电针疏密波辅助治疗周围性面瘫急性期临床观察Clinical Observation of Electroacupuncture Dilatational Wave in the Treatment of Acute Peripheral Facial Paralysis
陈凡,陈琼,张浩
摘要(Abstract):
目的 探讨电针疏密波干预对周围性面瘫急性期患者的疗效。方法 选取70例患者作为研究对象,根据随机数字表法分为对照组与观察组各35例。对照组采用药物治疗,观察组在对照组基础上联合电针疏密波治疗。比较两组House-Brackmann(H-B)面神经功能评分、视觉模拟疼痛量表(VAS)评分及临床疗效。结果治疗后两组H-B评分和VAS评分均降低,H-B分级有明显差异(P <0.05);治疗后观察组H-B评分更低,总有效率更高(P <0.05)。结论 周围性面瘫急性期患者采用电针疏密波辅助干预,可更好地恢复面神经功能,减少疼痛,提高临床疗效。
关键词(KeyWords): 周围性面瘫急性期;电针疏密波;睡眠质量;疼痛评分;临床疗效
基金项目(Foundation): 武汉市卫生和计划生育委员会科研计划项目(WZ18Q15)
作者(Author): 陈凡,陈琼,张浩
参考文献(References):
- [1]Lassaletta L,Morales-Puebla JM,Altuna X,et al.Facial paralysis:Clinical practice guideline of the spanish society of otolaryngology[J].Acta Otorrinolaringol Esp(Engl Ed),2020,71(2):99-118.
- [2]张加英,徐炳国,戴丽娟,等.牵正穴温针灸治疗周围性面瘫的临床观察[J].中国中医急症,2020,29(4):678-680.
- [3]中华医学会神经病学分会,中华医学会神经病学分会神经肌肉病学组,中华医学会神经病学分会肌电图与临床神经电生理学组.中国特发性面神经麻痹诊治指南[J].中华神经科杂志,2016,49(2):84-86.
- [4]樊忠.周围性面瘫的诊断和治疗[J].中华耳鼻咽喉科杂志,1993,28(1):52-54.
- [5]李耀龙,吴凡伟,谭茂卿.热敏灸配合电针疏密波治疗周围性面瘫52例[J].国际中医中药杂志,2010,32(5):454.
- [6]高树中,杨骏.针灸治疗学[M].北京:中国中医药出版社,2012:51.
- [7]睢明河.最新国家标准针灸穴位使用详解[M].2版.北京:中国中医药出版社,2018.
- [8]Huang B,Zhou ZL,Wang LL,et al.Electrical response grading versus House-Brackmann scale for evaluation of facial nerve injury after Bell's palsy:a comparative study[J].J Integr Med,2014,12(4):367-371.
- [9]Monini S,Iacolucci CM,Di Traglia M,et al.Role of Kabat rehabilitation in facial nerve palsy:a randomised study on severe cases of Bell's palsy[J].Acta Otorhinolaryngol Ital,2016,36(4):282-288.
- [10]Faiz KW.VAS-visuell analog skala VAS-visual analog scale[J].Tidsskr Nor Laegeforen,2014,134(3):323.
- [11]Li B,Sun X,Guo J,et al.Effectiveness comparisons of acupuncture treatments for Bell palsy in adults:A protocol for systematic review and Bayesian network meta-analysis[J].Medicine,2020,99(23):e20252.
- [12]George E,Richie MB,Glastonbury CM.Facial nerve palsy:Clinical practice and cognitive errors[J].Am J Med,2020,133(9):1039-1044.
- [13]谢谢,孙勤国,江波,等.中西医结合多联疗法治疗周围性面神经麻痹疗效观察[J].时珍国医国药,2018,29(3):643-645.
- [14]韩永丽,严江天,吴松,等.电针内关预处理对心肌缺血再灌注大鼠模型血管内皮因子及线粒体功能影响[J].中华中医药学刊,2018,36(10):2389-2393,10015.
- [15]Kannan RY,Hills A,Shelley MJ,et al.Immediate compared with late repair of extracranial branches of the facial nerve:a comparative study[J].Br J Oral Maxillofac Surg,2020,58(2):163-169.
- [16]胡艳美,朱博畅.张仁教授分期论治难治性面瘫经验[J].中国针灸,2020,40(8):865-867,896.
- [17]Fei J,Gao L,Li HH,et al.Electroacupuncture promotes peripheral nerve regeneration after facial nerve crush injury and upregulates the expression of glial cell-derived neurotrophic factor[J].Neural Regen Res,2019,14(4):673-682.