首页|归芍地黄汤加减治疗周围性面瘫急性期的临床研究

归芍地黄汤加减治疗周围性面瘫急性期的临床研究

Clinical Study on the Treatment of Acute Phase of Peripheral Facial Paralysis by Guishao Dihuang Decoction

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目的:探讨归芍地黄汤治疗周围性面瘫急性期的疗效.方法:在本院收治的周围性面瘫急性期患者中,抽取2021年5月至2022年5月的60例,随机分为对照组和观察组,各30例,两组均予以针灸常规治疗,观察组在此基础上加以归芍地黄汤加减治疗.、比较两组的治疗效果,治疗前后中医症候积分、面神经功能评分,面瘫生活质量变化以及不良反应.结果:相比对照组,观察组治疗有效率更高(P<0.05).与治疗前相比,治疗后两组中医证候积分均下降,H-B评分均上升,观察组中医证候积分比对照组低,H-B评分比对照组高(P<0.05).与治疗前相比,治疗后两组FDI评分中的躯体功能评分均上升,社会生活功能评分均下降,观察组躯体功能评分比对照组高,社会生活功能评分比对照组低(P<0.05).两组不良反应无明显差异(6.67%VS 10.00%,P=0.640).结论:周围性面瘫急性期加用归芍地黄汤加减治疗的效果更好,症状及面神经功能能得到更好改善,患者的躯体功能及社会生活质量更好,且不良反应较少,具有一定的临床应用价值.
Objective:To investigate the curative effect of Guishao Dihuang Decoction on acute stage of peripheral facial paralysis.Methods:From May 2021 to May 2022,60 patients with acute peripheral facial paralysis were selected and randomly divided into control group and observation group,with 30 cases in each group.Both groups were given routine acupuncture treatment,and observation group was treated with Guishao Dihuang Decoction on this basis.The treatment effect,TCM syndrome score,facial nerve function score,quality of life change and adverse reactions of facial paralysis were compared between the two groups.Results:Compared with the control group,the effective rate of the observation group was higher(P<0.05).Compared with before treatment,TCM syndrome score decreased and H-B score increased in both groups after treatment.TCM syndrome score in observation group was lower than that in control group,and H-B score was higher than that in control group(P<0.05).Compared with before treatment,after treatment,the scores of physical function in the FDI scores of both groups increased,and the scores of social life function decreased.The scores of physical function in the observation group were higher than those in the control group,but the scores of social life function were lower than those in the control group(P<0.05).There was no significant difference in adverse reactions between the two groups(6.67%VS 10.00%,P=0.640).Conclusion:Guishao Dihuang Decoction in acute stage of peripheral facial paralysis has better effect,symptoms and facial nerve function can be better improved,the patients'physical function and social life quality are better,and the adverse reactions are less,which has certain clinical application value.

Guishao Dihuang DecoctionPeripheral Facial ParalysisAcute StageClinical Effect

黄宏钦、陈廷渠、陈志贤、张伯佳

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普宁华侨医院(广东普宁 515300)

归芍地黄汤 周围性面瘫 急性期 临床疗效

揭阳市医学科学技术研究立项项目

44011120210957K

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(2)
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