摘要
目的针灸透刺法治疗面神经麻痹的临床疗效。方法选取60例面神经麻痹患者,将其随机分为治疗组和对照组,每组30例,依据美国耳鼻—喉头颈外科学确立的House-Brachmann面神经功能分级标准与中医临床症状进行疗效评定,并用无创性功能磁共振量化治疗前后咬肌的变化情况。结果治疗组与对照组的数据相比,治疗组治疗后的总有效率显著增高,组间比较差异有显著性(P<0.05),两组治疗后的口眼歪斜、面部板滞、畏风恶寒和舌苔薄白积分均显著低于治疗前(P<0.05),治疗组积分均显著低于对照组积分(P<0.05)。治疗前两组间咬肌的DTI中FA值、ADC值两组间无显著差异(P<0.05),与治疗后进行比较,FA值治疗组和对照组的得分均高于治疗前,但两组间差异无统计学意义(P>0.05)。ADC值治疗组和对照组的得分均高于治疗前,但两组间差异无统计学意义(P>0.05)。治疗前两组间咬肌的中T2mapping(T2)两组间无显著差异(P<0.05),与治疗后进行比较,FA值治疗组和对照组的得分均高于治疗前,但两组间差异无统计学意义(P>0.05)。结论本试验观察表明面神经麻痹的针刺治疗中透刺法优于普通单穴针刺法,改变面神经麻痹临床症状,对肌肉组织也产生积极影响,并在无创性核磁共振DTI和T2mapping观测针灸治疗面部疾病上进行初步探索。
Objective To evaluate the clinical efficacy of penetration acupuncture for facial paralysis. Methods Sixty patients with facial paralysis were randomly divided into treatment group and control group,30 cases in each group. According to the classification criteria of House-Brachmann facial nerve function established by American Otolaryngology-Laryngeal Neck Surgery and the clinical symptoms of TCM,the efficacy evaluation was performed. The non-invasive functional magnetic resonance was used to quantify the changes of masseter muscle before and after treatment. Results Compared with the control group,the total effective rate of the treatment group was significantly higher after treatment,and the difference between the groups was significant( P < 0. 05). The stagnation,phobia,cold and white thinning of the tongue were significantly lower than before treatment( P < 0. 05),and the scores of the treatment group were significantly lower than those of the control group( P < 0. 05). There was no significant difference between the two groups in the DTI of the masseter muscle between the two groups( P < 0. 05). Compared with the treatment,the FA value of the treatment group and the control group were higher than the pre-treatment. There was no significant difference between the groups( P > 0. 05). The scores of ADC value of the treatment group and the control group were higher than those before treatment,but the difference between the two groups was not statistically significant( P > 0. 05). There was no significant difference in the middle T2mapping( T2) between the two groups before treatment( P < 0. 05). Compared with the treatment,the FA scores of the treatment group and the control group were higher than those before the treatment,but the difference between the two groups was not statistically significant( P > 0. 05).Conclusion This study shows that the penetration acupuncture treatment of facial paralysis is superior to the common single-point acupuncture method,which changes the clinical symptoms of facial paralysis,and also has a positive effect on muscle tissue,and uses non-invasive nuclear magnetic resonance DTI and T2 mapping to observe a preliminary study on acupuncture treatment of facial diseases.
作者
刘川
赵钧
吴爽
陈志安
赵古月
孙冬梅
LIU Chuan;ZHAO Jun;WU Shuang;CHEN Zhian;ZHAO Guyue;SUN Dongmei(Traditional Medical Hospital of Shenyang,Shenyang 110004,Liaoning,China;Department of Radiology,Shengjing Hospital,China Medical University,Shenyang 110004,Liaoning,China)
出处
《实用中医内科杂志》
2020年第2期94-98,共5页
Journal of Practical Traditional Chinese Internal Medicine
基金
沈阳市科技局科研课题(17-230-9-88)。
关键词
透刺
面神经麻痹
磁共振成像
口僻
Acupuncture
Penetration Acupuncture
Facial Paralysis
MRI
koupi
作者简介
刘川(1980-),男,辽宁沈阳人,副主任中医师,本科,研究方向:针灸治疗神经系统疾病。
