针灸治疗对周围性面瘫患者面部神经功能及生活质量的影响

Effect of Acupuncture Treatment on Facial Nerve Function and Quality of Life in Patients With Peripheral Facial Paralysis

目的探讨针灸治疗对周围性面瘫患者面部神经功能及生活质量的影响。方法选取邵武市中医院2021年9月—2023年9月收治的80例周围性面瘫患者。采用随机数字表法分组,对照组(n=40)采用常规西药、康复训练治疗,研究组(n=40)加用针灸治疗。对2组周围性面瘫患者治疗总有效率、治疗前后面部神经功能评分、生活质量评分改善情况及治疗期间不良反应发生率进行比较。结果研究组治疗总有效率为97.50%,高于对照组的80.00%(P<0.05);治疗前,2组周围性面瘫患者生活质量与面部神经功能评分比较,差异无统计学意义(P>0.05);治疗后,2组面部神经功能评分低于治疗前,生活质量评分高于治疗前(P<0.05),且研究组面部神经功能评分、生活质量评分优于对照组(P<0.05);研究组不良反应总发生率低于对照组(P<0.05)。结论周围性面瘫患者采用常规西药、康复训练治疗期间加用针灸治疗更有利于改善病症,提高病情总体疗效,并减少不良反应发生。

Objective To investigate the effect of acupuncture and moxibustion on facial nerve function and quality of life in patients with peripheral facial palsy.Methods A total of 80 patients with peripheral facial palsy treated in Shaowu Hospital of Traditional Chinese Medicine from September 2021 to September 2023 were selected.The group was divided by random number table method.The control group(n=40)was treated with conventional western medicine and rehabilitation training,and the study group(n=40)was treated with acupuncture and moxibustion.The total effective rate,facial nerve function score before and after treatment,quality of life score improvement and the incidence of adverse reactions during treatment were compared between the two groups.Results The total effective rate of the study group was 97.50%,higher than 80.00%of the control group(P<0.05).Before treatment,there was no significant difference in quality of life and facial nerve function scores between 2 groups(P>0.05).After treatment,the facial nerve function scores of the 2 groups were lower than before treatment,and the quality of life scores were higher than before treatment(P<0.05),and the facial nerve function scores and quality of life scores of the study group were better than those of the control group(P<0.05).The total incidence of adverse reactions in the study group was lower than that in the control group(P<0.05).Conclusion Patients with peripheral facial paralysis using conventional western medicine,rehabilitation training during the treatment of acupuncture treatment is more conducive to improving the disease,improve the overall curative effect of treatment,and reduce the occurrence of adverse reactions.