针刺蝶腭神经节联合热敏灸治疗面瘫的临床疗效观察

Clinical effect of sphenopalatine ganglion acupuncture combined with heat-sensitive moxibustion in treatment of facial paralysis

目的观察针刺蝶腭神经节联合热敏灸治疗面瘫的临床疗效。方法选取2020年1月至2022年3月该院收治的82例面瘫患者,采用随机数字表法分为对照组和治疗组,每组41例。对照组采用热敏灸治疗,治疗组采用针刺蝶腭神经节联合热敏灸治疗,治疗周期均为3周。对比两组疗效、面神经功能[多伦多面神经功能(TFGS)评分]及面部肌电图指标[复合肌肉动作电位(CMAP)波幅变化比例、瞬目反射R1潜伏期]。结果治疗组总有效率较对照组高,差异有统计学意义(P<0.05);治疗3周,治疗组TFGS评分、CMAP波幅变化比例较对照组高,瞬目反射R1潜伏期较对照组短,差异均有统计学意义(P<0.05)。结论面瘫患者采用针刺蝶腭神经节联合热敏灸治疗的疗效较好,可提高面神经功能,改善面部肌电图指标。

Objective To observe the clinical effect of sphenopalatine ganglion acupuncture combined with heat-sensitive moxibustion in the treatment of facial paralysis.Methods A total of 82 patients with facial paralysis admitted to this hospital from January 2020 to March 2022 were selected and divided into the control group and treatment group by the random number table method,41 cases in each group.The control group was treated with the heat-sensitive moxibustion,and the treatment group was treated with the sphenopalatine ganglion acupuncture combined with the heat-sensitive moxibustion.The treatment cycle was 3 weeks.The efficacy,facial nerve function[Toronto Facial Nerve Function(TFGS)score]and facial electromyography(EMG)indexes[amplitude change ratio of complex muscle action potential(CMAP),blink reflex R1 latency]were compared between the two groups.Results The total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).After 3 weeks of treatment,the TFGS score and CMAP amplitude changes in the treatment group were higher than those in the control group,the blink reflex R1 latency was shorter than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Adopting the sphenopalatine ganglion acupuncture combined with heat-sensitive moxibustion has good effect in treating the patients with facial paralysis,can increase the facial nerve function and improve the facial EMG indexes.