非甾体药物结合TDP照射与针灸治疗周围性面瘫患者的临床疗效

Clinical efficacy of non-steroidal drugs combined with TDP irradiation,acupuncture and moxibustion in the treatment of patients with peripheral facial paralysis

目的分析非甾体药物结合特定电磁波谱(TDP)照射与针灸治疗周围性面瘫患者的临床疗效。方法50例周围性面瘫患者作为研究对象,随机分为对照组与观察组,每组25例。对照组根据患者的疼痛情况实施单纯的非甾体药物治疗,观察组患者在对照组的基础上增加TDP照射与针灸治疗。对比两组患者治疗前后的面神经功能,临床症状消失时间,临床疗效。结果治疗后,两组患者的Portmann评分、Sunnybrook评分、HBGS评分均高于本组治疗前,且观察组患者的Portmann评分(16.38±3.09)分、Sunnybrook评分(87.63±6.92)分、HBGS评分(82.99±5.17)分均高于对照组的(11.17±3.25)、(71.49±4.72)、(75.34±5.82)分,差异具有统计学意义(P<0.05)。两组患者的临床症状均消失。观察组患者的睑裂变大消失时间(6.65±2.34)d、面肌瘫痪消失时间(11.87±4.36)d、味觉丧失消失时间(15.15±3.64)d、口角歪斜消失时间(12.47±3.68)d均短于对照组的(10.36±3.45)、(18.15±5.34)、(23.45±4.58)、(21.24±4.35)d,差异具有统计学意义(P<0.05)。观察组患者的治疗总有效率96.0%高于对照组的76.0%,差异具有统计学意义(P<0.05)。结论临床治疗周围性面瘫患者应用非甾体药物结合TDP照射与针灸治疗的临床效果显著,不仅能更好的改善患者的临床症状,提高临床疗效,同时也能促进面神经恢复,更好的保障患者的生活质量,值得进一步推广与应用。

Objective To analyze the clinical efficacy of non-steroidal drugs combined with Tending Diancibo Pu(TDP)irradiation,acupuncture and moxibustion in the treatment of patients with peripheral facial paralysis.Methods A total of 50 patients with peripheral facial paralysis were randomly divided into a control group and an observation group,with 25 cases in each group.The control group was treated with pure nonsteroidal drugs based on the pain of patients,and the observation group was treated with TDP irradiation and acupuncture and moxibustion on the basis of the control group.The facial nerve function before and after treatment,disappearance time of clinical symptom,and the clinical efficacy were compared between the two groups.Results After treatment,the Portmann score,Sunnybrook score and HBGS score of the two groups were higher than those before treatment,and the Portmann score(16.38±3.09)points,Sunnybrook score(87.63±6.92)points and HBGS score(82.99±5.17)points of the observation group were all higher than(11.17±3.25),(71.49±4.72)and(75.34±5.82)points of the control group.All the difference was statistically significant(P<0.05).The clinical symptoms of both groups disappeared.The disappearance time of palpebral fissure enlargement,facial muscle paralysis,taste loss,angle of mouth skewed in the observation group were(6.65±2.34),(11.87±4.36),(15.15±3.64)and(12.47±3.68)d,which were all shorter than(10.36±3.45),(18.15±5.34),(23.45±4.58),(21.24±4.35)d in the control group,and the difference was statistically significant(P<0.05).The total treatment effective rate of the observation group was 96.0%,which was higher than 76.0%of the control group,and the difference was statistically significant(P<0.05).Conclusion Combination of non-steroidal drugs and TDP irradiation has significant clinical effect on patients with peripheral facial paralysis,and it can not only improve the clinical symptoms of patients,but also promote the recovery of facial nerve,while guaranteeing the quality of life of patients,which is worthy of further promotion and application.