首页|镜像疗法结合传统康复训练治疗周围性面瘫患者的效果

镜像疗法结合传统康复训练治疗周围性面瘫患者的效果

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目的 探讨镜像疗法(MT)结合传统康复训练治疗周围性面瘫患者的效果.方法 将2021年1月至2022年12月于浙江省金华市中医医院接受治疗的符合要求的92例周围性面瘫患者按照非同期队列研究方法进行分组,其中2021年1月至12月接受治疗的46例患者为对照组,2022年1月至12月接受治疗的46例患者为观察组.对照组实施面部按摩、放松运动、语言交流能力训练等传统康复训练,每周2次,每次约45 min,观察组在对照组的基础上每周增加1次MT,主要训练动作包括吮吸、扬眉及部分情感性表情动作.治疗8周后,比较两组临床疗效.比较两组干预前后复合肌肉动作电位(CMAP)波幅、潜伏期,面部残疾指数躯体功能(FDIP)及面部残疾指数社会生活功能(FDIS)评分,面神经功能量表评分.结果 观察组临床疗效优于对照组,差异有统计学意义(P<0.05).干预前,两组潜伏期、波幅比较,差异无统计学意义(P>0.05);干预后,两组潜伏期短于干预前,波幅大于干预前,且观察组潜伏期短于对照组,波幅大于对照组,差异有统计学意义(P<0.05).干预前,两组面神经功能量表评分比较,差异无统计学意义(P>0.05);干预后,两组面神经功能量表评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05).结论 较单纯传统康复训练而言,MT结合传统康复治疗能够更好地改善周围性面瘫患者的肌电图结果和面神经功能,具有更好的临床效果,值得在临床上推广应用.
Effect of mirror-therapy combined with traditional rehabilitation training on peripheral facial paralysis patients
Objective To explore the effect of mirror-therapy(MT)combined with traditional rehabilitation training on peripheral facial paralysis patients.Methods A total of 92 patients with peripheral facial palsy who received treatment at Jinhua Hospital of Traditional Chinese Medicine in Zhejiang Province from January 2021 to December 2022 were divided into two groups according to the non-concurrent cohort study method.Among them,46 patients who received treatment from January to December 2021 were the control group,and 46 patients who received treatment from Jan-uary to December 2022 were the observation group.The control group received facial massage,relaxation exercise,language communication ability training,and other traditional rehabilitation training,twice a week for about 45 minutes each time.The observation group increased MT once a week on the basis of the control group,and the main training movements included sucking,raising eyebrows,and some emotional expressions.After eight weeks of treatment,the clinical efficacy of the two groups was compared.Complex muscle action potential(CMAP)amplitude,latency,facial dis-ability index physical function(FDIP)and facial disability index social life function(FDIS)scores,facial nerve function scale scores were compared between the two groups before and after intervention.Results The clinical efficacy of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in latency and amplitude between the two groups(P>0.05).After intervention,the incubation period of the two groups was shorter than before intervention,and the amplitude was larger than before intervention,and the incubation period of the observation group was shorter than that of the control group,and the amplitude was larger than the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in facial nerve function scale scores between the two groups(P>0.05).After intervention,facial nerve function scale scores of the two groups were lower than before intervention,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Compared with traditional rehabilitation training alone,MT combined with traditional rehabilitation therapy can better improve the electromyography results and facial nerve function of patients with peripheral facial paralysis,and has better clinical efficacy,which is worthy of clinical application.

Mirror image therapyPeripheral facial paralysisEfficacyElectromyographyFacial nerve function

舒卫群、陈巧莉

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浙江省金华市中医医院脑科,浙江金华 321000

镜像疗法 周围性面瘫 疗效 肌电图 面神经功能

浙江省中医药科技计划项目

2020ZB280

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(17)
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