红外热成像指导梅花针治疗急性期周围性面瘫的临床观察

发布时间：2018-04-10 12:03

本文选题：面瘫 + 红外热成像　；参考：《福建中医药大学》2016年硕士论文

【摘要】：目的：观察急性期周围性面瘫患者的面部红外热像图,探索其温差区的分布情况及健患侧温差大小变化情况；观察急性期梅花针叩刺温差区对周围性面瘫临床疗效及病程长短的影响。研究方法：1.纳入2014年10月至2015年12月期间于厦门市海沧医院康复医学科、神经内科门诊就诊的急性期周围性面瘫患者60例,随机分为梅花针组(治疗组)30例及毫针组(对照组)30例；急性期,治疗组采用梅花针叩刺面部温差区,对照组予毫针浅刺,非急性期,两组均予毫针常规针刺,留针30min,每日1次,6次为一个疗程,共四个疗程,疗程间间隔1天。治疗前后对两组患者进行面神经功能分级评定,进行统计学分析,评价急性期梅花针叩刺温差区对周围性面瘫临床疗效及病程长短的影响。2.根据急性期周围性面瘫患者的面部红外热像图,探索其温差区分布情况及健患侧温差大小变化情况。结果：1.疗效比较两组治疗前后面神经功能分级对比,经秩和检验,两组均有改善(P0.05)。治疗后两组面神经功能分级比较,经秩和检验,具有显著性差异(P0.05)。临床疗效比较：治疗组治愈24例,显效4例,好转1例,总有效率96.67%；对照组治愈18例,显效2例,好转6例,总有效率86.67%,经秩和检验,两组疗效有显著性差异(P0.05)。2.病程比较治疗组病程23.37±1.215天；对照组病程27.30±1.211天。两组病程比较,经秩和检验,具有显著性差异(P0.05),治疗组病程较对照组缩短。3.急性期温差区表现及分布情况60例急性期患者温差区均表现为高温,分布频率由高到低依次为口角区41.25%、耳周区23.75%、颊区18.75%、额区10%、鼻旁6.25%。4.急性期健患侧温差大小变化情况急性期,对照组患者面部健患侧温差大小随时间变化呈上升趋势；治疗组患者温差大小在急性期前3天仍呈上升趋势,但在急性期后4天呈现稳定并逐渐下降的趋势。结论：1.急性期采用梅花针叩刺温差区可使健患侧温差稳定或减小,提高周围性面瘫的临床疗效,并缩短病程。2.急性期周围性面瘫面部温差区表现为高温,分布频率由高到低依次为口角区、耳周区、颊区、额区、鼻旁。
[Abstract]:Objective: to observe the facial infrared thermography of patients with acute peripheral facial paralysis and to explore the distribution of the temperature difference area and the change of the temperature difference of the affected side.Objective: to observe the clinical effect and course of peripheral facial paralysis treated by plum-blossom needle tapping temperature difference area in acute stage.Research method: 1.From October 2014 to December 2015, 60 patients with acute peripheral facial palsy were randomly divided into two groups: the treatment group (n = 30) and the control group (n = 30).In the acute stage, the treatment group used plum blossom needle to tap the facial temperature difference area, the control group was treated with mild needle acupuncture, non-acute stage, both groups were treated with the routine acupuncture of the millimeter needle for 30 minutes, 6 times a day as a course of treatment, a total of four courses of treatment, the interval between the courses of treatment was 1 day.Before and after treatment, the patients in the two groups were assessed with facial nerve function grading and statistical analysis, to evaluate the clinical efficacy and duration of peripheral facial paralysis affected by plum needle tapping temperature difference area in acute stage. 2.According to the infrared thermogram of the patients with acute facial paralysis, the distribution of the temperature difference and the variation of the temperature difference of the healthy side were explored.The result is 1: 1.The curative effect was compared between the two groups before and after treatment. By rank sum test, both groups had improved P0.05.After treatment, there was a significant difference in the classification of facial nerve function between the two groups by rank sum test (P 0.05).Comparison of clinical efficacy: 24 cases were cured in the treatment group, 4 cases were obviously effective, 1 case was improved, the total effective rate was 96.67%, while in the control group, 18 cases were cured, 2 cases were improved, 6 cases were improved, and the total effective rate was 86.67%. By rank sum test, there was a significant difference between the two groups.The course of disease was 23.37 卤1.215 days in the treatment group and 27.30 卤1.211 days in the control group.By rank sum test, there was a significant difference in the course of disease between the two groups (P 0.05), and the course of disease in the treatment group was shorter than that in the control group.The temperature difference area of 60 patients in acute stage showed hyperthermia. The distribution frequency from high to low was 41.25 in the oral area, 23.75 in the periauricular area, 18.75in the buccal area, 10in the frontal area and 6.25.4.Changes of the temperature difference of the affected side in the acute phase, the temperature difference on the face of the patients in the control group showed an upward trend with time, while the temperature difference in the treatment group was still on an upward trend 3 days before the acute phase.But in the acute period 4 days after the stable and gradually declining trend.Conclusion 1.In the acute stage, the temperature difference of the affected side can be stabilized or decreased by tapping the temperature difference area with plum blossom needle, and the clinical effect of peripheral facial paralysis can be improved, and the course of disease can be shortened by 2. 2.The facial temperature difference area of peripheral facial paralysis in acute stage was high temperature, and the distribution frequency from high to low was the oral corner area, periauricular area, buccal area, frontal area and nasal region.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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