摘要
目的探讨不同时机实施针刺治疗急性期周围性面瘫的临床效果。方法回顾性分析2021年6月至2023年6月南通市第四人民医院收治的97例急性期周围性面瘫患者的临床资料,根据针刺治疗的时机将其分为观察组(n=46)和对照组(n=51),观察组行早期治疗(24 h内),对照组行晚期治疗(1~7 d内),比较两组的治疗效果、症状积分、症状缓解时间、生活质量、不良反应。结果两组患者的治疗总有效率比较,差异无统计学意义(P>0.05)。观察组的额纹消失、表情肌运动、眼睑闭合、口角歪斜症状改善时间均短于对照组,差异有统计学意义(P<0.05)。两组治疗前的面部表情、额纹消失、口角歪斜、眼睑闭合评分比较,差异无统计学意义(P>0.05);治疗后,观察组患者的面部表情、额纹消失评分低于对照组,差异有统计学意义(P<0.05)。两组患者治疗前的简明生活质量量表(SF-36)八个维度评分比较,差异无统计学意义(P>0.05);随访1个月,两组患者的SF-36各维度评分高于治疗前,差异有统计学意义(P<0.05),观察组躯体功能、健康限制、活力、心理健康4个维度评分高于对照组,差异有统计学意义(P<0.05)。两组患者的不良反应总发生率比较,差异无统计学意义(P>0.05)。结论中医针刺是治疗急性期周围性面瘫的有效方法,早期治疗在改善症状和患者生活质量方面效果更加理想。
Objective To explore the effect of acupuncture at different time points on acute peripheral facial paralysis.Methods The clinical data of 97 patients with acute peripheral facial paralysis admitted to the Nantong Fourth People's Hospital from June 2021 to June 2023 were retrospectively analyzed.According to the timing of acupuncture treatment,they were divided into observation group(n=46)and control group(n=51).The observation group received early treatment(within 24 h),and the control group received late treatment(within 1~7 d).The therapeutic effect,symptom score,symptom remission time,quality of life and adverse reactions were compared between the two groups.Results There was no significant difference in the total effective rate between the two groups(P>0.05).The improvement time of frontal striae disappearance,expression muscle movement,eyelid closure and mouth skew symptom in observation group were shorter than those in control group,the differences were statistically significant(P<0.05).There were no significant differences in the scores of facial expression,frontal stripe disappearance,mouth skew and eyelid closure between the two groups before treatment(P>0.05).After treatment,the facial expression and frontal striae disappearance scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference between the two groups in the eight dimensions of 36-item short form survey(SF-36)before treatment(P>0.05).After 1 month of follow-up,the SF-36 scores of the two groups were higher than those before treatment,with statistical significance(P<0.05),the scores of physical function,health limitation,vitality and mental health of the observation group were higher than those of the control group,with statistical significance(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Acupuncture in traditional Chinese medicine is an effective method to treat peripheral facial paralysis,and early treatment is more ideal in improving symptoms and quality of life of patients.
作者
薛黎
王玥
姜书旻
XUE Li;WANG Yue;JIANG Shumin(Department of Traditional Chinese Medicine,Nantong Fourth People's Hospital,Jiangsu Province,Nantong 226001,China)
出处
《中国当代医药》
CAS
2024年第12期131-134,共4页
China Modern Medicine
关键词
周围性面瘫
针刺
早期治疗
生活质量
Peripheral facial paralysis
Acupuncture
Early treatment
Quality of life
