红外热像技术观察浅针结合针刺治疗周围性面神经麻痹的临床疗效

发布时间：2018-06-13 06:39

本文选题：周围性面神经麻痹 + 浅针　；参考：《福建中医药大学》2016年硕士论文

【摘要】：目的：本课题应用无创的红外热像技术作为周围性面神经麻痹的客观指标,通过浅针结合针刺治疗周围性面神经麻痹与单纯针刺治疗的临床疗效进行对比观察,为周围性面神经麻痹的临床研究提供更安全有效且病人易于接受的治疗方法及更客观的临床疗效评价指标。方法：本课题采用随机对照研究,将符合纳入标准的周围性面神经麻痹患者60例,随机分为治疗组和对照组各30例,进行临床疗效观察。治疗组采用浅针结合针刺进行治疗,对照组单纯针刺治疗。每日治疗1次,连续治疗6次后休息1天,再继续治疗6天休息1天,为1个疗程,疗程后采用House-Brackmann (H-B)面神经功能分级量表及面部温度差值对比两组疗效。结果：1、治疗后两组的House-Brackmann (H-B)面神经功能评价系统分级情况较治疗前均有改善,差异有统计学意义(P0.05),两组治疗方法均有显著临床疗效；治疗效果：治疗组疗效优于对照组(P0.05)。2、治疗组及对照组治疗后较治疗前面部温度差值均有所降低,差异有统计学意义(P0.05),两组治疗方法有显著临床疗效；两组治疗后面部温度差值比较,差异无统计学意义(P0.05),治疗组与对照组治疗后在面部温度差值改变上无明显差别。结论：1、两种方案对周围性面神经麻痹的治疗均有显著疗效,浅针是治疗过程中患者更容易接受的疗法、依从性高,因此这种疗法在临床上具有较大的推广意义。2、两组治疗后面部循环功能改善,面部健患侧温度差值减小,故红外热像技术拍摄计算的面部温度差值可作为本病临床诊疗参考指标。
[Abstract]:Objective: to observe the clinical effect of superficial acupuncture combined with acupuncture in treating peripheral facial paralysis by using non-invasive infrared thermography technique as an objective index of peripheral facial paralysis. To provide a more safe, effective and acceptable treatment for peripheral facial paralysis, and to evaluate the clinical efficacy more objectively. Methods: in this study, 60 patients with peripheral facial paralysis were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with shallow acupuncture combined with acupuncture, while the control group was treated with simple acupuncture. One time daily, one day after 6 consecutive treatments, and one day's rest for another 6 days. After the treatment, House-Brackmann 's H-B-B) scale of facial nerve function and the difference of facial temperature were used to compare the curative effect between the two groups. Results the grading of House-Brackmann H-B-) facial nerve function evaluation system in the two groups was improved after the treatment, and the difference was statistically significant (P 0.05). The curative effect of the treatment group was better than that of the control group (P 0.05). The difference of facial temperature between the treatment group and the control group was lower than that before treatment, and the difference was statistically significant (P 0.05). There was no significant difference in facial temperature difference between the two groups after treatment, and there was no significant difference in facial temperature difference between the treatment group and the control group after treatment. Conclusion both of the two regimens have significant therapeutic effects on peripheral facial paralysis. Superficial acupuncture is a more acceptable therapy for patients with peripheral facial palsy, and it has a high degree of compliance. Therefore, this treatment has a great clinical significance. 2. After treatment, the facial circulatory function of the two groups is improved, and the temperature difference of the affected side of the healthy face is reduced. Therefore, the facial temperature difference calculated by infrared thermography can be used as a reference index for clinical diagnosis and treatment of this disease.
【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

【相似文献】