易罐疗法结合本体感觉神经肌肉促进疗法在中枢性面瘫治疗中的应用价值
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摘要
目的:易罐疗法结合本体感觉神经肌肉促进疗法(PNF)治疗脑卒中后中枢性面瘫的临床效果。方法:选取医院(2016年1月—2018年1月)实施康复治疗的140例卒中后中枢性面瘫患者,采用随机数字表法分为联合组和对照组各70例,两组均予以基础的康复治疗措施,对照组给予PNF治疗,联合组给予易罐疗法结合PNF治疗,对比两组的临床效果。结果:治疗前,两组患者的Portmann评分差异不具有统计学意义(P>0.05);治疗后2周、4周,两组患者的Portmann评分较治疗前均显著的提高(P<0.05),联合组高于对照组(P<0.05);治疗前,两组患者的血清SOD、LPO、IgG、IgM值差异不具有统计学意义(P>0.05);治疗后4周,两组患者的血清SOD较治疗前均显著的提高(P<0.05),LPO、IgG、IgM值较治疗前显著的降低(P<0.05);治疗4周后,联合组血清SOD高于对照组(P<0.05),联合组的LPO、IgG、IgM低于对照组(P<0.05);治疗后4周,联合组患者的MHBN分级显著的优于对照组(P<0.05)。结论:易罐疗法结合PNF治疗脑卒中后中枢性面瘫效果优于单用PNF,具有重要的临床应用价值。
Objective: Convenient can therapy combined with proprioceptive neuromuscular propulsion therapy(PNF) for the clinical effect of central facial paralysis after stroke. Methods: Four hundred and four patients with central facial paralysis after stroke in our hospital(2016.1-2018.1) were randomly divided into a combination group and a control group of 70 patients. Both groups were given basic rehabilitation measures. The control group was given PNF treatment, combination group was given canning therapy combined with PNF treatment, compared the clinical efficacy of the two groups. Results: Before treatment, the difference of Portmann scores between the two groups was not statistically significant(P>0.05); at 2 weeks and 4 weeks after treatment, the Portmann scores of the two groups were significantly higher than before treatment(P<0.05). Higher than the control group(P<0.05); before treatment, serum SOD, LPO, IgG, IgM values were not statistically different between the two groups(P>0.05); at 4 weeks after treatment, serum SOD was higher in both groups. Significantly increased before treatment(P<0.05), LPO, IgG, and IgM values were significantly lower than before treatment(P<0.05); after 4 weeks of treatment, serum SOD was higher in the combined group than in the control group(P<0.05). The LPO, IgG, and IgM in the group were lower than those in the control group(P<0.05); at 4 weeks after treatment, the MHBN grade in the combined group was significantly better than that in the control group(P<0.05). Conclusion: Canal therapy combined with PNF is superior to PNF alone in the treatment of central facial paralysis after stroke, which has important clinical application value.
Objective: Convenient can therapy combined with proprioceptive neuromuscular propulsion therapy(PNF) for the clinical effect of central facial paralysis after stroke. Methods: Four hundred and four patients with central facial paralysis after stroke in our hospital(2016.1-2018.1) were randomly divided into a combination group and a control group of 70 patients. Both groups were given basic rehabilitation measures. The control group was given PNF treatment, combination group was given canning therapy combined with PNF treatment, compared the clinical efficacy of the two groups. Results: Before treatment, the difference of Portmann scores between the two groups was not statistically significant(P>0.05); at 2 weeks and 4 weeks after treatment, the Portmann scores of the two groups were significantly higher than before treatment(P<0.05). Higher than the control group(P<0.05); before treatment, serum SOD, LPO, IgG, IgM values were not statistically different between the two groups(P>0.05); at 4 weeks after treatment, serum SOD was higher in both groups. Significantly increased before treatment(P<0.05), LPO, IgG, and IgM values were significantly lower than before treatment(P<0.05); after 4 weeks of treatment, serum SOD was higher in the combined group than in the control group(P<0.05). The LPO, IgG, and IgM in the group were lower than those in the control group(P<0.05); at 4 weeks after treatment, the MHBN grade in the combined group was significantly better than that in the control group(P<0.05). Conclusion: Canal therapy combined with PNF is superior to PNF alone in the treatment of central facial paralysis after stroke, which has important clinical application value.
引文
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[10] 廖明霞,杨春光,史发林,等.针刺结合PNF技术治疗脑卒中后中枢性面瘫疗效观察[J].实用中医药杂志,2017,33(1):61-62.
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[13] Hoei T,Kawahira K,Fukuda H,et al.Use of an arm weight-bearing combined with upper-limb reaching apparatus to facilitate motor paralysis recovery in an incomplete spinal cord injury patient: a single case report[J].Journal of Physical Therapy Science,2017,29(1):176-180.
[14] Kong DS,Sun ZH,Wu C,et al.Study on diffusion tensor imaging combined with electrophysiological monitoring in brain stem cavernous hemangioma resection[J].Chinese Journal of Contemporary Neurology & Neurosurgery,2017,17(5):370-375.
