穴位注射配合功能训练治疗贝尔氏麻痹疗效分析

Study on the curative effects of point injection combined with function training on Bell's palsy treatment

目的通过对照观察穴位注射配合功能训练与类固醇激素配合神经营养药治疗贝尔氏麻痹的疗效,探寻更优临床治疗方案。方法将53例确诊的贝尔氏麻痹患者按随机数字表法分为甲组29例,乙组24例。甲组用穴位注射配合自创面肌功能训练法治疗,穴位注射维生素B1100mg,维生素B120.25 mg,qd,7日一疗程;乙组口服强的松,肌注维生素B1100 mg和维生素B120.25 mg,qd,7日一疗程。两组均治疗4个疗程后评估其疗效。结果治疗后甲组的面神经功能分级标准(House-Brackman H-B)评分高于乙组(P<0.05)。甲组总有效率96.55%,乙组总有效率70.83%,两组疗效比较,差异有统计学意义(P<0.05)。结论穴位注射配合自创面肌功能训练法治疗贝尔氏麻痹疗效确切,面肌功能及其运动协调性恢复更好,面部表情更自然。

Objective To observe and compare the curative effects of point injection combined with facial muscle function training with Steroid hormone combined with neurotrophic drugs on Bell＇s palsy treatment and further explore more optimal clinical treatment. Methods According to the random number table, 53 patients diagnosed with Bell＇s palsy were divided into Group A （29 cases） and Group B （24 cases）. Group A was given point injection of 100mg vitamin B1 and 0.25 mg vitamin B12combined with bas facial muscle function training treatment once a day for 7 days as a course. Group B was given oral prednisone combined with intramuscular injection of 100mg vitamin Bl and 0.25 mg vitamin B12, once a day for 7 days as a course.After 4 courses of treatment, the curative effects of two groups were assessed. Results House - Brackman （ H - B） score in Group A was higher than that in Group B （ P 〈 0. 05 ）. There was significant difference of the total effective rate between Group A （96.55%） and Group B （70.83%） （P 〈 0.05 ）. Conclusion Point injection combined with facial muscle function training have curative effects on Bell＇s palsy treatment with better recovery of facial muscle function and move-ment coordination and more natural of facial expressions.