经筋针法联合推拿治疗周围性面瘫后遗症临床研究

Clinical Study on Meridian-Sinew Acupuncture Combined with Tuina for Sequelae of Peripheral Facial Paralysis

目的:观察经筋针法联合推拿治疗周围性面瘫后遗症的临床疗效。方法:选取86例周围性面瘫后遗症患者,按照随机数字表法分为经筋针法组及对照组,每组43例。2组均给予甲钴胺片治疗,在此基础上经筋针法组给予经筋针法联合推拿治疗,对照组给予常规针刺与推拿治疗。比较2组临床疗效、Stennert面神经麻痹评分、面部残疾指数(FDI)评分。结果:治疗后,经筋针法组总有效率81.40%,高于对照组60.47%,差异有统计学意义(P<0.05)。2组Stennert面神经麻痹评分均较治疗前降低,经筋针法组Stennert面神经麻痹评分低于对照组,差异均有统计学意义(P<0.05)。2组躯体功能(FDIP)评分均较治疗前升高,社会生活功能(FDIS)评分均较治疗前降低,差异均有统计学意义(P<0.05);经筋针法组FDIP评分高于对照组,FDIS评分低于对照组,差异均有统计学意义(P<0.05)。结论:相较于常规针刺与推拿治疗,经筋针法联合推拿治疗周围性面瘫后遗症疗效更好,可有效缓解病情,改善面神经功能。

Objective:To observe the clinical effect of meridian-sinew acupuncture combined with tuina for sequelae of peripheral facial paralysis.Methods:A total of 86 cases of patients with sequelae of peripheral facial paralysis were selected and divided into the meridian-sinew acupuncture group and the control group according to the random number table method,with 43 cases in each group.The two groups were treated with Mecobalamin Tablets;the meridian-sinew acupuncture group was additionally treated with meridian-sinew acupuncture and tuina;the control group was given conventional acupuncture and tuina therapy.Clinical effects and the scores of Stennert Index of facial nerve paralysis and the Facial Disability Index(FDI)were compared between the two groups.Results:After treatment,the total effective rate was 81.40%in the meridian-sinew acupuncture group,higher than that of 60.47%in the control group,the difference being significant(P<0.05).The scores of Stennert Index of facial nerve paralysis in the two groups were decreased when compared with those before treatment,and the scores of Stennert Index of facial nerve paralysis in the meridian-sinew acupuncture group were lower than those in the control group,differences being significant(P<0.05).The scores of Facial Disability Index-Physical(FDIP)in the two groups were increased when compared with those before treatment,and the scores of Facial Disability Index-Social(FDIS)in the two groups were decreased when compared with those before treatment,differences being significant(P<0.05);FDIP score in the meridian-sinew acupuncture group was higher than that in the control group,and FDIS score in the meridian-sinew acupuncture group was lower than that in the control group,differences being significant(P<0.05).Conclusion:Compared with conventional acupuncture and tuina therapy,the combination of meridian-sinew acupuncture combined with tuina has a better curative effect on the sequelae of peripheral facial paralysis,which can effectively alleviate the condition and improve facial nerve function.