首页|蝶腭神经节刺激术结合传统保守疗法治疗中重度周围性面瘫的临床研究

蝶腭神经节刺激术结合传统保守疗法治疗中重度周围性面瘫的临床研究

The clinical research of therapy of acu-stimulation in sphenopalatine ganglion combined with traditional conservative treatment in the treatment of moderate to severe peripheral facial paralysis

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目的:探讨蝶腭神经节刺激术结合传统保守疗法对中重度周围性面瘫的临床疗效.方法:选取 2020年 5月—2022 年 3 月上海市嘉定区中医医院收治的中重度周围性面瘫患者 72 例,随机分为两组.保守组接受激素、神经营养剂、康复及传统中医针灸治疗等;观察组在保守组基础上,予蝶颚神经节针刺疗法;两组均隔日治疗 1次,治疗 4周.治疗前后采用House-Brackmann(H-B)面神经功能分级量表、眼轮匝肌和口轮匝肌波幅、面部残疾指数(FDI)、简明生活质量评价量表(SF-36)比较两组患者症状改善情况以及检测免疫球蛋白水平并比较.结果:两组治疗后面神经功能分级、眼轮匝肌和口轮匝肌波幅、FDI、SF-36 和免疫球蛋白水平均较治疗前显著改善(P＜0.05),且观察组均显著优于保守组(P＜0.05).结论:蝶腭神经节刺激术结合传统保守疗法能有效改善中重度周围性面瘫患者面神经功能,提高生活质量.
Objective:To explore the clinical effects of therapy of acu-stimulation in sphenopalatine ganglion combined with traditional conservative treatment in the treatment of moderate to severe peripheral facial paralysis.Methods:Seventy-two patients with moderate to severe peripheral facial paralysis treated in the Acupuncture and Massage Rehabilitation Department of Jiading Hospital of Traditional Chinese Medicine in Shanghai from May 2020 to March 2022 were selected and randomly divided into two groups.The conservative group was treated with hormone,neurotrophic agents,rehabilitation and traditional Chinese acupuncture and moxibustion,while the observation group was treated with therapy of acu-stimulation in sphenopalatine ganglion on the basis of the conservative group;both groups were treated once every other day for four weeks.Before and after treatment,improvement of symptoms and immunoglobulin level were analyzed and compared with the House-Brackmann(H-B)facial nerve function rating scale,orbicularis oculi and orbicularis oris muscle amplitude,facial disability index(FDI)score,brief quality of life rating scale(SF-36).Results:The facial nerve function grade,orbicularis oculi and orbicularis oris muscle amplitude,FDI,SF-36 and immunoglobulin levels in both groups were significantly improved after treatment(P<0.05);the observation group was significantly better than the conservative group(P<0.05).Conclusion:Therapy of acu-stimulation in sphenopalatine ganglion combined with traditional conservative treatment can effectively improve facial nerve function and improve the quality of life of patients with moderate to severe peripheral facial paralysis.

peripheral facial paralysisBell's palsyacupuncture and moxibustionsphenopalatine ganglionfacial nerve function

李英、邴兴红、吴军、孙吉雅、杨一帆、缪新群、赵海龙

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上海市嘉定区中医医院针推康复科,上海 201899

上海市嘉定区中心医院康复医学科,上海 201899

周围性面瘫 贝尔麻痹 针灸 蝶腭神经节 面神经功能

上海市嘉定区公立医院改革与高质量发展示范项目-针推科诊疗中心上海市嘉定区公立医院改革与高质量发展示范项目"疁城杏林"人才培养计划上海市嘉定区卫生健康委员会科研项目

JDLCXLQNXZ-242022-KY-22

2024

上海医药
上海医药行业协会

上海医药

影响因子：0.781
ISSN：1006-1533
年,卷(期)：2024.45(16)
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