摘要
目的:基于面肌超声指标评价针药结合治疗周围性面瘫所致面肌萎缩的疗效。方法:选取146例周围性面瘫所致面肌萎缩患者,按照随机数字表法分为对照组和针药结合组各73例。研究过程中2组各剔除3例,最终均纳入70例。对照组采用针刺治疗,针药结合组在对照组基础上加用牵正散加减治疗。10 d为1个疗程,2组均治疗3个疗程。比较2组临床疗效、症状体征评分、面部神经功能评分、面肌超声指标及异常超声发生率,分析症状体征评分、面部神经功能评分与面肌超声指标之间的相关性。结果:治疗后,针药结合组总有效率95.71%,高于对照组84.29%,差异有统计学意义(P<0.05)。2组症状体征、面部神经功能评分均较治疗前降低,针药结合组症状体征、面部神经功能评分均低于对照组,差异均有统计学意义(P<0.05)。2组患侧额肌、降口角肌、降下唇肌厚度均较治疗前增加,针药结合组患侧额肌、降口角肌、降下唇肌厚度均大于对照组,差异均有统计学意义(P<0.05)。2组回声信号增强,肌纤维模糊、增粗发生率均较治疗前降低,针药结合组回声信号增强,肌纤维模糊、增粗发生率均低于对照组,差异均有统计学意义(P<0.05)。症状体征评分、面部神经功能评分与各项面肌超声指标均呈负相关,差异均有统计学意义(P<0.05)。结论:针药结合治疗周围性面瘫所致面肌萎缩疗效显著,能有效改善患者的临床症状和面部神经功能,面肌厚度、异常超声表现等指标对疗效有一定的评估价值。
Objective:To evaluate the curative effect of the therapy of acupuncture combined with medicine on facial atrophy caused by peripheral facial paralysis based on the echocardiography indexes of facial muscle.Methods:A total of 146 cases of patients with facial atrophy caused by peripheral facial paralysis were selected and divided into the control group and the acupuncture combined with medicine group according to random number table method,with 46 cases in each group.During study,3 cases were excluded from each of the two groups,finally 70 cases were included in both group.The control group was given acupuncture for treatment,and the acupuncture combined with medicine group was additionally treated with modified Qianzheng San based on the treatment of the control group.The two groups were treated for 3 courses of treatment,with 10 days being 1 course.The clinical effects,the scores of symptoms and vital signs and facial nerve function,the levels of echocardiography indexes of facial muscle and the incidence of abnormal echocardiograph were compared between the two groups.The correlation between symptom and sign score and facial muscle ultrasound indexes,and the corrleation between facial nerve function score and facial muscle ultrasound indexes were analyzed.Results:After treatment,the total effective rate was 95.71%in the acupuncture combined with medicine group,higher than that of 84.29%in the control group,the difference being significant(P<0.05).The scores of symptoms and vital signs and facial nerve function in the two groups were decreased when compared with those before treatment,and the above two scores in the acupuncture combined with medicine group were lower than those in the control group,differences being significant(P<0.05).The thickness of frontal muscle,depressor anguli oris muscle and depressor labii inferioris muscle of the affected side in the two groups were increased when compared with those before treatment,and the thickness of frontal muscle,depressor anguli oris muscle and depressor labii i
作者
任应国
白方会
彤小聪
李尽义
彤萌
REN Yingguo;BAI Fanghui;RONG Xiaocong;LI Jinyi;RONG Meng(Nanyang Central Hospital,Nanyang Henan 473000,China)
出处
《新中医》
CAS
2024年第10期113-118,共6页
New Chinese Medicine
基金
南阳市科技攻关计划项目(KJGG099)。
关键词
周围性面瘫
面肌萎缩
针刺
牵正散
面神经功能
面肌超声
Peripheral facial paralysis
Facial atrophy
Acupuncture
Qianzheng San
Facial nerve function
Echocardiography of facial muscle
