摘要
目的:观察针刺下关穴与胸锁乳突肌起止点对周围性面瘫(PFP)伴耳颞神经痛患者神经传导功能、血液流变学指标、血浆内皮素水平的影响,并评价临床疗效。方法:选取PFP伴耳颞神经痛患者120例,按随机数字表法分为对照组55例和观察组65例。两组均在常规药物治疗的基础上进行针刺治疗,对照组采用传统针刺疗法,观察组在对照组基础上针刺下关穴与胸锁乳突肌起止点,两组均连续治疗10 d。观察两组患者House-Brackmann(H-B)面神经功能分级、面部残疾指数(FDI)躯体功能评分和社会功能评分、神经传导功能、血液流变学指标、血浆内皮素水平及不良反应情况,并判定临床疗效。结果:治疗后,观察组H-B面神经功能分级情况优于对照组(P<0.05)。两组FDI躯体功能评分较治疗前均提高(P<0.05),且观察组高于对照组(P<0.05);两组FDI社会功能评分较治疗前均下降(P<0.05),且观察组低于对照组(P<0.05)。两组额肌、口轮匝肌、眼轮匝肌、上唇方肌M波波幅较治疗前均升高(P<0.05),且观察组高于对照组(P<0.05);两组上述4个部位的运动潜伏期较治疗前均缩短(P<0.05),且观察组短于对照组(P<0.05)。两组血浆黏度、全血黏度(低切)、红细胞比容、纤维蛋白原水平较治疗前均降低(P<0.05),且观察组低于对照组(P<0.001)。两组血浆内皮素水平较治疗前均下降(P<0.001),且观察组低于对照组(P<0.001)。观察组总有效率高于对照组(P<0.05)。两组治疗期间均未出现明显不良反应。结论:采用针刺下关穴与胸锁乳突肌起止点治疗PFP伴耳颞神经痛可有效改善患者神经传导功能和血液流变学指标,促进其内皮功能重建,且该疗法疗效较好,不良反应少。
Objective:To observe the effect of acupuncture at Xiaguan point(ST7)combined with the starting and ending points of sternocleidomastoid muscle on nerve conduction function,hemorheology indicators,and plasma endothelin level of peripheral facial palsy(PFP)patients complicated with ototemporal neuralgia,and to evaluate the clinical efficacy.Methods:A total of 120 PFP patients complicated with ototemporal neuralgia were divided into control group(55 cases)and observation group(65 cases)according to the random number table method.Both the two groups were treated with acupuncture on the basis of conventional drug treatment.The control group was treated with conventional acupuncture,and the observation group was treated with acupuncture at Xiaguan point combined with the starting and ending points of sternocleidomastoid muscle on the basis of the control group.Both groups were treated for 10 days.The House-brackmann(H-B)facial nerve function classification,body function score and social function score of facial disability index(FDI),nerve conduction function,hemorheology indicators,plasma endothelin level,and adverse reactions of the two groups were observed,and the clinical efficacy was evaluated.Results:After treatment,the H-B facial nerve function classification of the observation group was better than that of the control group(P<0.05).The body function score of FDI in each group was increased as compared with that before treatment(P<0.05),and that in the observation group was higher than that in the control group(P<0.05).The social function score of FDI in each group was decreased as compared with that before treatment(P<0.05),and that in the observation group was lower than that in the control group(P<0.05).The amplitudes of M wave on frontal muscle,orbicularis oris muscle,orbicularis oculi muscle,and quadratus labii muscle in the two groups were increased as compared with those before treatment(P<0.05),and those in the observation group was higher than those in the control group(P<0.05).The motor latencies of the above four parts in the two groups were shortened as compared with those before treatment(P<0.05),and those in observation group was shorter than those in the control group(P<0.05).The levels of plasma viscosity,whole blood viscosity(low shear),hematocrit,and fibrinogen in the two groups were decreased as compared with those before treatment(P<0.05),and those in the observation group was lower than those in the control group(P<0.001).The plasma endothelin level in each group was decreased as compared with that before treatment(P<0.001),and that in the observation group was lower than that in the control group(P<0.001).The total effective rate of the observation group was higher than that of the control group(P<0.05).During the treatment,there were no obvious adverse reactions in the two groups.Conclusions:For PFP patients complicated with ototemporal neuralgia,acupuncture at Xiaguan point combined with the starting and ending points of sternocleidomastoid muscle can effectively improve their nerve conduction function and hemorheology indicators,and promote the reconstruction of endothelial function.This therapy has good curative efficacy and less adverse reactions.
作者
王玉
闫智会
WANG Yu;YAN Zhihui(Department of Acupuncture and Massage,Chengde Hospital of Traditional Chinese Medicine,Chengde 067020,China)
出处
《山东中医杂志》
2021年第5期491-496,共6页
Shandong Journal of Traditional Chinese Medicine
基金
河北省中医药管理局科研计划项目(编号:2019566)。
关键词
周围性面瘫
耳颞神经痛
针刺
下关穴
胸锁乳突肌起止点
神经传导功能
血液流变学
内皮素
peripheral facial palsy
ototemporal neuralgia
acupuncture
Xiaguan point
the starting and ending points of sternocleidomastoid muscle
nerve conduction function
hemorheology
endothelin
