针刺联合通心络对周围性面神经麻痹神经功能和肌电图的影响
发布时间：2018-08-04 16:29
【摘要】：目的:观察针刺联合通心络对周围性面神经麻痹神经功能和肌电图的影响。方法:将84例周围性面神经麻痹患者按照随机数字表法分为对照组42例和治疗组42例,两组患者在西医对症治疗的基础上,对照组给予针刺治疗,研究组患者给予针刺联合口服通心络胶囊治疗。治疗4周后,观察两组患者的临床疗效和神经功能恢复情况,检测眼轮匝肌、鼻肌及口轮匝肌的神经电图潜伏期及患健侧波幅比值。结果:治疗4周后,治疗组患者的总有效率95.24%,明显高于对照组80.95%,差异有统计学意义(χ2=4.086,P=0.043)。治疗组患者的眼裂闭合评分、口角偏斜评分和FNFI指数均显著高于对照组,差异有统计学意义(P0.05)。治疗组的眼轮匝肌、鼻肌及口轮匝肌的神经电图潜伏期均显著低于对照组,而患健侧波幅比值高于对照组,差异有统计学意义(P0.05)。结论:针刺联合通心络治疗周围性面神经麻痹临床疗效明确,促进神经功能恢复,改善肌电图,利于患者康复,值得临床推广应用。
[Abstract]:Objective: to observe the effect of acupuncture combined with Tongxinluo on nerve function and electromyography of peripheral facial paralysis. Methods: 84 patients with peripheral facial paralysis were randomly divided into control group (n = 42) and treatment group (n = 42). Patients in the study group were treated with acupuncture combined with oral Tongxinluo capsule. After 4 weeks of treatment, the clinical efficacy and recovery of nerve function of the two groups were observed, and the latency of electroneurogram and the amplitude ratio of the affected side of orbicularis oculi muscle, rhinus muscle and orbicularis oris muscle were detected. Results: after 4 weeks of treatment, the total effective rate of the patients in the treatment group was 95.2443, which was significantly higher than that in the control group (80.95%). The difference was statistically significant (蠂 ~ (2 +) 4.086 / P ~ (0.043). The scores of fissure closure, angle of mouth deflection and FNFI index in the treatment group were significantly higher than those in the control group (P0.05). The latency of EMG in the orbicularis oculi muscle, rhinus muscle and orbicularis oris muscle in the treatment group was significantly lower than that in the control group, while the amplitude ratio of the affected side was higher than that in the control group (P0.05). Conclusion: acupuncture combined with Tongxinluo in the treatment of peripheral facial paralysis has a definite clinical effect, promotes the recovery of nerve function, improves electromyography, and is beneficial to the rehabilitation of patients. It is worth popularizing in clinic.
【作者单位】： 湖州市中心医院神经内科;
【基金】：浙江省医药卫生科技计划项目(2015KYA212)
【分类号】：R277.7
[Abstract]:Objective: to observe the effect of acupuncture combined with Tongxinluo on nerve function and electromyography of peripheral facial paralysis. Methods: 84 patients with peripheral facial paralysis were randomly divided into control group (n = 42) and treatment group (n = 42). Patients in the study group were treated with acupuncture combined with oral Tongxinluo capsule. After 4 weeks of treatment, the clinical efficacy and recovery of nerve function of the two groups were observed, and the latency of electroneurogram and the amplitude ratio of the affected side of orbicularis oculi muscle, rhinus muscle and orbicularis oris muscle were detected. Results: after 4 weeks of treatment, the total effective rate of the patients in the treatment group was 95.2443, which was significantly higher than that in the control group (80.95%). The difference was statistically significant (蠂 ~ (2 +) 4.086 / P ~ (0.043). The scores of fissure closure, angle of mouth deflection and FNFI index in the treatment group were significantly higher than those in the control group (P0.05). The latency of EMG in the orbicularis oculi muscle, rhinus muscle and orbicularis oris muscle in the treatment group was significantly lower than that in the control group, while the amplitude ratio of the affected side was higher than that in the control group (P0.05). Conclusion: acupuncture combined with Tongxinluo in the treatment of peripheral facial paralysis has a definite clinical effect, promotes the recovery of nerve function, improves electromyography, and is beneficial to the rehabilitation of patients. It is worth popularizing in clinic.
【作者单位】： 湖州市中心医院神经内科;
【基金】：浙江省医药卫生科技计划项目(2015KYA212)
【分类号】：R277.7
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2 刘晓丽;;针刺联合穴位注射治疗周围性面神经麻痹临床观察及电生理分析[J];河北中医;2015年07期
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