摘要
目的:观察中西医结合治疗风寒袭络型周围性面瘫的临床效果。方法:选取102例风寒袭络型周围性面瘫患者,随机数字表法分为两组:对照组(51例)给予常规西药治疗;观察组(51例)在对照组基础上给予隔姜灸联合散寒通络汤治疗。比较两组治疗前后中医症状评分、面神经功能分级量表(H-B)分级、面部残疾指数(FDI)评分及面神经电生理情况[瞬目反射R1潜伏期、复合肌肉动作电位(CMAP)波幅],统计临床疗效及不良反应发生情况。结果:对照组2例中途退出,观察组3例中途退出,最终纳入对照组49例、观察组48例。治疗后,观察组中医症状评分低于治疗前及对照组(P<0.05)。两组治疗后H-B分级与本组内治疗前比较及治疗后两组间比较差异均有统计学意义(P<0.05);治疗后观察组Ⅰ、Ⅱ、Ⅲ、Ⅳ级占比与本组治疗前比较,治疗后对照组Ⅰ、Ⅱ及Ⅳ级占比与本组治疗前比较,治疗后观察组与对照组Ⅰ、Ⅱ及Ⅲ级占比比较,差异均有统计学意义(P<0.05);治疗后观察组Ⅰ~Ⅱ级占比为93.75%,高于对照组的53.06%(P<0.05)。观察组FDI量表躯体功能、社会功能评分均高于治疗前及对照组(P<0.05)。观察组总有效率为95.83%,高于对照组的79.59%(P<0.05)。观察组R1潜伏期短于治疗前及对照组(P<0.05),CMAP波幅高于治疗前及对照组(P<0.05)。观察组不良反应发生率为8.33%,对照组为12.24%,差异无统计学意义(P>0.05)。结论:风寒袭络型周围性面瘫患者采用中西医结合治疗可减轻其症状及面部残疾程度,促进面神经功能恢复,增强疗效,且不良反应少。
Objective To explore the clinical effect of traditional Chinese and western medicine in the treatment of peripheral facial paralysis with syndrome of wind-cold attacking channel and collateral.Methods One hundred and two peripheral facial paralysis with syndrome of wind-cold attacking channel and collateral patients in our hospital were selected and divided into two groups by random number table method:The control group(51 cases)was treated with conventional western medicine,while the observation group(51 cases)was treated with Ginger-partitioned Moxibustion combined with Sanhan Tongluo decoction.Traditional Chinese medicine symptom score,House-Brackmann(H-B)scale,Facial Disability Index(FDI)score and facial electrophysiology[Blinking reflex R1 latency,Compound muscle action potential(CMAP)amplitude]of the two groups were compared before and after treatment,and clinical efficacy and adverse reactions were analyzed.Results Two patients in the control group withdrew midway,while three patients in the observation group withdrew midway.Finally,49 patients were included in the control group and 48 patients in the observation group.After treatment,the scores of traditional Chinese medicine symptoms in the observation group were lower than those before treatment and in the control group(P<0.05).There were significant differences in H-B classification between the two groups after treatment compared with that before treatment and between the two groups after treatment(P<0.05).The proportion of grade I,II,III and IV in the observation group after treatment was compared with that in this group before treatment,and the proportion of grade I,II and IV in the control group after treatment was compared with that in this group before treatment,and the proportion of grade I,II and III in the observation group after treatment was compared with that in the control group after treatment,and there was statistical sig-nificance(P<0.05).After treatment,the proportion of grade I to II in the observation group was 93.75%,higher than that
作者
毛丽娟
宋新安
滑海霞
MAO Lijuan;SONG Xinan;HUA Haixia(Department of Acupuncture and Moxibustion 1,Changyuan Hospital of Traditional Chinese Medicine,Xinxiang 453400,China;Department of Rehabilitation,Changyuan Hospital of Traditional Chinese Medicine,Xinxiang 453400,China)
出处
《中国民族民间医药》
2024年第17期100-105,共6页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
周围性面瘫
风寒袭络型
中医
西医
Peripheral Facial Paralysis
Syndrome of Wind-cold Attacking Channel and Collateral
Traditional Chinese Medicine
Western Medicine
