摘要
目的探讨针刺蝶腭神经节结合穴位注射治疗周围性面瘫后遗症的临床疗效。方法将于该院治疗的周围性面瘫后遗症患者60例纳入研究,将其随机分为试验组与对照组,各30例。试验组行针刺蝶腭神经节结合穴位注射治疗,针刺蝶腭神经节每周治疗1次。对照组行传统针刺结合穴位注射治疗,传统针刺每天1次,每周6次。两组穴位注射均隔1天注射1次,每周注射3次。分别记录两组患者治疗前及治疗2、4、8周后患侧面神经复合肌肉动作电位(CMAP)波幅变化比例及瞬目反射R1潜伏期。结果试验组治疗后2、4、8周后患侧面神经CMAP波幅变化比例均高于对照组(P<0.05);试验组治疗2、4、8周后患侧面神经R1潜伏期均短于对照组(P<0.05)。结论针刺蝶腭神经节结合穴位注射治疗周围性面瘫后遗症是一种有效的治疗方法。
Objective To investigate the clinical effect of acupuncture on the sphenopalatine ganglion combined with acupoint injection in the experiment of sequelae of peripheral facial paralysis.Methods Sixty patients with sequelae of facial paralysis were enrolled in the study and randomly divided into the experiment group and the control group,with 30 cases in each group.The experiment group was treated with acupuncture on the sphenopalatine ganglion combined with acupoint injection,and acupuncture on the sphenopalatine ganglia was treated once a week.The control group received traditional acupuncture combined with acupoint injection therapy,the traditional acupuncture was performed once a day,6 times a week.Acupoint injections in both groups were injected once a day and 3 times a week.The amplitude changes of the compound muscle action potential(CAMP)of the affected facial nerve and the blink reflex R1 latencies before treatment,and 2,4,8 weeks after treatment were recorded respectively.Results The ratios of CMAP amplitude change of the affected nerve in the experiment group were significantly higher than those in the control group at 2,4,and 8 weeks after treatment;the R1 latencies of the affected nerve in the experiment group were significantly shorter than those of the control group at 2,4,and 8 weeks after treatment,and the differences were statistically significant(P<0.05).Conclusion Acupuncture at the sphenopalatine ganglion combined with acupoint injection to treat the sequelae of facial paralysis is an effective method.
作者
程鹏
张继玉
王弟红
陈新胜
张之煜
程惠
CHENG Peng;ZHANG Jiyu;WANG Dihong;CHEN Xinsheng;ZHANG Zhiyu;CHENG Hui(Traditional Chinese Medicine Hospital of Jiulongpo District,Chongqing 400050,China)
出处
《检验医学与临床》
CAS
2021年第24期3554-3556,共3页
Laboratory Medicine and Clinic
关键词
针刺
蝶腭神经节
穴位注射
周围性面瘫后遗症
needling
sphenopalatine ganglion
point injection
sequelae of peripheral facial paralysis
