针刺配合电磁疗治疗贝尔麻痹急性期的随机对照研究

发布时间：2017-12-27 17:06

本文关键词：针刺配合电磁疗治疗贝尔麻痹急性期的随机对照研究　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:评价针刺治疗配合穴位电磁疗治疗特发性面神经麻痹急性期的临床疗效,从而为临床探索一种疗效确切,简单易操作的治疗方法。方法:将符合纳入标准的60例特发性面神经麻痹急性期的患者采用随机分组方法,分为治疗组(针刺配合穴位电磁疗组)30例和对照组(针刺组)30例。两组患者治疗前后分别应用House-Brackmann(H-B)面神经功能评价分级系统、Nottingham评分系统、日本面神经麻痹程度评价法(Yanagihara面神经麻痹分级系统)对面神经功能及患者的症状、体征变化进行评价并对比,最后将收集的数据结果录入SPSS20.0进行统计学分析,计数资料组间构成比较用卡方检验,计量资料不符合正态分布者用非参数秩和检验,符合正态分布者用t检验。检验水准α =0.05,P0.05为差异有统计学意义。结果:两组患者的基本资料包括性别、年龄、发病天数、发病部位的比较,均无显着性差异,具有可比性。两组治疗前病情评价的相关指标:两组治疗前H-B分级经秩和检验、Nottingham评分经t检验、日本面神经麻痹程度评分经t检验,均无显着性差异,即两组治疗前病情程度相当,具有可比性。两组治疗前后的组内比较:治疗组和对照组治疗前后:H-B分级经秩和检验、Nottingham评分经t检验、日本面神经麻痹程度评分经t检验,差异均有统计学意义。即治疗组和对照组治疗急性期特发性面神经麻痹均有疗效。两组治疗后组间疗效比较:治疗后两组Nottingham评分差值经t检验,组间差异无统计学意义;日本面神经麻痹程度评分差值经t检验,差异无统计学意义;治疗组治愈、显效、有效、无效人数分别为10、16、2、2,对照组分别为9、15、3、3,经秩和检验,两组差异无统计学意义。综合上述结果,两组的疗效相当,即针刺治疗配合穴位电磁疗治疗特发性面神经麻痹急性期与单纯针刺治疗疗效区别不大。结论:1.经过治疗前后两组组间比较,两组H-B分级经秩和检验、Nottingham评分治疗经t检验、日本面神经麻痹程度评分经t检验均得出P0.05的结果,即提示治两种疗法治疗急性期特发性面神经麻痹均有疗效。2.经过治疗后两组组间比较,各检验指标经统计学分析后均得出P0.05的结果,提示两种疗法治疗急性期特发性面神经麻痹疗效区别不大。3.通过分析随访3个月后的结果可知,针刺配合穴位电磁疗治疗急性期特发性面神经麻痹的远期疗效尚可。4.特发性面神经麻痹综合治疗的疗效优于单一疗法,对于穴位电磁疗的研究有待进一步深入。
[Abstract]:Objective: To evaluate the clinical efficacy of acupuncture therapy combined with acupoint electromagnetic therapy in the treatment of idiopathic facial paralysis at acute stage, so as to explore an effective, simple and easy operative method for clinical treatment. Methods: 60 patients with acute idiopathic facial paralysis were randomly divided into treatment group (acupuncture plus electromagnetic acupoint therapy group), 30 cases and control group (acupuncture group) in 30 cases. House-Brackmann were used in two groups before and after treatment (H-B) evaluation function grading system, Nottingham scoring system, the Japanese facial paralysis degree of facial nerve method (Yanagihara facial paralysis grading system) the change of symptoms and signs and neurological function in patients with opposite into evaluation and comparison, finally the data collected to record the results of the statistical analysis SPSS20.0 a, count data between groups were compared by chi square test, measurement data is not consistent with the nonparametric Wilcoxon test for normal distribution, t test were consistent with normal distribution. The test level of alpha =0.05 and P0.05 were statistically significant. Results: the basic data of the two groups included sex, age, the number of days of disease, the comparison of the location of the disease, and there was no significant difference. Two groups of relevant indicators before treatment: two groups before treatment H-B grading by rank sum test, Nottingham score by t test, facial nerve palsy score by t test, there was no significant difference, that is, two groups before treatment, the degree of illness is quite comparable. The two groups were compared before and after treatment: the treatment group and the control group before and after treatment: H-B grading by rank sum test, Nottingham score by t test, facial nerve palsy score by t test, the difference was statistically significant. The treatment group and the control group were effective in the treatment of acute facial nerve paralysis. The curative effect were compared between the two groups after treatment: two groups after treatment Nottingham scores in the t test, there were no significant differences between groups in Japan; facial nerve paralysis degree scores in the t test, the difference was not statistically significant; treatment group were cured, markedly effective, effective and invalid number were 10, 16, 2, 2, control group were 9, 15, 3, 3, the rank sum test, there was no significant difference between the two groups. Based on the above results, the curative effect of the two groups is equivalent, that is, acupuncture treatment combined with acupoint electromagnetic therapy has little difference in the curative effect between the acute stage of idiopathic facial paralysis and the acupuncture alone. Conclusion: after 1. before and after treatment between the two groups, two groups of H-B grade by rank test and Nottingham score of treatment by t test, the Japanese facial paralysis scores were obtained by the t test results of P0.05, which suggested that treatment of two kinds of therapy in the treatment of acute idiopathic facial paralysis have curative effect. 2. after treatment, the two groups were compared. The results of P0.05 were obtained after statistical analysis, indicating that there is no significant difference between the two therapies in the treatment of acute idiopathic facial paralysis. 3. through the analysis of the results after 3 months of follow-up, we can see that the long-term effect of acupuncture combined with acupoint electromagnetic therapy in the treatment of acute idiopathic facial paralysis is still available. The comprehensive treatment of 4. idiopathic facial paralysis is better than the single therapy, and the study of acupoint electromagnetic therapy should be further studied.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.6

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