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电针联合超短波治疗周围性面瘫的临床疗效

Clinical Efficacy of Electroacupuncture combined with Ultrashort Wave in the Treatment of Peripheral Facial Paralysis
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摘要 目的探讨电针联合超短波治疗周围性面瘫的临床疗效.方法选择医院2020年1月—2023年6月收治的100例周围性面瘫患者为研究对象,以随机数字表法将其分为对照组与观察组,对照组(n=50)采用常规治疗,观察组(n=50)采用常规治疗同时予电针联合超短波干预.比较两组临床疗效,采用面部残障指数(FDI)评估面部功能,并检测治疗前后面肌肌电图改变.结果治疗后,观察组治疗总有效率90.00%高于对照组的72.00%,FDI躯体功能(75.26±9.38)分高于对照组,社会生活功能(28.16±5.54)分低于对照组,口轮匝肌潜伏期(2.74±0.32)ms﹑眼轮匝肌潜伏期(2.42±0.35)ms均短于对照组,口轮匝肌M波幅(2.68±0.36)mV﹑眼轮匝肌M波幅(1.71±0.23)mV均高于对照组,组间差异有统计学意义(P<0.05).结论电针联合超短波治疗周围性面瘫疗效确切,可改善面部功能及表面肌电图. Objective To investigate the clinical effect of electroacupuncture combined with ultrashort wave in the treatment of peripheral facial paralysis.Methods 100 patients with peripheral facial palsy treated in the hospital from January 2020 to June 2023 were selected as the study objects and divided into a control group and an observation group by random number table method.The control group(n=50)received conventional treatment,while the observation group(n=50)received conventional treatment combined with electroacupuncture and ultrashave wave intervention,and the clinical efficacy of the two groups was compared.Facial disability Index(FDI)was used to assess facial function,and EMG changes were detected before and after treatment.Results After treatment,the total effective rate of observation group was 90.00%higher than 72.00%of control group,FDI physical function score(75.26±9.38)points was higher than that of control group,and social life function score(28.16±5.54)points was lower than that of control group.The latency of orbicularis orbicularis oral muscle(2.74±0.32)ms and the latency of orbicularis oculi muscle(2.42±0.35)ms were shorter than those of control group,and the M amplitude of orbicularis oris oral muscle(2.68±0.36)mV and orbicularis oculi muscle(1.71±0.23)mV were higher than those of control group,with statistical significance between the two groups(P<0.05).Conclusion Electroacupuncture combined with ultrashort wave is effective in the treatment of peripheral facial paralysis,which can improve facial function and surface EMG.
作者 郑冬梅 ZHENG Dongmei(Department 1 of Encephalopathy,Wenshang County Hospital of Traditional Chinese Medicine,Jining Shandong,272500,China)
出处 《反射疗法与康复医学》 2023年第20期45-47,共3页 Reflexology And Rehabilitation Medicine
关键词 周围性面瘫 电针 超短波 甲钴胺 面部功能 肌电图 Peripheral facial paralysis Electroacupuncture Ultrashort wave Mecobalamin Facial function Electromyogram
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