通络刮痧联合中药熏蒸对恢复期周围性面瘫患者的影响

Effect of Skin Scraping and Chinese Herbal Fumigation on Patients with Peripheral Facial Paralysis during Recovery Period

目的探讨通络刮痧联合中药熏蒸对恢复期周围性面瘫患者的影响。方法选取2019年9月-2020年9月在山西省针灸医院针一科就诊的60例恢复期周围性面瘫患者为研究对象,采用随机数字表法分为观察组和对照组各30例。对照组采用院内常规治疗和中药熏蒸护理,观察组在对照组的基础上联合通络刮痧,观察干预前、干预2周时、4周时2组患者的面神经功能分级、面部残疾指数量表评分和临床疗效评价。结果干预4周时,2组患者面神经功能分级、面部残疾躯体功能评分均较干预前明显升高,观察组优于对照组(P<0.05);2组面部残疾社会生活评分明显降低,观察组低于对照组(P<0.05);观察组临床治愈率高于对照组,治疗天数少于对照组(P<0.05),差异均具有统计学意义。结论通络刮痧联合中药熏蒸可改善面瘫患者的临床症状,促进面神经功能恢复,降低面部残疾指数,缩短治疗天数,效果优于常规中药熏蒸组。

Objective To explore the effect of skin scraping combined with traditional Chinese medicine fumigation on patients with peripheral facial paralysis during the recovery period.Methods A total of 60 patients with peripheral facial paralysis during the recovery period who were treated in the First Department of Acupuncture of Shanxi Acupuncture Hospital from September 2019 to September 2020 were selected and divided into observation group and control group with 30 cases in each.Routine treatment and traditional Chinese medicine fumigation were applied in the control group and skin scraping was used in the observation group additionally.Facial nerve function grading,facial disability index score and clinical efficacy evaluation of the two groups were observed before and four weeks after the intervention.Results After the intervention,the grading of the facial nerve function and the score of the facial disability index of the two groups were significantly higher than those before the intervention,and those in the observation group was even higher(P<0.05).Social life score of facial disability of the two groups were significantly reduced,and the score in the observation group was lower than that in the control group(P<0.05).Clinical cure rate of the observation group was higher than that of the control group,but the number of treatment days was less than that of the control group,which indicated statistical significance(P<0.05).Conclusion Skin scraping and fumigation with traditional Chinese medicine can improve clinical symptoms of patients with facial paralysis,and promote the recovery of facial nerve function.The effect is better than that of conventional traditional Chinese medicine fumigation.