浮针配合面部主动再灌注活动治疗顽固性周围性面瘫的疗效观察
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摘要
【目的】探讨浮针配合面部主动再灌注活动对顽固性周围性面瘫的疗效。【方法】将60例面肌痉挛患者随机分为治疗组和对照组,每组各30例。治疗组给予浮针配合面部主动再灌注活动治疗,对照组给予普通针刺治疗,每周3次,1个月为1个疗程,2组分别于治疗前后进行House-Brachmann面神经功能分级标准(HB分级)以及Sunnybrook面神经评定系统综合评分,并评定疗效。【结果】(1)治疗1个疗程后,治疗组的HB分级评分总有效率为93.3%,对照组为76.7%,治疗组疗效优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者Sunnybrook面神经评定系统评分均较治疗前明显改善(P<0.05),且治疗组对Sunnybrook面神经评定系统评分的改善作用明显优于对照组,差异均有统计学意义(P<0.05)。【结论】浮针配合面部主动再灌注活动治疗顽固性周围性面瘫的疗效优于普通针刺,能更好地促进面神经功能的恢复。
Objective To explore the clinical efficacy of floating needle combined with facial active reperfusion exercises in treating intractable facial paralysis. Methods Sixty intractable facial paralysis patients were randomly divided into treatment group and control group,30 cases in each group. The treatment group was given floating needle combined with facial active reperfusion exercises, and the control group was given conventional acupuncture,3 times per week. One month constituted one treatment course. The scores of House-Brachmann facial nerve function grading system(HB grading)and Sunnybrook facial nerve grading system were used for the efficacy assessment before and after treatment in the two groups. Results(1)After one treatment course, the effective rate on HB grading in the treatment group was 93.3% and that in the control group was 76.7%,and the total therapeutic effect in the treatment group was stronger than that in the control group, the difference being statistically significant(P < 0.05).(2)After treatment,the scores of Sunnybrook facial nerve grading system were improved obviously as compared with those before treatment in the two groups(P < 0.05),and the improvement in the treatment group was superior to that in the control group, the difference being statistically significant(P <0.05). Conclusion Floating needle combined with facial active reperfusion exercises has stronger effect for the treatment of intractable facial paralysis than conventional acupuncture by promoting the recovery of facial nerve function.
Objective To explore the clinical efficacy of floating needle combined with facial active reperfusion exercises in treating intractable facial paralysis. Methods Sixty intractable facial paralysis patients were randomly divided into treatment group and control group,30 cases in each group. The treatment group was given floating needle combined with facial active reperfusion exercises, and the control group was given conventional acupuncture,3 times per week. One month constituted one treatment course. The scores of House-Brachmann facial nerve function grading system(HB grading)and Sunnybrook facial nerve grading system were used for the efficacy assessment before and after treatment in the two groups. Results(1)After one treatment course, the effective rate on HB grading in the treatment group was 93.3% and that in the control group was 76.7%,and the total therapeutic effect in the treatment group was stronger than that in the control group, the difference being statistically significant(P < 0.05).(2)After treatment,the scores of Sunnybrook facial nerve grading system were improved obviously as compared with those before treatment in the two groups(P < 0.05),and the improvement in the treatment group was superior to that in the control group, the difference being statistically significant(P <0.05). Conclusion Floating needle combined with facial active reperfusion exercises has stronger effect for the treatment of intractable facial paralysis than conventional acupuncture by promoting the recovery of facial nerve function.
引文
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[6] Ross B G,Fradet G,Nedzelski J M. Development of a sensitive clinical facial grading system[J]. Otolaryngol Head Neck Suyg,1996,114(3):380.
[7]李桂凤,符仲华.浅谈浮针对疼痛医学发展的启示[J].中国针灸,2014,34(6):591.
[8]符仲华.浮针疗法的好帮手—再灌注手法[C]. 2011中国针灸学会年会论文集(摘要),2011:15-181.
[9]丁敏,冯骅,靳长旭,等.不同针刺、穴位埋线疗法治疗顽固性面瘫:随机对照研究[J].中国针灸,2015, 35(10):997.
[10]李健东.面神经评分标准[J].国外医学耳鼻咽喉科学分册,2005,29(6):391.
[11] Hu W L, Ross B, Nedzelski J. Reliability of the Sunnybrook Facial Grading System by novice users[J]. J Otolaryngol,2001,30(4):208.
[12]唐敏.浮针疗法治疗痛症的临床研究进展[J].湖南中医杂志,2013,29(1):140.
[2]陶嘉磊,符仲华,张宏如.浮针疗法作用机制浅析[J].时珍国医国药,2014,25(12):3006.
[3]贝政平,蔡映云.内科疾病诊断标准(精)[M].第2版.北京:科学出版社,2007:813.
[4]朱文锋.中医内科疾病诊疗常规[M].长沙:湖南科学技术出版社,1999:225.
[5] Chee G H,Nedzelki J M. Facial nerve grading systems[J]. Facial Plast Surg,2000,16(4):315.
[6] Ross B G,Fradet G,Nedzelski J M. Development of a sensitive clinical facial grading system[J]. Otolaryngol Head Neck Suyg,1996,114(3):380.
[7]李桂凤,符仲华.浅谈浮针对疼痛医学发展的启示[J].中国针灸,2014,34(6):591.
[8]符仲华.浮针疗法的好帮手—再灌注手法[C]. 2011中国针灸学会年会论文集(摘要),2011:15-181.
[9]丁敏,冯骅,靳长旭,等.不同针刺、穴位埋线疗法治疗顽固性面瘫:随机对照研究[J].中国针灸,2015, 35(10):997.
[10]李健东.面神经评分标准[J].国外医学耳鼻咽喉科学分册,2005,29(6):391.
[11] Hu W L, Ross B, Nedzelski J. Reliability of the Sunnybrook Facial Grading System by novice users[J]. J Otolaryngol,2001,30(4):208.
[12]唐敏.浮针疗法治疗痛症的临床研究进展[J].湖南中医杂志,2013,29(1):140.