面部运动疗法结合穴位按压治疗贝尔面瘫的临床观察

Effectiveness of Facial Motor Therapy plus Acupressure on Bell's Palsy

目的探讨运用面部运动疗法结合穴位按压治疗贝尔面瘫的有效性。方法 58例贝尔面瘫患者随机分为对照组(n=29)和观察组(n=29)。对照组进行常规治疗;观察组除常规治疗外,增加面部肌肉运动疗法和穴位按压治疗。治疗前、治疗2周和治疗4周时两组分别进行面神经功能评分和疗效评估。结果对照组平均治疗时间为(29.62±12.15)d,观察组为(25.63±11.56)d,两组相比无显著性差异(P>0.05)。两组总有效率为100%。对照组完全恢复率58.6%,观察组72.4%,但无显著性差异(P>0.05)。随着治疗时间的延长,两组面神经功能评分显著降低(F=176.578,P<0.001)。两组相比,仅治疗2周时观察组面神经功能评分低于对照组(P<0.05)。但观察组的面神经功能评分始终存在低于对照组的趋势。结论面部运动疗法结合穴位按压治疗有促进贝尔面瘫恢复的趋势。

Objective To investigate the effectiveness of facial motor therapy combined with acupressure on Bell＆#39;s palsy. Methods 58 patients with Bell＆#39;s palsy were randomly divided into control group （n=29） and experimental group （n=29）. The control group was treated with routine treatment. The experimental group was treated with motor therapy and acupressure routine treatment in addition. All patients were assessed with Facial Nerve Function Defect Assessment before, 2 weeks and 4 weeks after treatment. Results The average time for treatment was （29.62±12.15） days in the control group and （25.63±11.56） days in the experimental group （P〉0.05）. The rate of effectiveness was 100%in two groups. The rate of complete recovery was not significantly different between the two groups （58.6%vs. 72.4%, respec-tively, P〉0.05）. Significantly difference of score of Facial Nerve Function Defect Assessment was only found between two groups 2 weeks after treatment （P〈0.05）, but tended to be lower in the experimental group than in the control group. Conclusion Facial motor therapy plus acupressure is helpful in promoting the recovery of Bell＆#39;s palsy.