电针结合表面肌电生物反馈治疗顽固性面瘫的临床观察

Clinical Observation of Electroacupuncture Combined with Surface Electromyography Biofeedback in the Treatment of Intractable Facial Paralysis

目的观察电针结合表面肌电生物反馈治疗顽固性面瘫临床疗效。方法将56例顽固性面瘫患者随机分为2组,每组28例,观察组给予电针结合表面肌电生物反馈治疗,对照组给予电针治疗,2组均以治疗4周为1个疗程,每周治疗6 d后休息1 d,治疗1个疗程后参照House-Brackmann(H-B)面神经功能评价分级标准及Sunnybrook面神经评定系统(SFGS)评价治疗前后分级情况。结果2组治疗后的H-B面神经功能较治疗前均显著提高(P<0.001);观察组治疗后的H-B面神经功能较对照组提高(P<0.05)。2组治疗后的SFGS评分较治疗前显著提高(P<0.001);观察组治疗后的SFGS评分较对照组提高(P<0.05)。观察组的治疗总有效率为89.3%(25/28),高于对照组的75.0%(21/28)(P<0.05)。结论电针结合表面肌电生物反馈治疗顽固性面瘫具有良好的临床疗效。

Objective To observe the clinical effect of electroacupuncture combined with surface electromyography biofeedback in the treatment of intractable facial paralysis.Methods 56 patients were randomly divided into 2 groups,28 cases in each group.The observation group was treated with electroacupuncture combined with SEMG biofeedback,the control group was treated with electroacupuncture,after 6 days of treatment and 1 day of rest per week,the scores were assessed with House-Brackmann H-B facial function rating scale and Sunnybrook facial nerve assessment system(SFGS).Results After treatment,the scores of the two groups were significantly different,the observation group was better than the control group(P<0.05).Conclusion Electroacupuncture combined with SEMG biofeedback has good clinical efficacy in the treatment of refractory facial paralysis.