首页|梅花针叩刺联合麦粒灸在难治性周围性面瘫治疗中的应用

梅花针叩刺联合麦粒灸在难治性周围性面瘫治疗中的应用

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目的 探究梅花针叩刺联合麦粒灸在难治性周围性面瘫治疗中的应用效果.方法 研究为前瞻性随机对照研究.将河南省直第三人民医院康复科门诊及病房2021年6月—2022年6月收治的80例难治性周围性面瘫患者纳入研究,根据随机数字表法分为对照组和试验组各40例.对照组采用梅花针叩刺治疗,试验组在对照组的基础上加用麦粒灸,2周为1个疗程,两组均治疗2个疗程.治疗后,根据House-Brackmann(H-B)面神经功能分级量表评估临床疗效;分别于治疗前后,采用面部残疾指数(FDI)评估面部残疾情况、采用Portmann量表评估面部运动情况、采用焦虑自评量表(SAS)评估焦虑程度、采用抑郁自评量表(SDS)评估抑郁程度.结果 治疗后,试验组总有效率高于对照组(P<0.05).治疗前,两组躯体功能(FDIP)、社会生活功能(FDIS)、Portmann、SAS、SDS评分比较,差异均无统计学意义(P>0.05).治疗后,两组FDIP、Portmann评分均较治疗前提高,且试验组评分高于对照组(P<0.05);两组FDIS、SAS、SDS评分均较治疗前降低,试验组上述评分低于对照组(P<0.05).结论 梅花针叩刺联合麦粒灸治疗难治性周围性面瘫的临床效果显著,能有效改善面神经功能,促进患者面部运动功能恢复,减轻面瘫症状,缓解焦虑抑郁情绪.
Application of Plum Blossom Needle Tapping and Wheat Grain Moxibustion in the Treatment of Refractory Peripheral Facial Paralysis
Objective To explore the application effect of plum blossom needle tapping and wheat grain moxibustion in the treatment of refractory peripheral facial paralysis.Methods This study was a prospective randomized controlled study.80 patients with refractory peripheral facial paralysis admitted to the Department of Department of Neurological Rehabilitation of Henan No.3 Provincial People's Hospital from June 2021 to June 2022 were included in the study.According to the random number table,they were divided into the control group and the study group,with 40 patients in each group.The control group was treated with plum blossom needle tapping,while the research group was treated with wheat grain moxibustion on the basis of the control group.Two weeks were a course of treatment,and both groups were treated for two courses of treatment.After the treatment,the clinical efficacy was evaluated according to the House-Brackmann(H-B)facial nerve function rating scale.Before and after treatment,facial disability index(FDI)was used to evaluate facial disability,Portmann scale was used to evaluate facial move-ment,self-rating anxiety scale(SAS)was used to evaluate anxiety,and self-rating depression scale(SDS)was used to eval-uate depression.Results After the treatment,the total effective rate was 87.50%in the study group and 67.50%in the control group.The total effective rate in the study group was higher than that in the control group(P<0.05).Before treatment,there was no statistical significant difference between the two groups in scores of body function(FDIP),social life function(FDIS),Portmann,SAS and SDS(P>0.05).After the treatment,the scores of FDIP and Portmann in both groups were higher than be-fore,and the scores in the study group were higher than those in the control group(P<0.05).The scores of FDIS,SAS and SDS in the two groups were lower than those before treatment,and those in the study group were lower than those in the control group(P<0.05).Conclusion The clinical effect of plum blossom needle tapping combined with wheat grain moxibustion in the treatment of refractory peripheral facial paralysis is significant,which can effectively improve the facial nerve function of patients,promote the recovery of facial motor function,alleviate the symptoms of facial paralysis,and relieve the anxiety and depression of patients.

refractory peripheral facial paralysisplum blossom needle tappingwheat grain moxibustionclinical efficacyfacial nerve function

李喜梅、王瑞、冯艳花

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河南省直第三人民医院,河南郑州 450000

难治性周围性面瘫 梅花针叩刺 麦粒灸 临床疗效 面神经功能

河南省中医药科学研究专项

2019ZY3025

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(2)
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