rood技术联合醒脑开窍针刺法治疗脑卒中后中枢性面瘫患者疗效及对面动脉血流动力学、面部肌电图的影响研究

Effect of rood technique combined with acupuncture for resuscitation on patients with central facial paralysis after stroke and the influence of facial artery hemodynamics and facial electromyography

目的探讨rood技术联合醒脑开窍针刺法治疗脑卒中后中枢性面瘫患者疗效及对面动脉血流动力学、面部肌电图的影响研究。方法选取100例脑卒中后中枢性面瘫患者为研究对象,随机分为对照组和观察组,每组各50例。对照组给予rood技术治疗,观察组给予rood技术联合醒脑开窍针刺法治疗。比较两组临床疗效、面动脉、唇上动脉、唇下动脉血流动力学指标[收缩期峰值血流速度(Vs)、舒张末期血流速度(Vd)和阻力指数(RI)]、面部肌电图(眼轮匝肌、口轮匝肌及鼻肌)。结果治疗1个月后,观察组临床总有效率高于对照组(χ^(2)=4.33,P<0.05),观察组面动脉、唇上动脉和唇下动脉的Vs、Vd均高于对照组(t分别=7.34、5.41、6.49、5.32、6.59、5.22,P均<0.05),观察组面动脉、唇上动脉和唇下动脉的RI均低于对照组(t分别=4.76、4.63、4.42,P均<0.05),观察组眼轮匝肌、口轮匝肌和鼻肌肌电图指标均高于对照组(t分别=3.98、5.53、4.31,P均<0.05)。结论rood技术联合醒脑开窍针刺法治疗脑卒中后中枢性面瘫患者疗效较好,能明显改善面动脉血流动力学、面部肌电图指标。

Objective To investigate the effect of rood technique combined with acupuncture for resuscitation on the patients with central facial paralysis after stroke and the influence of facial artery hemodynamics and facial electromyogra⁃phy.Methods Totally 100 patients with central facial paralysis after stroke were selected as the research objects and randomly divided into control group and observation group,with 50 patients in each.The control group was treated with rood technique,while the observation group was treated with rood technique combined with resuscitation acupuncture.The clinical efficacy,hemodynamic indexes of facial artery,superior labial artery and inferior labial artery[peak systolic blood flow velocity(Vs),end diastolic blood flow velocity(Vd)and resistance index(RI)],facial electromyography(orbicular⁃is oculi,orbicularis oris and nasal muscles)were compared between the two groups.Results After one month of treat⁃ment,the total clinical effective rate of the observation group was higher than that of the control group(χ^(2)=4.33,P<0.05),the Vs and Vd of the facial artery,superior labial artery and inferior labial artery in the observation group were higher than those in the control group(t=7.34,5.41,6.49,5.32,6.59,5.22,P<0.05),and the RI of the facial artery,su⁃perior labial artery and inferior labial artery in the observation group were lower than those in the control group(t=4.76,4.63,4.42,P<0.05).The electromyography indexes of orbicularis oculi,orbicularis oris and nasalis in the observation group were higher than those in the control group(t=3.98,5.53,4.31,P<0.05).Conclusion Rood technique combined with the acupuncture for resuscitation has a good effect in treating patients with central facial paralysis after stroke.It can significantly improve the facial artery hemodynamics and facial electromyography.