首页|电针结合化风丹综合治疗特发性面神经麻痹临床观察

电针结合化风丹综合治疗特发性面神经麻痹临床观察

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目的 观察电针结合化风丹治疗特发性面神经麻痹的临床效果.方法 将97例特发性面神经麻痹患者随机分为对照组48例与观察组49例.两组均采用基础治疗及电针疗法,观察组加用化风丹口服.在治疗前、治疗4周、8周时,通过House-Brackman(H-B)面神经功能分级系统和改良后的面神经功能评分系统评价患者的恢复情况.结果 治疗后,两组患者在治疗各时间点的H-B面神经功能分级比较差异有统计学意义(P<0.05).治疗后,各时间点面神经功能评分均较上一时间点有所降低,相邻两时间点之间的面神经功能评分差异有统计学意义(P<0.05).面神经功能的评分方面,治疗后各时间点观察组均低于对照组,差异有统计学意义(P<0.05).治疗4周及8周两组总有效率差异无统计学意义(P>0.05),两组显愈率差异有统计学意义(P<0.05).结论 电针结合化风丹综合治疗和单纯电针治疗对特发性面神经麻痹的恢复都有显著的疗效,电针与化风丹的联合应用能使患者的面神经功能更快恢复.
Clinical Efficacy Observation of Electroacupuncture Combined with Huafeng Dan in the Comprehensive Treatment of Idiopathic Facial Nerve Palsy
Objective:To observe the clinical effect of electroacupuncture combined with Huafeng Dan in the treatment of idiopathic facial nerve palsy.Methods:97 patients with idiopathic facial nerve palsy were collected.Among them,48 patients were the control group and 49 patients were the observation group.Both groups were treated with basic treatment and electroacupuncture,and the observation group was combined with oral administra-tion of Huafeng Dan on the basis of the control group.The recovery of patients was evaluated by the House-Brack-man(H-B)facial nerve function grading system and the modified facial nerve function scoring system before treat-ment,at 4 weeks and 8 weeks of treatment.Results:After treatment,there was a statistically significant difference between the two groups in the comparison of H-B facial nerve function grading at each time point of treatment(P<0.05),and the H-B grading in the control group was higher than that in the observation group.After treatment,the facial nerve function scores at each time point were lower than those at the previous time point,and the differenc-es in facial nerve function scores between two adjacent time points were statistically significant(P<0.05);the fa-cial nerve function scores in the observation group were lower than those in the control group at each time point af-ter treatment,and the differences were statistically significant(P<0.05).The differences in total effective rate be-tween the two groups at 4 weeks and 8 weeks of treatment were not statistically significant(P>0.05),and the dif-ferences in apparent healing rate between the two groups were statistically significant(P<0.05).Conclusion:Both electroacupuncture combined with Huafeng Dan comprehensive treatment and electroacupuncture treatment alone have significant efficacy on the recovery of idiopathic facial nerve palsy,and the combined application of electroacupuncture and Huafeng Dan can make the patients'facial nerve function recover faster.

Idiopathic facial nerve palsyPeripheral facial palsyElectroacupunctureHuafeng DanCombina-tion of acupuncture and medicine

严佳、唐晓斌、顾金花、曾怡、吕虹宇、邱瑾铭、孙德利

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上海市奉贤区中医医院,上海 201499

上海中医药大学附属龙华医院,上海 200032

特发性面神经麻痹 周围型面瘫 电针 化风丹 针药结合

上海卫生健康委员会青年项目上海卫生健康委员会中医药科研项目

20214Y04152020LP040

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(2)
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