[15] Ordahan B,Karahan AY.Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell’s) palsy[J].Lasers in Medical Science,2017,32(4):931.
[16] 靳亚鲁,方诚冰,薛娜,等.PNF技术结合立位下健肢抗阻迈步训练对脑卒中偏瘫患者步行功能的影响[J].中国康复,2018,33(1):11-14.
[17] Shin JH.The Effects of Combined Exercise with PNF on the FMS Score of Middle and High School Male Taekwondo Players[J].Neonatology,2017,11(1):89.
[18] 洪欣,景明,岳全,等.针刺触发点结合易罐治疗粘连期肩周炎疗效观察[J].中国社区医师,2016,32(18):111-112.
[19] 何岳义,谢晓龙,易琼.针刺配合PNF技术治疗中风偏瘫后遗症的疗效观察[J].针灸临床杂志,2017,33(7):19-22.
[20] 田金艳,李亚梅,廖春梅,等.物理因子治疗联合电针对中枢性面瘫的疗效观察[J].实用医院临床杂志,2017,14(4):111-113.
[2] Cooper L,Izard C,Harries V,et al.Paradoxical Frontalis Activation: An Underrecognized Consequence of Facial Palsy[J].Plastic & Reconstructive Surgery,2018,141(2):263e.
[3] 黄肖群,肖文武,刘淼,等.肌电生物反馈治疗脑卒中后中枢性面瘫的临床疗效观察[J].中华临床医师杂志:电子版,2016,10(24):3849-3852.
[4] 崔永攀.电针加温针灸治疗对周围性及中枢性面瘫患者临床疗效[J].中国医药科学,2017,7(11):207-210.
[5] Sforza C,Ulaj E,Gibelli D M,et al.Three-dimensional superimposition for patients with facial palsy: an innovative method for assessing the success of facial reanimation procedures[J].British Journal of Oral & Maxillofacial Surgery,2018,56(1):3-7.
[6] 赵斌,杨颖婷,黄健澎,等.针刺治疗周围性面瘫的大脑运动皮层功能重组研究[J].中华中医药杂志,2016,30(5):1963-1966.
[7] Rozen SM.Facial Reanimation: Basic Surgical Tools and Creation of an Effective Toolbox for Treating Patients with Facial Paralysis: Part B.Nerve Transfer Combined with Cross-Facial Nerve Grafting in the Acute Facial Palsy Patient[J].Plastic & Reconstructive Surgery,2017,139(3):725.
[8] 曾进,李学杰.A型肉毒毒素联合针刺在脑卒中后中枢性面瘫治疗中的应用[J].中国美容医学杂志,2017,26(4):49-51.
[9] Chakraborty PK,Islam MJ,Hossain MS,et al.Patients’ Profile Regarding Physiatric Management of Facial Palsy in a Tertiary Care Hospital[J].Neonatology,2018,36(1):16.
[10] 廖明霞,杨春光,史发林,等.针刺结合PNF技术治疗脑卒中后中枢性面瘫疗效观察[J].实用中医药杂志,2017,33(1):61-62.
[11] M? Hlbacher T,Bohner G,B? Hrer C,et al.Cerebellar Infarction: Unusual Manifestation with Facial Palsy,Focal Seizures,and Secondary Generalization[J].Neonatology,2018,113(1):33-36.
[12] 边静,孙舒,赵亚楠,等.综合康复疗法治疗中枢性面瘫的临床对照观察[J].世界中西医结合杂志,2017,12(1):109-112.
[13] Hoei T,Kawahira K,Fukuda H,et al.Use of an arm weight-bearing combined with upper-limb reaching apparatus to facilitate motor paralysis recovery in an incomplete spinal cord injury patient: a single case report[J].Journal of Physical Therapy Science,2017,29(1):176-180.
[14] Kong DS,Sun ZH,Wu C,et al.Study on diffusion tensor imaging combined with electrophysiological monitoring in brain stem cavernous hemangioma resection[J].Chinese Journal of Contemporary Neurology & Neurosurgery,2017,17(5):370-375.
[15] Ordahan B,Karahan AY.Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell’s) palsy[J].Lasers in Medical Science,2017,32(4):931.
[16] 靳亚鲁,方诚冰,薛娜,等.PNF技术结合立位下健肢抗阻迈步训练对脑卒中偏瘫患者步行功能的影响[J].中国康复,2018,33(1):11-14.
[17] Shin JH.The Effects of Combined Exercise with PNF on the FMS Score of Middle and High School Male Taekwondo Players[J].Neonatology,2017,11(1):89.
[18] 洪欣,景明,岳全,等.针刺触发点结合易罐治疗粘连期肩周炎疗效观察[J].中国社区医师,2016,32(18):111-112.
[19] 何岳义,谢晓龙,易琼.针刺配合PNF技术治疗中风偏瘫后遗症的疗效观察[J].针灸临床杂志,2017,33(7):19-22.
[20] 田金艳,李亚梅,廖春梅,等.物理因子治疗联合电针对中枢性面瘫的疗效观察[J].实用医院临床杂志,2017,14(4):111-113.