超微针刀结合热敏灸疗法治疗筋结型顽固性面瘫的临床疗效观察

Clinical Observation on the Efficacy of the Ultrastructural Needle Knife Combined with Heatsensitive Moxibustion in the Treatment of Intractable Facial Paralysis of Tendon Knot Type

目的:观察超微针刀结合热敏灸疗法治疗筋结型顽固性面瘫的临床疗效。方法:将符合试验要求的60例筋结型顽固性面瘫患者按随机数字表法分为观察组与对照组,各30例。观察组采用超微针刀结合热敏灸疗法治疗,对照组则用常规针刺结合热敏灸疗法治疗,分析对比两组治疗效果,采用《周围性面神经麻痹的临床评估及疗效判定标准方案(修订案)》中的面神经功能评分、疗效判定标准评定患者面部神经功能。结果:(1)3个疗程后,观察组和对照组的愈显率分别为23.33%、6.67%,总有效率分别为96.67%、70.00%,观察组的愈显率优于对照组(P<0.05);两组总有效率比较,差异无统计学意义(P>0.05)。(2)治疗后两组患者的面神经功能动态评分、总评分较治疗前均有升高,静态评分、并发症评分较治疗前均有降低(P<0.05),且观察组在面神经功能动态评分、总评分及静态评分方面的改善程度均优于对照组(P<0.05),但两组对并发症评分的改善程度无明显差异(P>0.05)。结论:超微针刀结合热敏灸疗法治疗筋结型顽固性面瘫疗效优于常规针刺结合热敏灸疗法。

Objective:To observe the clinical efficacy of ultra-micro needle knife combined with heat-sensitive moxibustion in treating tendon-type intractable facial paralysis.Methods:According to the random number table method,60 patients with intractable facial paralysis of tendon knot type that meet the requirements of the test were divided into observation group and control group,with 30 cases in each group.The observation group was treated with ultrastructural needle knife combined with heat-sensitive moxibustion,and the control group was treated with conventional acupuncture combined with heat-sensitive moxibustion.The treatment effects of the two groups were analyzed and compared.The facial nerve function scoring and curative effect criteria in the Clinical Evaluation and Efficacy Judgment Standard Scheme for Peripheral Facial Paralysis(Revised)were used to assess the facial nerve function of patients.Results:(1)After 3 courses of treatment,the recovery rate of the observation group and the control group were 23.33%,6.67%,and the total effective rate was 96.67%,70.00%,respectively.The recovery rate of the observation group was better than that of the control group(P<0.05);There was no statistically significant difference in the total effective rate between the two groups(P>0.05).(2)After treatment,the facial nerve function dynamic score and total score of the two groups of patients increased,while the static score and complication score decreased(P<0.05),and the observation group had facial nerve function dynamic score,total score and static score.The degree of improvement in scoring was better than that in the control group(P<0.05),but there was no significant difference in the degree of improvement in the complication score between the two groups(P>0.05).Conclusion:Ultrastructural needle knife combined with heat-sensitive moxibustion is more effective than conventional acupuncture combined with heat-sensitive moxibustion in the treatment of intractable facial paralysis of tendon knot type.