温针灸配合康复功能训练治疗周围性面瘫的效果及对肌电图的影响

Effect of Warm Needle Moxibustion Combined with Rehabilitation Function Training in the Treatment of Peripheral Facial Paralysis and Its Influence on Electromyography

目的:分析温针灸配合康复功能训练治疗周围性面瘫的效果及对肌电图的影响。方法:选取2018年1月—2020年12月中国人民解放军联勤保障部队第九一〇医院收治的90例周围性面瘫患者作为研究对象,通过双盲法将其分为对照组(n=45)和研究组(n=45)。对照组在常规治疗基础上进行康复功能训练治疗,研究组在对照组基础上配合温针灸治疗,两组均治疗1个月。比较两组治疗效果、并发症、面肌肌电图(口轮匝肌、眼轮匝肌)及面神经功能[House-Brackmann(H-B)面神经功能分级]。结果:研究组总有效率较对照组高,差异有统计学意义(P<0.05)。研究组并发症发生率虽较对照组高,但差异无统计学意义(P>0.05)。两组治疗前面肌肌电图、H-B评分比较,差异无统计学意义(P>0.05);研究组治疗后口轮匝肌、眼轮匝肌肌电图高于对照组,H-B评分低于对照组,差异有统计学意义(P<0.05)。结论:温针灸配合康复功能训练治疗周围性面瘫患者,不仅有利于提升临床疗效,不增加并发症发生率,且可帮助患者提高面肌肌电图,改善面神经功能。

Objective:To analyze the effect of warm needle moxibustion combined with rehabilitation function training in the treatment of peripheral facial paralysis and its influence on electromyography.Method:A total of 90 patients with peripheral facial paralysis who admitted to Chinese People's Liberation Army Joint Logistic Support Force 910th Hospital from January 2018 to December 2020 were selected as the research objects,they were divided into the control group(n=45)and the study group(n=45)by doubleblind method.The control group was treated with rehabilitation function training based on conventional treatment,and the study group was treated with warm needle moxibustion based on the control group,both groups were treated for 1 month.The treatment effect,complications,facial muscle electromyography(orbicularis oris muscle,orbicularis oculi muscle)and facial nerve function[House-Brackmann(H-B)facial nerve function classification]were compared between the two groups.Result:The total effective rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was higher than that in the control group,but the difference was not statistically significant(P>0.05).There were no significant differences in facial muscle electromyography and H-B score between two groups before treatment(P>0.05);the electromyography of orbicularis oris muscle and orbicularis oculi muscle in the study group after treatment were higher than those in the control group,and the H-B score was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Warm needle moxibustion combined with rehabilitation function training in the treatment of patients with peripheral facial paralysis not only beneficial to improve the clinical efficacy,but also does not increase the incidence of complications,and can help patients to improve the facial muscle electromyography and improve the facial nerve function.