康复功能训练辅助针灸治疗面神经麻痹的疗效分析
周兰英,欧阳观,曲早霞
摘要(Abstract):
目的观察康复功能训练辅助针灸治疗面神经麻痹的疗效。方法患者70例按随机数字表法分为两组,对照组采用常规治疗加针灸疗法,观察组采用常规治疗加针灸加康复功能训练疗法。比较两组患者治疗3个疗程后的面神经麻痹改善效果。结果治疗后,观察组Portmann评分明显高于对照组;两组患者面神经潜伏期(Latency)结果均减小,面神经波幅(Amp)结果均增大以及Honse-Brackmann(H-B)评级提高,而观察组的Latency、Amp结果与H-B评级变化幅度均明显大于对照组(均P<0.05)。观察组痊愈率达57.14%,总有效率为97.14%,分别高于对照组的37.14%、88.57%,但差异无统计学意义(P>0.05);对照组满意度为100.00%,高于对照组的85.71%(P<0.05)。结论中医针灸辅助康复功能训练疗法治疗面神经麻痹疗效突出,直接改善面瘫的病灶,快速恢复运动瘫痪肌肉,缩短病程,减轻患者痛苦,满意度高。
关键词(KeyWords): 康复功能训练;针灸;面神经麻痹;疗效
基金项目(Foundation):
作者(Author): 周兰英,欧阳观,曲早霞
参考文献(References):
- [1]沈双,卢振产,胡正刚,等.针刺联合通心络对周围性面神经麻痹神经功能和肌电图的影响[J].中华中医药学刊,2017,35(6):1521-1523.
- [2]钱海良,付勇,熊俊,等.温和灸治疗周围性面瘫不同灸位的临床疗效观察[J].南京中医药大学学报,2014,30(3):221-224.
- [3]He X,Zhu Y,Li C,et al.Acupuncture-induced changes in functional connectivity of the primary somatosensory cortex varied with pathological stages of Bell′s palsy[J].Neuroreport,2014,25(14):1162-1168.
- [4]Xia W,Zheng C,Zhu S,et al.Does the addition of specific acupuncture to standard swallowing training improve outcomes in patients with dysphagia after stroke a randomized controlled trial:[J].Clin Rehabil,2015,30(3):237-246.
- [5]Zhou LY,Liu TJ,Li XM,et al.Effects of intraorbital electroacupuncture on diabetic abducens nerve palsy[J].Chin Med J,2017,130(14):1741-1742.
- [6]李煜,戴春富.表现为面神经麻痹的面神经瘤的诊治体会[J].临床耳鼻咽喉头颈外科杂志,2015,29(8):716-719.
- [7]Zhou LY,Li XM,Liu TJ,et al.Rehabilitation of abducens nerve palsy after cholesteatoma resection at cerebellopontine angle by intraorbital electroacupuncture[J].Chin Med J,2017,130(13):1625-1626.
- [8]舒湘宁,马跃文.面神经功能评定方法[J].中国康复理论与实践,2015,21(8):924-928.
- [9]方瑾,潘军燕,陈晓红,等.面神经减压术治疗周围性面瘫15例临床分析[J].中华耳科学杂志,2014,12(2):296-299.
- [10]丁敏,冯骅,靳长旭,等.不同针刺、穴位埋线疗法治疗顽固性面瘫:随机对照研究[J].中国针灸,2015,35(10):997-1000.
- [11]Tang YJ,Wu MH,Tai CJ.Direct electrical stimulation on the injured ulnar nerve using acupuncture needles combined with rehabilitation accelerates nerve regeneration and functional recovery-A case report[J].Complement Ther Med,2016,24:103-107.
- [12]Luo G,He J,Wu T,et al.The therapeutic effect of stellate ganglion block on facial nerve palsy in patients with type 2 diabetes mellitus[J].Eur Neurol,2015,74(1-2):112-117.
- [13]熊云,郭楠楠,胡鹏.透刺与穴位注射相结合治疗风寒外袭型面瘫的疗效观察[J].中国中医基础医学杂志,2015,21(6):731-733,762.
- [14]徐文玉,刘新,李阔.表情肌强化训练对特发性面神经麻痹的疗效[J].中国康复理论与实践,2014,20(5):474-476.
- [15]屈菲,颜海霞,刘言薇,等.针刺联合肌内效贴治疗周围性面神经炎的疗效观察[J].中国康复医学杂志,2017,32(4):424-427,450.
- [16]Spencer CR,Irving RM.Causes and management of facial nerve palsy[J].Br J Hosp Med,2016,77(12):686-691.
- [17]Serinken M,Eken C,Dal O,et al.Man with facial nerve palsy and ear pain[J].Ann Emergency Med,2016,67(1):141-148.
- [18]张婉怡.传统治疗配合超短波治疗周围性面神经麻痹53例[J].第三军医大学学报,2014,36(23):2394,2399.
- [19]孔岩,徐耑,郝亚南,等.简易面神经功能评价量表在特发性面神经麻痹评估中的信度和效度[J].中国康复理论与实践,2015,21(2):224-227.
- [20]赵钧,吴爽,刘川,等.透刺治疗面神经麻痹对生物肌电信号影响及针刺作用的量化表达[J].中华中医药学刊,2016,34(9):2272-2275.