祛邪泻实刺法对面神经炎患者面肌恢复的影响

Effect of Dispelling Pathogenic Factors and Purging Solid Needling on Facial Muscle Recovery in Patients with Facial Neuritis

目的:分析祛邪泻实刺法对面神经炎患者面肌功能恢复的临床疗效。方法:选取2019年5月到2021年11月我院就诊的70例面神经炎患者用随机数字表法分为治疗组35例,用祛邪泻实刺法治疗,常规组35例,用常规传统的针刺法治疗,通过分析治疗前后H-B面神经功能分级,评价比较两组临床疗效,并评价两组治疗前后中医症状体征积分、面部肌力和肌电图的变化。结果:治疗组总有效率97.1%,高于常规组的总有效率88.6%(P<0.05)。治疗后,两组中医症状体征积分(口角偏斜、鼻唇沟深浅、耸鼻、鼓腮漏气、食物残留)较本组治疗前降低(P<0.05),而治疗组上述积分的降低幅度大于常规组(P<0.05);治疗后两组面部肌力较本组治疗前升高(P<0.05),而治疗组的升高幅度大于常规组(P<0.05);治疗后两组口轮匝肌、鼻肌的运动神经传导潜伏期较本组治疗前降低(P<0.05),而治疗组的降低幅度大于常规组(P<0.05);治疗后两组口轮匝肌、鼻肌神经传导波幅较本组治疗前延长(P<0.05),而治疗组的延长幅度大于常规组(P<0.05)。结论:祛邪泻实刺法更利于面神经炎患者面肌肌力的改善,促进功能恢复。

Objective:To analyze the clinical effect of dispelling pathogenic factors and purging solid needling on the recovery of facial muscle function in patients with facial neuritis.Methods:Seventy patients with facial neuritis admitted to our hospital from May 2019 to November 2021 were selected and divided by random number table method into 35 cases in the treatment group,which were treated with the dispelling pathogenic factors and purging solid needling,and 35 cases in the conventional group,which were treated with conventional traditional acupuncture.The clinical efficacy of the two groups was evaluated and compared by analyzing the H-B facial nerve function classification before and after treatment,and the changes in the Chinese medicine symptom and sign score,facial muscle strength and electromyography before and after treatment in the two groups were evaluated.Results:After treatment,the TCM symptom and sign scores(angle of mouth deviation,nasolabial fold depth,shrugging nose,cheek puffing and air leakage,food residue)decreased in both groups compared with the pre-treatment scores in the two groups(P<0.05),while the decrease in the above scores in the treatment group was greater than that in the conventional group(P<0.05);the facial muscle strength increased in both groups after treatment compared with the pre-treatment scores in the two groups(P<0.05),while the increase in the treatment group was greater than that in the conventional group(P<0.05);the latency of motor nerve conduction in the orbicularis oris and nasal muscles was reduced in both groups after treatment compared with that before treatment in the two groups(P<0.05),while the reduction in the treatment group was greater than that in the conventional group(P<0.05);the wave amplitude of nerve conduction in the orbicularis oris and nasal muscles was prolonged in both groups after treatment compared with that before treatment in the two groups(P<0.05),while the prolongation in the treatment group was greater than that in the conventional group(P<0.05).Conclusion:Dispelling pathogenic factors and purging solid needling method is more conducive to the improvement of facial muscle strength in patients with facial neuritis and promote functional recovery.