梅花针联合表情肌功能训练操对周围性面瘫患者面部神经功能及残疾指数的影响

The Effect of Plummeting Acupuncture Combined with Expression Muscle Functional Training Exercises on Facial Nerve Function and Disability Index in Patients with Peripheral Facial Palsy

目的探讨梅花针联合表情肌功能训练操在周围性面瘫患者中的应用效果.方法选取我院2020年1月—2022年2月收治的70例周围性面瘫患者,按随机数字表法分为两组,各35例.对照组采用表情肌功能训练操治疗,观察组在对照组基础上加用梅花针治疗,均持续治疗4周.比较两组临床疗效、面部神经功能、肌电图、面部残疾指数躯体功能量表(FDIP)及面部残疾指数社会生活功能量表(FDIS)评分.结果观察组治疗总有效率为94.29%,高于对照组的77.14%,差异有统计学意义(P<0.05).治疗后,观察组Portmann评分为(18.42±1.05)分、多伦多面神经分级系统量表评分为(85.82±6.35)分,均高于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的眼轮匝肌、口轮匝肌潜伏期分别为(2.45±0.23)ms、(2.89±0.25)ms,均短于对照组的(2.78±0.25)ms、(3.17±0.29)ms,眼轮匝肌、口轮匝肌M波波幅分别为(1.71±0.18)mv、(2.68±0.24)mv,均高于对照组的(1.35±0.14)mv、(2.09±0.22)mv,组间差异有统计学意义(P<0.05).治疗后,观察组FDIP评分(21.41±2.38)分高于对照组,FDIS评分(6.89±1.12)分低于对照组,组间差异有统计学意义(P<0.05).结论梅花针联合表情肌功能训练操可提高周围性面瘫的治疗效果,加快面部神经功能恢复,降低面部残疾指数,改善肌电图变化,值得临床推广应用.

Objective To investigate the effect of plummeting acupuncture combined with expression muscle functional training exercises in patients with peripheral facial palsy.Methods 70 patients with peripheral facial palsy admitted to the hospital from January 2020 to February 2022 were selected and divided into two groups of 35 cases each according to the random number table method.The control group was treated with expression muscle functional training exercises,and the observation group was treated with plummeting acupuncture on the basis of the control group,and both continued treatment for 4 weeks.The clinical efficacy,facial nerve function,electromyography,facial disability index physical(FDIP)and facial disability index social(FDIS)scores were compared between the two groups.Results The total effective rate of treatment in the observation group was 94.29%,which was higher than 77.14%in the control group,and the difference was statistically significant(P<0.05).After treatment,the Portmann score of the observation group was(18.42±1.05)points and the Toronto facial gmaing system scale score was(85.82±6.35)points,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the latency periods of orbicularis oculi and orbicularis oris were(2.45±0.23)ms and(2.89±0.25)ms in the observation group,which were shorter than(2.78±0.25)ms and(3.17±0.29)ms in the control group,and the M-wave amplitudes of orbicularis oculi and orbicularis oris were(1.71±0.18)mv and(2.68±0.24)mv,respectively,all of them were higher than(1.35±0.14)mv and(2.09±0.22)mv in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the FDIP score of the observation group(21.41±2.38)points was higher than that of the control group,and the FDIS score(6.89±1.12)points was lower than that of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Plummeting acupuncture combined with expression muscle function training exercises can improve the treatment effect of peripheral facial palsy,accelerate the recovery of facial nerve function,reduce the facial disability index and improve electromyographic changes,which is worthy of clinical promotion and application.