摘要
目的观察针刺联合穴位注射治疗周围性面神经麻痹的临床疗效,并探讨其对神经电生理的影响。方法将200例周围性面神经麻痹患者随机分为2组,各100例。对照组予单纯针刺疗法;治疗组在对照组的基础上联合穴位注射治疗。2组均以15 d为1个疗程,观察比较2组治疗1、2个疗程后疗效,并对患者两侧眼轮匝肌、鼻肌及口轮匝肌进行电生理检测,比较2组治疗前后神经电图潜伏期及患健侧波幅比值的变化。结果 2组治疗1、2个疗程后治愈率及总有效率比较差异均有统计学意义(P<0.05),治疗组疗效优于对照组;2组治疗后眼轮匝肌、鼻肌及口轮匝肌神经电图潜伏期及患健侧波幅比值与本组治疗前比较差异均有统计学意义(P<0.05),潜伏期均减少,患健侧波幅比值均升高;治疗组治疗后眼轮匝肌及口轮匝肌神经电图潜伏期及患健侧波幅比值与对照组比较差异有统计学意义(P<0.05),治疗组对眼轮匝肌及口轮匝肌神经功能改善优于对照组。结论针刺联合穴位注射治疗周围性面神经麻痹临床疗效确切,可明显缩短病程,促进患者康复,提高临床疗效,操作简单方便。
Objective To observe the clinical effects of acupuncture combined with acupoint injection on peripheral facial palsy, and to investigate its electrophysiological effects. Methods 200 patients with peripheral facial palsy were randomly divided into two groups, 100 patients in each group. Patients in control group were treated by simple acupuncture. Patients in treatment group were treated by acupoint injection on the basis of control group treatment. The course was 15 days in two groups, each group were treated continuously for two courses. The curative effect was observed in two groups after 1 and 2 courses. The electrophysiology test of bilateral orbicularis oculi muscle, nasalis muscle and orbicularis oris muscle in two groups were carried out, the changes of electroneurogram distal latency and the amplitude ratio of affected side and normal side before and after treatment in two groups were compared. Resuits The cure rate and total effective rate after one and two course in treatment group were superior to those in control group, and the difference was statistically significant （ P 〈 0.05 ）. The electroneurogram distal latency of bilateral orbicularis oculi muscle, nasalis muscle and orbicularis oris muscle after treatment were shorter than those in before treatment in two groups, and the amplitude ratio of affected side and normal Side was increased, the differences were statistically significant （ P 〈 0.05 ）. There was statistically difference between two groups on the electroneurogram distal latency of orbicularis oculi muscle and orbicularis oris muscle after treatment,as well as the amplitude ratio of affected side and normal side （ P 〈 0.05 ）. The neurologic function improvement of ovbicularis oculi muscle and orbicularis oris muscle in treatment group was superior to that in control group. Conclusion Combined therapy of au-upuneture and acupoint injection on peripheral facial palsy has exact effects, can obviously shorten the treatment course ,promote patient＇ s rehabilitation, improve clinical efficacy and easy to operation.
出处
《河北中医》
2015年第7期1049-1052,共4页
Hebei Journal of Traditional Chinese Medicine
关键词
面神经麻痹
电生理学
针刺疗法
穴位疗法
Peripheral facial palsy
Electrophysiology
Acupuncture therapy
Acupoint therapy
