摘要
目的观察针刺联合火龙罐治疗贝尔面瘫的临床疗效及对面神经功能的影响。方法将72例贝尔面瘫患者按随机数字表法分为对照组(36例)和研究组(36例)。两组均进行相同的基础治疗,对照组另予针刺治疗,研究组另予针刺联合火龙罐治疗。观察两组治疗前后House-Brackmann(H-B)面神经功能分级、面部残疾指数(facial disability index,FDI)[包括躯体功能(facial disability index physical function,FDIP)和社会功能(facial disability index social function,FDIS)评分]以及改良Portmann简易评分的变化,比较两组临床疗效和不良反应发生率。结果治疗后,两组H-B面神经功能分级均优于治疗前(P<0.05),且研究组H-B面神经功能分级优于对照组(P<0.05)。治疗后,两组FDIP和改良Portmann简易评分均高于治疗前(P<0.05),两组FDIS均低于治疗前(P<0.05);研究组FDIP和改良Portmann简易评分均高于对照组(P<0.05),FDIS低于对照组(P<0.05)。研究组总有效率为94.4%,高于对照组的77.8%,差异具有统计学意义(P<0.05)。对照组不良反应发生率为8.3%,与研究组的11.1%比较,差异无统计学意义(P>0.05)。结论在基础治疗下,针刺联合火龙罐治疗贝尔面瘫可促进面神经功能恢复,改善面部症状,提高临床疗效,且安全性较好。
Objective To observe the clinical efficacy of acupuncture plus Huo Long cupping in treating Bell’s palsy and the impact on facial nerve function.Method Seventy-two patients with Bell’s palsy were divided into a control group(36 cases)and a research group(36 cases)using the random number table method.The basic intervention was given to both groups.In addition,the control group received acupuncture treatment,and the research group received acupuncture and Huo Long cupping.Before and after the intervention,the two groups were observed for changes in the House-Brackmann(H-B)facial nerve function grading,facial disability index(FDI)score[including facial disability index physical function(FDIP)and facial disability index social function(FDIS)scores],and modified Portmann scale(MPS)score.The clinical efficacy and adverse reaction rate were compared between the two groups.Result After the intervention,the H-B facial nerve function grading improved after the treatment in both groups(P<0.05)and was better in the research group than in the control group(P<0.05).After the treatment,the FDIP and MPS scores increased in both groups(P<0.05),and the FDIS score decreased in both groups(P<0.05);compared to the control group,the FDIP and MPS scores were higher in the research group(P<0.05),and the FDIS score was lower in the research group(P<0.05).The total effective rate was 94.4% in the research group,higher than 77.8% in the control group,and the difference was statistically significant(P<0.05).The control group had an adverse reaction rate of 8.3% versus 11.1% in the research group,and the between-group difference was statistically insignificant(P>0.05).Conclusion Incorporating acupuncture and Huo Long cupping into basic intervention can encourage the recovery of facial nerve function and improve facial symptoms and the clinical efficacy in treating Bell’s palsy with a satisfactory safety rating.
作者
安静
李红
阚仁惠
王丽娟
袁艳红
裴梦莹
AN Jing;LI Hong;KAN Renhui;WANG Lijuan;YUAN Yanhong;PEI Mengying(Yancheng Hospital of Traditional Chinese Medicine,Jiangsu Province,Yancheng 224001,China)
出处
《上海针灸杂志》
2025年第2期213-218,共6页
Shanghai Journal of Acupuncture and Moxibustion
基金
江苏省高层次卫生人才“六个一工程”拔尖人才项目(LGY2020060)。
关键词
针刺疗法
火龙罐
针药并用
贝尔面瘫
面神经麻痹
神经功能
Acupuncture therapy
Huo Long cupping
Acupuncture medication combined
Bell palsy
Facial paralysis
Nerve function
作者简介
安静(1978-),女,副主任医师,硕士,Email:anjingjing934@163.com。
