中频脉冲电刺激联合红外线治疗对急性期面神经炎患者的疗效
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摘要
目的分析中频脉冲电刺激联合红外线治疗急性期面神经炎患者的治疗效果。方法将46例急性期面神经炎患者随机分为观察组和对照组,每组23例。观察组患者在进行常规药物基础上予以中频脉冲电刺激治疗和红外线治疗;对照组患者只进行常规药物治疗。治疗前、治疗2周、治疗4周后采用改良Portmann简易评分法评价患者两侧面部表情肌自主运动情况,治疗4周后采用House-Brackmann(H-B)面神经功能分级标准评价治疗效果。结果治疗前2组Portmann评分差异无统计学意义,治疗2周和4周时观察组Portmann评分均高于对照组(均P<0.05)。随治疗时间的延长,2组Portmann评分均依次升高,组间多重比较差异均有统计学意义。治疗4周后,观察组患者疗效显著,与对照组相比,差异有统计学意义(P<0.05)。结论采用中频脉冲电刺激联合红外线治疗急性期面神经炎的总有效率高于单纯药物治疗。
Objective To investigate the therapeutic effect of modulated medium frequency current therapy(MMFCT) combined with infrared therapy on patients of acute facial neuritis.Methods A total of forty-six patients with acute facial neuritis were divided into two groups(observation group and control group)randomly and medially.Every patient received medication.Meanwhile,observation group received MMFCT and infrared therapy.Before the treatment,and after two and four weeks of treatment,Portmann scale were used to evaluate the autonomic movements of the facial expression muscles on both sides.After 4 weeks of treatment,the outcome was evaluated by House-Brackmann facial nerve grading system.ResultsThere were no significant differences in Portmann scales before treatment between two groups.Portmann scales were higher in observation group than those of control group after two and four weeks of treatment(P<0.05).With the duration of treatment,Portmann scales were increased successively in two groups.The significant difference was found in multiple comparisons between groups.After 4 weeks of treatment,the efficacy was significant in the observation group,compared with control group,the difference was significant(P<0.05).Conclusion Modulated medium frequency current therapy combined with infrared therapy have a better effect than isolated medication.
Objective To investigate the therapeutic effect of modulated medium frequency current therapy(MMFCT) combined with infrared therapy on patients of acute facial neuritis.Methods A total of forty-six patients with acute facial neuritis were divided into two groups(observation group and control group)randomly and medially.Every patient received medication.Meanwhile,observation group received MMFCT and infrared therapy.Before the treatment,and after two and four weeks of treatment,Portmann scale were used to evaluate the autonomic movements of the facial expression muscles on both sides.After 4 weeks of treatment,the outcome was evaluated by House-Brackmann facial nerve grading system.ResultsThere were no significant differences in Portmann scales before treatment between two groups.Portmann scales were higher in observation group than those of control group after two and four weeks of treatment(P<0.05).With the duration of treatment,Portmann scales were increased successively in two groups.The significant difference was found in multiple comparisons between groups.After 4 weeks of treatment,the efficacy was significant in the observation group,compared with control group,the difference was significant(P<0.05).Conclusion Modulated medium frequency current therapy combined with infrared therapy have a better effect than isolated medication.
引文
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[14]唐敬之,徐静娟,王红粉,等.电脑中频治疗仪的临床应用进展[J].按摩与康复医学,2012,3(2):51-52.Tang JZ,Xu JJ,WangHF,et al.Progress in clinical application of computerizedintermediate-frequency therapy apparatus[J].ChineseManipulation&Rehabilitation Medicine,2012,3(2):51-52.
[15]Marsk E,Hammarstedt L,Berg T,et al.Early deterioration in Bell’spalsy:prognosis and effect of prednisolone[J].Otol Neurotol,2010,31(9):1503-1507.doi:10.1097/MAO.0b013e3181f2f21f.
[16]杜红妍,仵荣会,王丽.健康教育及中频脉冲电刺激对周围面神经炎的干预作用[J].中国实用神经疾病杂志,2014,17(22):81-82.Du HY,Wu RH,Wang L.Intervention effect of healtheducation and mid-frequency pulse electrical stimulation onperipheral facial neuritis[J].Chinese Journal of Practical NeruousDiseases,2014,17(22):81-82.doi:10.3969/j.issn.1673-5110.2014.22.050.
[17]罗娟.急性面神经炎综合康复治疗的疗效观察[J].中国康复医学杂志,2008,23(6):541-543.Luo J.The treatment effectobservation of comprehensive rehabilitation on acute facial neuritis[J].Chinese Journal of Rehabilitation Medicine,2008,23(6):541-543.doi:10.3696/j.issn.1001-1242.2008.06.019.
[2]田有粮,李月,李茜,等.综合康复治疗面神经炎疗效观察[J].中国康复理论与实践,2010,16(2):187-188.Tian YL,Li Y,LiQ,et al.Effect of comprehensive rehabilitation on facial paralysis[J].Chin J Rehabil Theory Pract,2010,16(2):187-188.doi:10.3696/j.issn.1006-9771.2010.02.030.
