铜砭刮痧配合中药熏蒸应用于恢复期周围性面瘫患者的效果

Effect of Tongbian scraping combined with traditional Chinese medicine fumigation on convalescent patients with peripheral facial paralysis

目的分析恢复期周围性面瘫患者应用铜砭刮痧配合中药熏蒸的效果及其对面部神经肌电图、神经因子的影响。方法择取2020年1月至2022年4月许昌中医院收治的83例恢复期周围性面瘫患者作为研究对象,以随机数字表分为两组,对照组41例给予中药熏蒸,观察组42例增加铜砭刮痧。对比两组患者症状积分、面部神经肌电图、神经因子。结果干预后,观察组眼裂闭合(0.85±0.32)分、鼻唇沟变浅(0.72±0.29)分、口角歪斜(0.81±0.30)分、额纹消失(0.77±0.29)分,均低于对照组(1.37±0.43)分、(1.17±0.38)分、(1.32±0.41)分、(1.29±0.35)分(P<0.001);干预后,观察组上唇方肌运动潜伏期(1.94±0.45)ms、眼轮匝肌运动潜伏期(1.02±0.28)ms、额肌运动潜伏期(1.15±0.31)ms、口轮匝肌运动潜伏期(1.82±0.54)ms,均低于对照组(2.71±0.53)ms、(1.63±0.39)ms、(1.68±0.42)ms、(2.43±0.60)ms(P<0.001);干预后,观察组上唇方肌M波波幅(1.87±0.47)ms、眼轮匝肌M波波幅(1.42±0.41)ms、额肌M波波幅(0.59±0.19)ms、口轮匝肌M波波幅(1.55±0.42)ms,均高于对照组(1.43±0.43)ms、(1.03±0.32)ms、(0.45±0.16)ms、(1.09±0.34)ms(P<0.05);干预后,观察组神经生长因子(NGF)水平(17.36±3.17)μg/m L、胶质细胞源性神经营养因子(GDNF)水平(5.92±1.25)μg/m L,均高于对照组(14.89±2.64)μg/m L、(4.68±1.02)μg/m L(P<0.001)。结论铜砭刮痧配合中药熏蒸能够有效减轻恢复期周围性面瘫患者临床症状,改善患者面神经功能及神经因子表达。

Objective To analyze the effect of copper plate scraping combined with traditional Chinese medicine fumigation on facial electromyography and nerve factors in patients with peripheral facial paralysis during recovery period.Methods From January 2020 to April 2022,83 patients with peripheral facial paralysis in recovery period who were admitted to Xuchang Hospital of Traditional Chinese Medicine were selected as the research objects.They were divided into two groups by random number table.41 patients in the control group were given traditional Chinese medicine fumigation,and 42 patients in the observation group were added with copper needle scraping.The symptom scores,facial electromyography and nerve factors of the two groups were compared.Results After intervention,the scores of eye fissure closure(0.85±0.32),nasolabial groove shallowing(0.72±0.29),angular deviation(0.81±0.30),and disappearance of frontal striation(0.77±0.29)in the observation group were lower than those in the control group(1.37±0.43),(1.17±0.38),(1.32±0.41),and(1.29±0.35),P<0.001;After intervention,the motor latency of quadratus labii superioris(1.94±0.45)ms,orbicularis oculi(1.02±0.28)ms,frontalis(1.15±0.31)ms and orbicularis oris(1.82±0.54)ms in the observation group were lower than those in the control group(2.71±0.53)ms,(1.63±0.39)ms,(1.68±0.42)ms and(2.43±0.60)ms(P<0.001);After intervention,M wave amplitude of quadratus labii muscle(1.87±0.47)ms,orbicularis oculi muscle(1.42±0.41)ms,frontalis muscle(0.59±0.19)ms,orbicularis oris muscle(1.55±0.42)ms in the observation group were higher than those in the control group(1.43±0.43)ms,(1.03±0.32)ms,(0.45±0.16)ms,(1.09±0.34)ms(P<0.05);After intervention,the level of nerve growth factor(NGF)and in the observation group was(17.36±3.17)μg/m L,glial cell derived neurotrophic factor(GDNF)level(5.92±1.25)μg/m L,higher than the control group(14.89±2.64)μg/m L and(4.68±1.02)μg/m L(P<0.001).Conclusion Copper plate scraping combined with traditional Chinese medicine fumigation can effectively reduce the clinical symptoms of patients with peripheral facial paralysis in the recovery period,and improve the facial nerve function and the expression of nerve factors in patients.