针刺加超短波治疗周围性面瘫的应用研究

Application of acupuncture plus ultrashort wave therapy for peripheral facial paralysis

目的:探讨周围性面瘫患者采用针刺联合超短波治疗的临床疗效。方法:选择茂名市人民医院2015年8月-2019年5月治疗的周围性面瘫患者共60例,分为对照组和观察组各30例,对照组采用针刺,观察组加用超短波治疗,对比两组患者的临床总有效率和健康测量量表SF-36(The Medical Outcomes Study36-Item Short-Form Health Survey)评分、面部残疾指数(Facial Disability Index,FDI)量表评分。结果:观察组临床总有效率93.33%(28/30)高于对照组73.33%(22/30),两组患者的临床总有效率对比差异具有统计学意义(P <0.05);治疗前的两组患者的躯体功能、心理功能、社会功能、角色功能和生活质量评分对比差异无统计学意义(P> 0.05),治疗后的躯体功能、心理功能、社会功能、角色功能和生活质量评分较治疗前上升(P <0.05),观察组治疗后的躯体功能、心理功能、社会功能、角色功能和生活质量评分较对照组上升更为明显,对比差异具有统计学意义(P <0.05);治疗前两组患者的躯体功能和社会功能对比差异无统计学意义(P> 0.05),治疗后的躯体功能上升、社会功能下降(P <0.05),观察组治疗后的躯体功能、社会功能较对照组改善更为明显,对比差异具有统计学意义(P <0.05)。结论:周围性面瘫患者采用针刺联合超短波治疗的临床疗效较高,提高了临床疗效。

Objective: To explore the clinical efficacy of acupuncture combined with ultrashort wave therapy in treating patients with peripheral facial paralysis. Methods: A total of 60 patients with peripheral facial paralysis treated in our hospital from August 2015 to May 2019 were enrolled. The patients were divided into the control group and the observation group, with 30 cases in each group. The control group was treated with acupuncture. The observation group was treated with acupuncture combined with ultrashort wave ultrashort wave therapy. The total clinical effective rate and SF-36 scale score and FDI scale score of the patients in the two groups were compared. Results: The total clinical effective rate of the observation group 93.33%(28/30) was higher than that of the control group 73.33%(22/30). The difference in clinical total effective rate between the two groups was statistically significant(P<0.05). There was no statistically significant difference in physical function, psychological function, social function, role function and quality of life score before treatment(P>0.05). The physical function, mental function, social function, role function and quality of life score after treatment increased compared with those before treatment(P<0.05), the physical function, psychological function, social function, role function and quality of life score of the observation group were significantly higher than those of the control group, and the difference was statistically significant(P<0.05);the body of the two groups of patients There was no statistically significant difference in function and social function of the two groups of patients before treatment(P>0.05). The physical function increased and social function decreased after treatment(P<0.05). The physical function and social function of the observation group were more obvious than those of the control group. The difference was statistically significant(P<0.05). Conclusion: The clinical efficacy of acupuncture combined with ultrashort wave therapy is higher in patients with peripheral facial paralysisis higher, which improves the clinical efficacy.