[3]孙玉萍,陈武,李良平.针刺配合中频脉冲电治疗仪治疗面神经炎60例临床观察[J].河北中医,2011,33(12):1826-1827.SunYP,Chen W,Li LP.Investigation of acupuncture combined withintermediate frequency pulse therapeutic apparatus on thetreatment of facial neuritis[J].Hebei J TCM,2011,33(12):1826-1827.
[4]贾建平.神经病学[M].北京:人民卫生出版社,2008:336.JiaJP.Neurolopy[M].Beijing:People’s Medical Publishing House,2008:336.
[5]陈荣钟,陈耀龙,陈淑慧.“网络透穴”针法治疗顽固性周围性面瘫的临床疗效评价研究[J].中国中医基础医学杂志,2014,20(7):967-969.Chen RZ,Chen YL,Chen SH.Clinical evaluation ofnetwork penetration acupuncture therapy in the treatment ofintractable facial paralysis[J].Chinese Journal of Basic Medicinein Traditional Chinese Medicine,2014,20(7):967-969.
[6]Lee HY,Park MS,Byun JY,et al.Agreement between the FacialNerve Grading System 2.0 and the House-Brackmann GradingSystem in patients with Bell’s palsy[J].Clin ExpOtorhinolaryngol,2013,6(3):135-139.doi:10.3342/ceo.2013.6.3.135.
[7]张东升.使用星状神经节阻滞术联合针刺疗法治疗面神经炎的效果观察[J].当代医药论丛,2016,14(23):27-29.Zhang DS.Effect observation of stellate ganglion block combined withacupuncture therapy on facial neuritis[J].Contemporary MedicalSymposium,2016,14(23):27-29.
[8]Li D,Wan H,Feng J.Comparison of hemihypoglossal andaccessory facial neurorrhaphy for treating facial paralysis in rats[J].J Neurol Sci,2014,347(1/2):235-241.doi:10.1016/j.jns.2014.10.006.
[9]杜京均.面神经炎首诊时间对治疗效果的影响[J].深圳中西医结合杂志,2015,25(14):152-153.Du JJ.The effect of firstdiagnosis time of facial neuritis on treatment outcomes[J].Shenzhen Journal of Integrated Traditional Chinese and Western,2015,25(14):152-153.doi:10.16458/j.cnki.1007-0893.2015.14.083.
[10]Axelsson S,Berg T,Jonsson L,et al.Prednisolone in Bell’s PalsyRelated to Treatment Start and Age[J].Otol Neurotol,2011,32:141-146.doi:10.1097/MAO.0b013e3182009f35.
[11]伍伟明.星状神经节阻滞治疗周围性面神经麻痹的临床观察[J].实用医学杂志,2011,27(13):2489-2490.Wu WM.Clinical observation on stellate ganglion block for the treatment ofperipheral facial palsy[J].The Journal of Practical Medicine,2011,27(13):2489-2490.doi:10.3969/j.issn.1006-5725.2011.13.085.
[12]Abdelghany AM,Kamel SB.The effect of prednisolone and/oracyclovir in relation to severity of Bell’s palsy at presentation[J].Egyptian Journal of Ear,Nose,Throat and Allied Sciences,2013,14:155-159.doi:10.1016/j.ejenta.2013.04.003.
[13]季冠芳,杨子彬.远红外的生物学效应及其应用[J].天津医药,2007,35(1):78-80.Ji GF,Yang ZB.Biological effect andapplication of far infrared ray[J].Tianjin Med J,2007,35(1):78-80.doi:10.3969/j.issn.0253-9896.2007.01.038.
[14]唐敬之,徐静娟,王红粉,等.电脑中频治疗仪的临床应用进展[J].按摩与康复医学,2012,3(2):51-52.Tang JZ,Xu JJ,WangHF,et al.Progress in clinical application of computerizedintermediate-frequency therapy apparatus[J].ChineseManipulation&Rehabilitation Medicine,2012,3(2):51-52.
[15]Marsk E,Hammarstedt L,Berg T,et al.Early deterioration in Bell’spalsy:prognosis and effect of prednisolone[J].Otol Neurotol,2010,31(9):1503-1507.doi:10.1097/MAO.0b013e3181f2f21f.
[16]杜红妍,仵荣会,王丽.健康教育及中频脉冲电刺激对周围面神经炎的干预作用[J].中国实用神经疾病杂志,2014,17(22):81-82.Du HY,Wu RH,Wang L.Intervention effect of healtheducation and mid-frequency pulse electrical stimulation onperipheral facial neuritis[J].Chinese Journal of Practical NeruousDiseases,2014,17(22):81-82.doi:10.3969/j.issn.1673-5110.2014.22.050.
[17]罗娟.急性面神经炎综合康复治疗的疗效观察[J].中国康复医学杂志,2008,23(6):541-543.Luo J.The treatment effectobservation of comprehensive rehabilitation on acute facial neuritis[J].Chinese Journal of Rehabilitation Medicine,2008,23(6):541-543.doi:10.3696/j.issn.1001-1242.2008.06.019.