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电针治疗面神经炎的疗效观察

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目的 观察"揣穴促通"电针法治疗面神经炎的近期与远期疗效.方法 将 80 例面神经炎患者,随机分为观察组和对照组,每组 40 例.两组均予基础治疗,对照组于发病第 7 天采用传统电针分期治疗,观察组根据发病第7 天表面肌电图检查结果判断神经受损程度进行"揣穴促通"电针分期治疗.在发病第7 天、30天、60 天、90 天对患者进行自拟症状评分量表、多伦多面神经评定系统(Sunnybrook facial grading system,SFGS)、面部残疾指数躯体功能(facial disability index physical function,FDIP)和面部残疾指数社会功能(facial disability index social function,FDIS)进行评分.在发病第7天、30天观察表面肌电图[面神经分支混合肌肉动作电位(compound muscle action potential,CMAP)振幅、F数据与曲线、瞬目反射]变化;在发病90天,比较两组临床疗效及后遗症情况.结果 两组治疗后各时间点自拟症状评分量表、SFGS、FDIP 和 FDIS 评分与发病第 7 天比较,差异有统计学意义(P<0.05).观察组发病第 30 天FDIP评分高于对照组(P<0.05);观察组发病第 90 天SFGS评分高于对照组,FDIS评分低于对照组,差异有统计学意义(P<0.05);观察组发病第 90 天与发病第7天FDIS评分的差值高于对照组,差异有统计学意义(P<0.05).两组治疗后表面肌电图数据均优于治疗前(P<0.05),组间比较差异无统计学意义(P>0.05).观察组痊愈率为 95.0%,对照组痊愈率为 65.0%,两组比较差异有统计学意义(P<0.05).观察组后遗症发生率为 2.5%,对照组后遗症发生率为 17.5%,差异有统计学意义(P<0.05).结论 在基础治疗的基础上,"揣穴促通"电针法较传统电针法治疗面神经炎疗效更佳,能显著改善患者的近期躯体功能和后期社会生活功能.
Therapeutic efficacy observation of electroacupuncture in the treatment of facial neuritis
Objective To observe the immediate and long-term therapeutic effects of the Chuaixue-Cutong electroacupuncture in the treatment of facial neuritis.Method A total of 80 patients with facial neuritis were randomly divided into the observation group and the control group,with 40 cases in each group.Both groups were given basic treatment,the control group was treated with traditional electroacupuncture staged treatment on the 7th day of the onset of the disease,while in the observation group,the degree of nerve damage was determined according to the results of surface electromyography on the 7th day of the onset of the disease and thus Chuaixue-Cutong electroacupuncture staged treatment was carried out.On the 7th,30th,60th and 90th days after the onset of the disease,the patients were assessed by the self-developed symptom rating scale,Sunnybrook facial grading system(SFGS),facial disability index physical function(FDIP)and facial disability index social function(FDIS).The changes of surface electromyography(amplitude of compound muscle action potential(CMAP),F data and curve,and nictitating reflex of facial nerve branches)were observed on the 7th and 30th days after the onset of the disease;on the 90th day after the onset of the disease,the clinical efficacy and sequelae of the two groups were compared.Result The self-developed symptom rating scale,SFGS,FDIP and FDIS scores of the two groups at each time point after treatment were statistically significant when compared with those of the 7th day of the onset of the disease(P<0.05);the FDIP score of the observation group was higher than that of the control group on the 30th day of the onset of the disease(P<0.05);on the 90th day of the onset of the disease,the SFGS score of the observation group was higher than that of the control group,and the FDIS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The change in the FDIS score from the 7th day to the 90th day of onset in the observation group was more notable than that in the control group,and the difference was statistically significant(P<0.05).The surface electromyography data of both groups were better than that before treatment(P<0.05),and the difference between groups was not statistically significant(P>0.05).The recovery rate was 95.0% in the observation group and 65.0% in the control group,and the difference between the two groups was statistically significant(P<0.05).The incidence of sequelae was 2.5% in the observation group and 17.5% in the control group,the difference was statistically significant(P<0.05).Conclusion On the basis of basic treatment,Chuaixue-Cutong electroacupuncture method is more effective than traditional electroacupuncture method in the treatment of facial neuritis,which can significantly improve patients'immediate physical function and later social life function.

ElectroacupunctureAcupuncture-medication combinedFacial nerve diseaseFacial neuritisSurface electromyographyNeuromuscular anatomy

苏秋菊、吴雪燕

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南京医科大学附属无锡人民医院,南京医科大学无锡医学中心,无锡 214023

电针 针药并用 面神经疾病 面神经炎 表面肌电图 神经肌肉解剖

2025

上海针灸杂志
福建省水利学会

上海针灸杂志

影响因子:1.273
ISSN:1005-0957
年,卷(期):2025.44(1)