side,and immune indexes(CD3+,CD4+,and CD8+percentages)were compared between the two groups.Results After treatment,the total effective rate of observation group was higher than that of control group(P<0.05);the recovery time and recovery time of observation group were shorter than those of control group(P<0.05);the symptom scores of both groups were lower than those before treatment,which were lower in observation group than control group(P<0.05);the FDI-social score of both groups was lower than that before treatment,which was lower in observation group than control group,while the FDI-somatic score and the M wave amplitude of the affected expressive muscle in both groups were lower than those before treatment,which were lower in observation group than control group(P<0.05);the H-B rating of both groups was lighter than that before treatment,which was lower in observation group than control group(P<0.05);the CD3+and CD44 in both groups were higher than those before treatment,while CD8+was lower,and the above indicators were superior in observation group to those in control group(P<0.05).Conclusion Warm acupuncture combined with prednisone acetate has good efficacy in treatment of APFP,which can improve the function of facial nerve and facial expression muscle,and regulate immune function.

Peripheral facial paralysisAcuteWarm acupuncturePrednisone acetate

王盈心、许书静、孙雯、于来增、韩东燃

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北京中医药大学生命科学学院,北京 100029

北京中医药大学管理学院,北京 100029

山东新中鲁中医医院,山东 济南 250012

周围性面瘫 急性 温针灸 醋酸泼尼松

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(6)