电子灸结合针刺治疗中重度贝尔麻痹的临床疗效观察

发布时间：2018-07-16 15:44

【摘要】：目的：观察电子灸双侧合谷、双侧肾俞、’百会对改善中重度贝尔麻痹患者面神经功能障碍和躯体、社会功能障碍的影响。方法：按照简单随机分组的原则,将60例符合纳入标准的中重度贝尔麻痹患者分为治疗组和对照组,每组各30例。治疗组：予电子灸双侧合谷、双侧肾俞、百会并结合普通针刺,电子灸和普通针刺项目均治疗30min,每日1次,每周治疗6天,周天休息,连续治疗6周。对照组：只施予普通针刺治疗。所有入组的患者在治疗前后均接受House-Brackmann (H-B)面神经功能分级、评分量表及面部残疾指数(FDI)调查问卷的专人评定。最后由专人负责整理所有数据资料,建立Excel数据库,采用SPSS18.0统计软件进行统计分析。结果：①两组患者治疗前后组内的各项量表比较：H-B分级及其总分比较均有显著统计学差异(P0.01),治疗后较治疗前的H-B总分均有显著下降；H-B各项评分比较均有显著统计学差异(P0.01),治疗后较治疗前的H-B各项评分均有显著下降；FDI躯体功能评分比较均有显著统计学差异(P0.01),治疗后较治疗前的FDI躯体功能评分均有显著上升；FDI社会功能评分比较均有显著统计学差异(P0.01),治疗后较治疗前的FDI社会功能评分均有显著下降。②经过6周治疗后两组间各项量表评分比较：根据H-B分级量表评定最终疗效,组间比较有明显差异(P0.05),治疗组的总有效率明显高于对照组；治疗组的H-B总分及FDI社会功能评分较对照组均有明显下降(P0.05),有明显统计学差异；H-B各项评分中额纹项比较有显著统计学差异(P0.01),闭眼、鼻翼活动、鼻唇沟及鼓腮四项评分比较均有明显统计学差异(P0.05),H-B各项评分其余5项和FDI躯体功能评分比较均没有统计学意义(P0.05)。结论：电子灸双侧合谷、双侧肾俞、百会可以调养阳气、温养经筋,重塑阴阳平衡,从而改善中重度贝尔麻痹面神经功能,进而改善患者因面神经功能障碍而引起的社会功能障碍。
[Abstract]:Objective: To observe the effect of electronic moxibustion on bilateral Hegu, bilateral Shenshu and "Baihui" on improving facial nerve dysfunction and physical and social dysfunction in patients with moderate and severe Baer's paralysis. Methods: according to the principle of simple and random grouping, 60 patients with moderate and severe Baer's palsy were divided into the treatment group and the control group, each group was treated with 30 cases. The treatment group: the electronic moxibustion bilateral Hegu, bilateral Shenshu, Baihui combined with common acupuncture, electronic moxibustion and common acupuncture were treated with 30min, 1 times a day, 6 days of treatment, Sunday rest, and 6 weeks of continuous treatment. The control group was only treated with ordinary acupuncture. All the patients received House-Brackmann (H-B) facial nerve function before and after treatment. Classification, rating scale and FDI questionnaire were evaluated by special persons. Finally, all data were arranged by special people, Excel database was set up, and SPSS18.0 statistical software was used for statistical analysis. Results: (1) there were significant statistics in each of the two groups of patients before and after treatment: H-B and their total scores. Difference (P0.01), after treatment, compared with the total score of H-B before treatment, there were significant differences in H-B scores (P0.01). After treatment, the scores of H-B before treatment were significantly lower than those before treatment, and there were significant differences in FDI somatic function score (P0.01). After treatment, the scores of FDI body function before treatment were all compared with those before treatment. The scores of FDI social function scores were significantly different (P0.01). After treatment, the social function scores of FDI before treatment were significantly lower. After 6 weeks of treatment, the scores of the two groups were compared: the final curative effect was evaluated according to the H-B scale (P0.05). The total effective rate of the treatment group was significant. The total score of H-B and the social function of FDI in the treatment group were significantly lower than those in the control group (P0.05), and there were significant differences in statistical difference. There were significant statistical differences between the scores of H-B scores (P0.01), the four scores of the closed eyes, the alar activity, the nasolabial groove and the drums and gills were statistically different (P0.05), H-B in each of the scores (P0.05). The scores of the other 5 items and the FDI somatic function score were not statistically significant (P0.05). Conclusion: the electronic moxibustion of bilateral Hegu, bilateral Shenshu and Baihui can adjust the Yang Qi, warm up the meridian and reshape the balance of yin and Yang, so as to improve the facial nerve function of the moderate and severe Baer paralysis, and then improve the social functional barrier caused by facial nerve dysfunction. Hindering.
【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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