摘要
目的:探讨分期针灸治疗面瘫的效果。方法:选取2020年12月—2022年3月北京市石景山区八角社区卫生服务中心收治的89例面瘫患者作为研究对象,按照随机数字表法分为对照组与试验组。对照组给予常规针灸治疗,试验组给予分期针灸治疗,比较两组神经麻痹程度评分、面部残疾指数(FDI)评分、临床疗效、焦虑及抑郁情绪评分、不良反应发生情况、House-Brackmann分级情况。结果:治疗前,两组神经麻痹程度、躯体功能(FDIP)、社会功能(FDIS)评分比较,差异无统计学意义(P>0.05);治疗后,两组神经麻痹程度、FDIP、FDIS评分均高于治疗前,且试验组高于对照组,差异有统计学意义(P<0.05)。试验组治疗有效率高于对照组,差异有统计学意义(P=0.040)。治疗前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);治疗后,两组SAS、SDS评分均低于治疗前,且试验组低于对照组,差异有统计学意义(P<0.05)。试验组不良反应发生率低于对照组,差异有统计学意义(P=0.042)。两组House-BrackmannⅡ、Ⅲ、Ⅳ、Ⅴ级占比比较,差异无统计学意义(P>0.05);试验组House-BrackmannⅠ级占比高于对照组,Ⅵ级占比低于对照组,差异有统计学意义(P<0.05)。结论:分期针灸治疗面瘫效果显著,可促进面部神经功能恢复,减轻患者焦虑、抑郁症状。
Objective:To explore the effect of staged acupuncture and moxibustion in the treatment of facial paralysis.Methods:A total of 89 patients with facial paralysis admitted to Bajiao Community Health Service Center of Shijingshan District of Beijing from December 2020 to March 2022 were selected as the study subjects.According to the random number table method,the patients were divided into control group and experimental group.The control group was given conventional acupuncture and moxibustion treatment,and the experimental group was given staged acupuncture and moxibustion treatment.The nerve palsy degree score,facial disability index(FDI)score,clinical efficacy,anxiety and depression score,adverse reactions,and House-Brackmann score were compared between the two groups.Results:Before treatment,there was no significant difference in the scores of nerve palsy degree,physical function(FDIP)and social function(FDIS)between the two groups(P>0.05).After treatment,the scores of nerve palsy degree,FDIP and FDIS in the two groups were higher than those before treatment,and the experimental group was higher than the control group,and the difference was statistically significant(P<0.05).The effective rate of treatment in the experimental group was higher than that in the control group,and the difference was statistically significant(P=0.040).Before treatment,there was no significant difference in the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)score between the two groups(P>0.05).After treatment,the SAS and SDS scores in the two groups were lower than those before treatment,and the experimental group was lower than the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the experimental group was lower than that in the control group,and the difference was statistically significant(P=0.042).There was no significant difference in the proportions of House-Brackmann grades II,III,IV,and V between the two groups(P>0.05).The proportion of House-Brackma
作者
赵恒洁
王成祥
王红平
Zhao Heng-jie;Wang Cheng-xiang;Wang Hong-ping(Bajiao Community Health Service Center of Shijingshan District,Beijing 100043,China;Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China;Daxing District Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100163,China)
出处
《中国社区医师》
2023年第9期73-76,共4页
Chinese Community Doctors
关键词
面瘫
针灸
面部神经功能
焦虑
抑郁
Facial paralysis
Staged acupuncture and moxibustion
Facial nerve function
Anxiety
Depression
