针灸配合康复功能训练治疗面部神经麻痹的临床疗效

Clinical Curative Effect of Acupuncture and Rehabilitation Function Training in Treatment of Facial Nerve Palsy

目的分析探讨针灸配合康复功能训练治疗面部神经麻痹的临床疗效。方法方便选取2012年9月—2016年1月期间该院收治的155例面部神经麻痹患者,采用随机数字表法分为观察组(n=77)和对照组(n=78)。两组患者均给与常规抗病毒、抗炎症等西药治疗,在此基础上,对照组给予康复功能训练治疗,观察组患者给予针灸配合康复功能训练治疗。分析比较两组患者临床疗效和治疗前后的面部残疾指数、面神经麻痹程度。结果观察组患者治疗痊愈率和临床治疗有效率均高于对照组(46.75%vs 34.62%,88.31%vs 73.08%,P<0.05);另外,治疗后观察组患者的躯体功能总分和面神经麻痹程度评分高于对照组[(24.80±1.06)分vs(19.45±0.88)分,(80.11±7.42)分vs(67.29±6.34)分],社会功能总分低于对照组[(9.06±1.43)分vs(14.86±0.98)分,P<0.05)。结论针灸配合康复功能训练治疗能明显改善患者面部残疾和面部神经麻痹状态,提高临床疗效。

Objective To analyze and study the clinical curative effect of acupuncture and rehabilitation function training in treatment of facial nerve palsy. Methods 155 cases of patients with facial nerve palsy admitted and treated in our hospital from September 2012 to January 2016 were convenient selected and randomly divided into two groups, and both groups used the routine anti-viral and anti-inflammatory western medicine therapy, the control group used the rehabilitation function training on the basis of the above, while the observation group used the acupuncture and rehabilitation function training on the basis of the above, and the clinical curative effect, facial disability index and facial nerve paralysis degree were analyzed between the two groups. Results The treatment healing rate and clinical treatment effective rate in the observation group were higher than those in the control group,（46.75% vs 34.62%,88.31% vs 73.08%, P〈0.05）, besides, the total score of somatic function and score of facial nerve paralysis degree in the observation group after treatment were higher than those in the control group [（24.80 ±1.06）points vs（19.45 ±0.88）points,（80.11 ±7.42）points vs（67.29 ±6.34）points], and the total score of social function was lower than that in the control group [（9.06±1.43）points vs（14.86±0.98）points,P〈0.05）]. Conclusion The acupuncture and rehabilitation function training can obviously improve the facial disability and facial nerve paralysis state, and improve the clinical curative effect.