首页|基于"三维五法"治疗顽固性面瘫的临床研究

基于"三维五法"治疗顽固性面瘫的临床研究

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目的:观察"三维五法"治疗周围性顽固性面瘫的临床疗效.方法:40例周围性顽固性面瘫的患者随机分为治疗组20例与对照组20例.治疗组给予"三维五法"操作,对照组采用安慰剂和常规治疗,两组均治疗4周.比较两组治疗后的临床疗效,观察两组House-Brackmann面神经瘫痪分级、面部残疾指数[包括躯体功能(FDIP)和社会生活功能(FDIS)]、患者闭眼时上下眼睑距离、患者健侧与患侧口角距前正中垂线距离差值的变化.结果:治疗组总有效率为90.00％(18/20),明显高于对照组的60.00％(12/20),差异有统计学意义(P＜0.05);治疗后,两组H-B评分、FDIS、上下眼睑距离、健侧与患侧口角距前正中垂线距离差值均减小(P＜0.05),且治疗组明显优于对照组,差异有统计学意义(P＜0.05);治疗后,两组FDIP评分明显增加,差异有统计学意义(P＜0.05),且治疗组显著高于对照组,差异有统计学意义(P＜0.05).结论:"三维五法"能有效改善顽固性周围性面瘫患者临床症状,提高面神经传导功能,促进面肌功能恢复,疗效显著.
Clinical Study of'Three Dimensions and Five Methods'in Treatment of Refractory Facial Paralysis
Objective:To observe the clinical efficacy of'Three Dimensions and Five Methods'in treatment of refractory facial paralysis.Methods:40 patients with refractory facial paralysis were randomly divided into the treatment group and the control group,with 20 patients in each group.The treatment group was treated with'Three Dimensions and Five Methods',whereas the control group was intervened with placebo and conventional treatment.Both groups were treated for 4 weeks.Clinical efficacy was compared between the two groups.The changes in House-Brackmann facial nerve paralysis classification,facial disability index including physical function(FDIP)and social life function(FDIS),the distance between the upper and lower eyelids with eyes closed,and the difference of the angle of the mouth between the healthy side and the affected side and the distance of the anterior median plumb line were observed in the two groups.Results:The total effective rate was 90.00％(18/20)in the treatment group,which was significantly higher than 60.00％(12/20)in the control group(P＜0.05).The H-B score,the FDIS score,the distance between the upper and lower eyelids,and the difference between the healthy side and the affected side of the mouth angle and the anterior median plumb line distance were all reduced in the two groups after the treatment(P＜0.05),and the reductions were more significant in the treatment group than those in the control group(P＜0.05).The FDIP score was increased after the treatment than that before the treatment in the two groups(P＜0.05),and the FDIP score was higher in the treatment group than that in the control group after the treatment(P＜0.05).Conclusion:'Three Dimensions and Five Methods'can effectively improve the clinical symptoms of intractable peripheral facial paralysis,it can improve the facial nerve conduction function,and promote the recovery of facial muscle function,with a remarkable therapeutic effect.

Refractory facial paralysisThree Dimensions and Five MethodsAcupuncture therapyZhatiao methodStucking of needle with lifting techniqueTranscranial repetitive acupuncture stimulation therapy

杨禾财、赵佳彤、金永琦、马琳、刘征

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黑龙江中医药大学,黑龙江哈尔滨 150040

黑龙江中医药大学附属第一医院,黑龙江哈尔滨 150040

顽固性面瘫 三维五法 针灸疗法 扎跳法 滞针提拉法 经颅重复针刺刺激疗法

黑龙江省自然科学基金联合引导项目黑龙江省中医药管理局国医大师学术思想传承科研课题项目黑龙江中医药大学优秀创新人才支持计划

LH2022H083GY2022-062018RCD10

2024

10.19917/j.cnki.1005-0779.024128

针灸临床杂志
中华中医药学会 黑龙江中医药大学 中国针灸学会临床分会

针灸临床杂志

CSTPCD
影响因子：1.242
ISSN：1005-0779
年,卷(期)：2024.40(7)
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