温针灸治疗急性期周围性面瘫的临床疗效

Clinical Efficacy of Warm Acupuncture and Moxibustion in Treatment of Acute Peripheral Facial Paralysis

目的:分析温针灸对急性周围性面瘫患者的治疗效果。方法:选取2019年1月-2021年12月宜川县人民医院中医科收治的急性期周围性面瘫患者80例为观察对象,采用随机数表法将其分为观察组及对照组,各40例。对照组采用醋酸泼尼松片治疗,观察组在采用醋酸泼尼松龙治疗的基础上结合温针灸治疗。经治疗措施干预后,对比两组患者面神经功能、面部残疾指数、生活质量评分及治疗效果。结果:治疗后,观察组面部神经功能Ⅰ级高于对照组,观察组面部神经功能Ⅱ级低于对照组,差异有统计学意义(P<0.05);治疗后,两组患者躯体功能评分升高,社会功能评分降低,观察组各项指标优于对照组,差异有统计学意义(P<0.05);治疗后,两组认知功能、情绪功能以及睡眠功能均提升,观察组评分高于对照组,差异有统计学意义(P<0.05);治疗后,观察组治疗有效率高于对照组,差异有统计学意义(P<0.05)。结论:对于急性期周围性面瘫患者而言,采用温针灸结合药物治疗的方式,可以显著提高患者的治疗效果,保障患者面部神经功能、面部残疾情况得到改善,并改善患者的生活质量,值得将其进行临床推广并予以应用。

Objective: To analyze the therapeutic effect of warm acupuncture and moxibustion on patients with acute peripheral facial paralysis. Methods: A total of 80 patients with acute peripheral facial paralysis who were admitted to the Department of Traditional Chinese Medicine of Yichuan County People′s Hospital from January 2019 to December 2021 were selected as the observation objects, and they were divided into an observation group and a control group by random number table method, with 40 cases in each group. The control group was treated with prednisone acetate tablets, while the observation group was treated with warm acupuncture and moxibustion on the basis of the treatment with prednisone acetate tablets. The facial nerve function, facial disability index, quality of life score and treatment effect of patients in the two groups were compared after treatment intervention. Results: After treatment, the facial nerve function grade I in the observation group was higher than that in the control group, the facial nerve function grade II in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). After treatment, the physical function scores of the two groups were increased, and the social function scores were decreased, and the indicators in the observation group were better than those in the control group, and the difference was statistically significant (P<0.05). After treatment, the cognitive function, emotional function and sleep function of the two groups were improved, and the score of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). After treatment, the treatment effective rate in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion: For patients with acute peripheral facial paralysis, the use of warm acupuncture and moxibustion combined with drug therapy can significantly improve the patient′s treatment efficiency, ensure the improvement of the patient′s facial nerve function and facial disability, and improve the quality of life. It deserves clinical promotion and application.