摘要
目的 观察浮针对面神经炎急性期患者肌电图、面神经功能及炎症因子的影响。方法 将90例面神经炎急性期患者按照随机数字表法分为对照组与观察组各45例。对照组给予常规西药基础治疗,观察组给予常规西药加浮针治疗。治疗10 d后,观察两组临床疗效、中医证候评分、肌电图指标、面神经功能指标、炎症因子指标、生活质量(SF-36量表)和不良反应发生情况。结果 观察组总有效率高于对照组(P <0.05)。治疗后,两组各项中医证候评分均较治疗前显著降低,且观察组优于对照组(P <0.05);CMAP波幅均上升,R1波潜伏期均下降,且观察组优于对照组(P <0.05);面神经功能H-B分级例数降低,且观察组低于对照组(P <0.05);C反应蛋白(CRP)、白细胞计数(WBC)和肿瘤坏死因子-α(TNF-α)水平均降低,且观察组低于对照组(P <0.05);生理功能、生理职能等SF-36评分升高,且观察组高于对照组(P <0.05)。结论 浮针治疗面神经炎急性期患者具有较好的临床疗效,显著改善中医证候评分、肌电图指标、面神经功能及炎症因子水平,提高生活质量,且不良反应少。
Objective:To investigate the effects of floating needle on electromyography,facial nerve function and inflammatory factors in patients with facial neuritis at acute stage.Methods:A total of 90 patients with acute facial neuritis were divided into two groups according to the random number table method.The observation group was treated with routine western medicine plus floating needle.After 10 days,the clinical efficacy,TCM syndrome score,electromyography index,facial nerve function index,inflammatory factor index,quality of life(SF-36 scale)and 7 adverse reactions were observed.Results:The total effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the scores of TCM syndromes in the two groups were significantly lower than those before treatment,and the observation group was better than the control group(P<0.05);the CMAP amplitude increased,R1 latency decreased,and the observation group was superior to the control group(P<0.05);the number of patients with H-B grading of facial nerve function decreased,and the number of patients in the observation group was lower than that in the control group(P<0.05);the levels of CRP,WBC and TNF-αin the observation group were lower than those in the control group(P<0.05);the scores of SF-36 in physiological function and physiological function of the observation group were higher than those of the control group(P<0.05).Conclusion:Floating needle has a good clinical effect on patients with acute facial neuritis,which can significantly improve TCM syndrome score,electromyography index,facial nerve function index and inflammatory factor index,improve the quality of life,with less adverse reactions and high safety.
作者
江淑红
庄萍萍
李鹏业
吕涛
戚继峰
张洲姬
Jiang Shuhong;Zhuang Pingping;Li Pengye;Lyu Tao;Qi Jifeng;Zhang Zhouiji(Qingdao Jimo District Hospital of Traditional Chinese Medicine Afiliated to Shandong University of Traditional Chinese Medicine,Shandong,Qingdao 266200,China)
出处
《中国中医急症》
2023年第5期841-844,共4页
Journal of Emergency in Traditional Chinese Medicine
基金
山东省名老中医药专家传承工作室建设项目(鲁卫函[2019]92号)
齐鲁中医药优势专科集群建设项目(鲁卫函[2021]2号)
山东省中医药临床重点专科建设项目(鲁卫中西医指导字[2021]6号)
青岛市县域临床重点专科建设项目(青卫科教字[2022]3号)
青岛市中医药科技项目(2022-zyym36)
上海市抗癌协会青年医生“雏鹰”计划项目(SACA-CY20C17)。
关键词
面神经炎
急性期
浮针
肌电图
面神经功能
炎症因子
生活质量
Facial neuritis
Acute period
Floating needle
EMG
Facial nerve function
Inflammatory factors
Qualityof life
