摘要
目的观察热敏灸联合西药治疗贝尔面瘫后遗症期的临床疗效。方法 80例贝尔面瘫后遗症期患者随机分为对照组和观察组,每组40例。对照组予常规西药治疗,观察组在对照组基础上,加用热敏灸治疗。治疗前后评定多伦多分级评分法(TFGS)、面部残疾指数量表(FDI),测定血清内皮素(ET)、一氧化氮(NO)水平,并比较两组临床疗效。结果观察组的总有效率明显高于对照组(P<0.05)。治疗后,观察组TFGS评分明显升高(P<0.05),且高于对照组(P<0.05);观察组面部残疾躯体功能评分明显升高(P<0.05),面部残疾社会生活评分明显降低(P<0.05),优于对照组(P<0.05);观察组患者血清ET、NO水平明显改善,优于对照组(P<0.05)。结论热敏灸联合西药治疗贝尔面瘫后遗症的疗效显著,可促进面神经功能恢复,改善面部残疾情况,这可能与其调节患者血清ET、NO水平有关。
Objective To observe the clinical efficacy of heat-sensitive moxibustion plus conventional Western medication in treating Bell palsy in sequela stage.Method Eighty patients with Bell palsy in sequela stage were randomized into a control group and an observation group,with 40 cases in each group.The control group was given conventional Western medication while the observation group was given additional heat-sensitive moxibustion.Before and after treatment,they were evaluated by the Toronto Facial Grading System(TFGS)and Facial Disability Index(FDI)scale,and the serum levels of endothelin(ET)and NO were detected.The clinical efficacy was also compared between the two groups.Result The total effective rate in the observation group was significantly higher than that in the control group(P<0.05).After treatment,the TFGS score increased significantly in the observation group(P<0.05),and was higher than that in the control group(P<0.05);the FDI-physical function score increased significantly(P<0.05)and the FDI-social function score decreased significantly(P<0.05)in the observation group,and were better than those in the control group(P<0.05);the serum levels of ET and NO showed significant improvements in the observation group and were better than those in the control group(P<0.05).Conclusion Heat-sensitive moxibustion plus Western medication can produce significant efficacy in treating Bell palsy in sequela stage.It can promote the recovery of facial nerve function and improve the facial disability state,which may be associated with its regulation of the serum levels of ET and NO.
作者
李文建
魏艳红
李志营
LI Wen-jian;WEI Yan-hong;LI Zhi-ying(The Seventh People’s Hospital of Zhengzhou,Zhengzhou 450006,China)
出处
《上海针灸杂志》
2020年第9期1142-1146,共5页
Shanghai Journal of Acupuncture and Moxibustion
基金
河南省科技发展计划项目(162102310457)。
关键词
灸法
热敏灸
面神经麻痹
周围性面瘫
多伦多分级评分法
Moxibustion
Heat-sensitive moxibustion
Facial paralysis
Bell palsy
Toronto Facial Grading System
作者简介
李文建(1973-),男,副主任医师,Email:liwenjian1973@163.com。
