针灸对中风面瘫面神经功能、免疫功能的影响

Effect of Acupuncture on Facial Nerve Function and Immune Function in Stroke Patients with Facial Paralysis

目的：探讨针灸治疗中风后面瘫的治疗效果及对患者神经功能、免疫功能的影响。方法：选取医院收治的120例中风后面瘫患者，收治时间2015年1月-2016年10月，采用随机数字表法分为研究组和对照组各60例，研究组采用基础治疗＋针灸辅助治疗，对照组仅采取常规基础治疗，疗程1个月；对比治疗前后两组患者血清免疫球蛋白、面神经功能分级（MHBN）及临床效果。结果：治疗前，研究组和对照组的IgA、IgG、IgM水平差异无统计学意义（P〉0．05）；治疗后，研究组患者的IgA、IgG、IgM水平显著的低于对照组（P〈0．05）；治疗后，研究组MHBN分级患者Ⅰ级61．67％、Ⅱ级40．00％、Ⅲ级6．67％，对照组MHBN分级患者I级40．00％、Ⅱ级45．00％、Ⅲ级13．33％、Ⅳ级1．67％，研究组的MHBN分级显著的优于对照组（P〈0．05）；治疗前，研究组和对照组静态D1、静态D2、微小D1、噘嘴D2测定值差异无统计学意义（P〉0．05）；治疗后，研究组的静态D1、静态D2、微小D1、噘嘴D2测定值均显著的低于对照组（P〈0．05）。结论：针灸结合常规基础治疗对中风后面瘫具有较好的临床效果，能显著的改善患者的免疫水平及面神经功能。

Objective：To explore the effect of acupuncture and moxibustion on the treatment of facial paralysis after stroke and its effect on neurological function and immune function. Methods：A total of 120 cases of stroke patients with facial paralysis were selected. From January 2015 to October 2016, 60 cases were divided into study group and control group. The study group was treated with basic therapy ＋ acupuncture and moxibustion, The control group was treated with conventional basic therapy for 1 month. The serum immunoglobulin, facial nerve function grade （MHBN） and clinical effect were compared between the two groups before and after treatment. Results：There was no significant difference in IgA, IgG and IgM levels between the study group and the control group before treatment （P 〉 0. 05）. After treatment, the levels of IgA, IgG and IgM in the study group were significantly lower than those in the control group （ P 〈 0. 05 ） After treatment, MHBN grade I was 61.67% , grade IV 40.00% and grade Ⅲ 6.67%. The control group＇ s MHBN grade I was 40.00% , grade 45.00% , grade Ⅲ 13.33% and grade Ⅳ 1.67% （ P 〈 0. 05 ）. There was no significant difference between the study group and the control group in the determination of static D1, static D2, micro D1 and pouting D2 （P 〉 0. 05 ）. The treatment group＇ s was significantly higher than that of the control group （ P 〈 0. 05 ）. The static D1, static D2, micro D1 and pouting D2 of the study group were significantly lower than those of the control group（ P 〈 0. 05 ）. Con- clusion：Acupuncture combined with conventional basal therapy has a good clinical effect on stroke behind the paralysis and can significantly improve the patients＇ immune level and facial nerve function.