摘要
目的:综合运用神经功能量表、电生理检测、影像学技术的方法,研究电针急性期介入对贝尔氏面瘫患者神经功能恢复的影响。方法:66例贝尔氏面瘫患者根据急性期是否给予电针,随机分为电针组(治疗组)、针刺组(对照组)两组,针刺治疗隔日1次直至患者痊愈。每次治疗时均用House-Brackman、Sunnybrook量表评价患者面神经功能。发病3天内完成面神经MRI检测,观察健、患侧信号强度;1周内完成面神经传导速度检查。发病后1月,或不满1月但面瘫病即将痊愈时予以复查面神经MRI、面神经传导速度。比较患者发病至开始恢复的时长(即House-Brackman量表评分开始下降的时长)、病愈所需时长、House-Brackman/Sunnybrook量表评分动态变化、MRI检测阳性率、面神经传导速度检测阳性率、面神经传导速度中延迟时间、波幅、波幅比的差异。结果:两组受试者发病至开始恢复的时长、病愈所需时长、治疗过程中的House-Brackman/Sunnybrook量表评分动态变化、治疗后MRI检测阳性率、治疗前后面神经传导速度检测阳性率、面神经传导速度中延迟时间、波幅、波幅比的差异均无统计学差异。结论:贝尔氏面瘫急性期在面部穴位给予低频电针治疗对面神经无明显损害,不影响面神经功能的恢复。
Objective:To study the intervention of electro-acupuncture for the recovery of nerve function in patients with acute Bell's palsy,by using the comprehensive evaluation of neurological function scale,electrophysiological examination and detection of MRI scan.Methods:66 patients with acute Bell's palsy were randomly divided into the electro-acupuncture group and the acupuncture group.The treatment was once every other day.House-Brackman Scale and Sunnybrook Scale were used to assess facial nerve function of the patients before every treatment,MRI scan was performed to observe the signal intensity within the three days of the onset,and facial nerve conduction velocity was detected within the first week.The MRI examination and detection of facial nerve conduction velocity had been performed again one month after the onset.Results:There were no significant difference between the two groups in terms of recovery starting days,recovery duration days,dynamic changes of House-Brackman Scale score and Sunnybrook Scale score,MRI scan and facial nerve conduction velocity,latency,amplitude and amplitude ratio of facial nerve conduction velocity.Conclusion:The application of low frequency electro-acupuncture for Bell's palsy at acute stage take no harm to the facial nerve,and it does not influence the recovery of the nerve.
作者
赵创
刘志丹
李晓燕
陈春兰
谭倩
张玲
沈卫东
ZHAO Chuang;LIU Zhi-dan;LI Xiao-yan;CHEN Chun-lan;TAN Qian;ZHANG Ling;SHEN Wei-dong(Baoshan Shuguang Hospital Affiliated to Shanghai University of TCM,Shanghai 201999,China;Baoshan Hospital Integrated of Chinese and Western Medicine,Shanghai 201999,China;Nanjing University of Chinese Medicine,Nanjing 210046,China;Shuguang Hospital Affiliated to Shanghai University of TCM,Shanghai 201203,China)
出处
《针灸临床杂志》
2018年第3期8-15,共8页
Journal of Clinical Acupuncture and Moxibustion
基金
上海市卫生和计划生育委员会中医药科研基金
编号:2014LQ016A
上海市"杏林新星"计划项目
编号:ZY3-RCPY-2-2041
上海市宝山区卫生青年医学人才培养项目
编号:bswsyq-2014-A05
关键词
针刺
电针
面瘫
急性期
贝尔氏面瘫
磁共振
面神经传导速度
Acupuncture
Electro-acupuncture
Facioplegia
Acute stage
Bell's palsy
MRI
Facial nerve conduction velocity
