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循经远取动法联合肌内效贴治疗面神经炎随机对照研究 被引量:5

Meridian Distal Acupoint Selection and Appropriate Exercise Combined with Intramuscular Patch in the Treatment Facial Neuritis:Randomized Controlled Study
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摘要 目的观察循经远取动法联合肌内效贴对面神经炎的治疗作用。方法选取面神经炎患者60例,随机分为对照组和治疗组,对照组中2例脱落,2例剔出,完成26例;治疗组中1例脱落,2例剔出,完成27例。对照组采用常规针刺和循经远取动法,治疗组在对照组治疗方法基础上应用肌内效贴导向疗法。两组总疗程均为4周。治疗结束后,根据House-Brackmann(H-B)分级评价患者治疗前后临床疗效,并分别于治疗前、治疗后进行头面部视觉疼痛量表(VAS)评分、面神经功能临床评定量表评分、面部残疾指数(FDI)量表评分。结果治疗组中愈显率为88.89%,对照组中愈显率为69.23%;治疗后两组VAS评分明显降低(P<0.05),面神经功能临床评定量表评分明显升高(P<0.05),FDI量表中躯体功能(FDIP)评分及社会生活功能(FDIS)评分明显升高(P<0.05),治疗组疗效及评分均优于对照组(P<0.05)。结论循经远取动法联合肌内效贴对面神经炎有治疗效果,可提高患者生活质量,值得推广。 Objective To observe meridian distal acupoint selection and appropriate exercise combined with intramuscular patch on facial neuritis.Methods Sixty patients with facial neuritis were selected and randomly divided into two groups:the control group and the treatment group.Two cases in the control group fell off and two cases were eliminated,completing 26 cases;one case in the treatment group fell off and two cases were eliminated,completing 27 cases.The control group used conventional acupuncture and meridian distal acupoint selection and appropriate exercise,and the treatment group combined with intramuscular effect-oriented therapy based on the treatment method of the control group.The total course of treatment in both groups was 4 weeks.After treatment,patients were treated according to House-Brackmann(HB)grading before and after treatment,and before and after treatment,head and face visual pain scale(VAS)score,facial nerve function clinical evaluation scale score,facial disability index(FDI)scale score.Results In the treatment group,the sum of cure rate and apparent efficiency was 88.89%;in the control group,the sum of cure rate and apparent efficiency was 69.23%;after treatment,the VAS scores of the two groups were significantly reduced(P<0.05),facial nerve function clinical evaluation scale was significantly increased(P<0.05),the physical function(FDIP)score and the social life function(FDIS)score in the FDI scale were significantly increased(P<0.05),and the efficacy and score of the treatment group were better than the control group(P<0.05).Conclusion Meridian distal acupoint selection and appropriate exercise combined with intramuscular effect paste has a definite curative effect on facial neuritis,which can improve the quality of life of patients and is worthy of promotion.
作者 李虹霖 齐慧敏 张金朋 朱红奇 李雪 王鑫蕊 程心琳 王微 夏昆鹏 LI Honglin;QI Huimin;ZHANG Jinpeng;ZHU Hongqi;LI Xue;WANG Xinrui;CHENG Xinlin;WANG Wei;XIA Kunpeng(Heilongjiang University of Chinese Medicine,Harbin 150040,Heilongjiang,China;The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,Heilongjiang,China)
出处 《辽宁中医药大学学报》 CAS 2021年第9期10-13,共4页 Journal of Liaoning University of Traditional Chinese Medicine
基金 黑龙江省自然科学基金青年科学基金(QC2017116) 全国中医临床特色技术传承骨干人才项目(国中医药人教发[2017]9号)
关键词 肌内效贴 循经远取动法 面神经炎 面瘫 疗效 intramuscular patch meridian distal acupoint selection and appropriate exercise facial neuritis facial paralysis curative effect
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