不同时间点针刺治疗特发性面神经麻痹的临床效果分析

Comparison of clinical outcomes of acupuncture in the treatment of idiopathic facial paralysis at different time

目的对比分析不同时间针刺治疗特发性面神经麻痹患者的临床效果。方法选取2018年6月至2020年4月该院收治的特发性面神经麻痹患者160例,均经头颅磁共振成像(MRI)证实并给予一般治疗。根据发病后针刺治疗时间将其分为4组:A组,发病后1~3 d行针刺治疗;B组,发病后4~7 d行针刺治疗;C组,发病后8~21 d行针刺治疗;D组,对照组(未接受针刺治疗)。观察比较4组针刺治疗前、治疗后1个月、治疗后3个月的瞬目反射、面神经电生理、House-Brackmann面神经功能分级量表评分(H-B评分)。结果4组患者治疗前瞬目反射比较,差异无统计学意义(P>0.05),治疗后1个月、治疗后3个月瞬目反射比较,差异均有统计学意义(P<0.01)。4组患者治疗后1个月面神经检查潜伏期及波幅比较,差异有统计学意义(P<0.01)。4组患者治疗后1个月、治疗后3个月H-B评分比较,差异均有统计学意义(P<0.05)。结论发病后4~7 d可能是针刺治疗的最佳时间,此时针刺治疗可促进面神经功能恢复,减少后遗症。

Objective To compare the clinical outcomes of acupuncture in the treatment of idiopathic facial paralysis at different time.Methods From June 2018 to April 220,a total of 116 patients with idiopathic facial paralysis who were confirmed by head MRI in the hospital were collected.According to the onset time,they were divided into 4 groups:group A,1-3 days after onset;group B,4-7 days after onset;group C,8-21 days after onset;group D,control group,patients did not receive acupuncture treatment.The facial nerve compound motor action potential and House-Brackmann grading scales(H-B score)and blink reflex were recorded and compared.Results There was no significant difference in blink reflex between the four groups before treatment(P>0.05),but there was significant difference in blink reflex 1 month and 3 months after treatment(P<0.01).The latency and amplitude of facial nerve examination of the 4 groups were statistically significant at 1 month after treatment(P<0.01).The H-B score among the four groups were statistically significant at 1 month and at 3 months after treatment(P<0.05).Conclusion The best time for acupuncture may be 4-7 days after onset,which can promote the recovery of facial nerve function and reduce facial paralysis sequelae.