调督和胃针法联合火针治疗脑卒中后中枢性面瘫患者的效果及安全性分析

Analysis on the Efficacy and Safety of Adjuster and Stomach Acupuncture Combined with Fire Acupuncture in the Treatment of Central Facial Paralysis after Stroke

目的:探究脑卒中后中枢性面瘫患者采用调督和胃针法与火针联合治疗的疗效及安全性。方法:选择2023年1月—2024年2月淄博市张店区中医院收治的120例脑卒中后中枢性面瘫患者作为研究对象,根据随机数字表法将其分为对照组和研究组,每组60例。对照组采用传统火针疗法治疗,研究组在此对照组基础上联合调督和胃针法治疗。对比两组的面神经恢复程度、面部残疾严重程度、并发症发生情况。结果:治疗后,两组House-Brackmann分级量表评分均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组面部残疾指数量表评分均低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率11.67%高于对照组的6.67%,但两组比较差异无统计学意义(P>0.05)。结论:调督和胃针法联合火针治疗脑卒中后中枢性面瘫患者疗效显著,能够促进面神经功能的恢复,减轻面部残疾程度,并且具有良好的安全性。

Objective:To explore the efficacy and safety of the combined treatment of adjustability and stomach acupuncture with fire acupuncture in patients with central facial paralysis after stroke.Methods:A total of 120 patients with central facial palsy after stroke treated in Zhangdian District Hospital of Traditional Chinese Medicine of Zibo City from January 2023 to February 2024 were selected as the study objects.The patients were divided into a control group and a study group according to random number table method,with 60 cases in each group.The control group was treated with traditional fire needle therapy,and the research group added supervision and stomach acupuncture on the basis of the control group.The degree of facial nerve function recovery,the severity of facial disability and the occurrence of symptoms were compared between the two groups.Results:After treatment,House-Brackmann Grading Scale scores treatment in both groups were lower than before treatment,and the study group was lower than that in the control group,with statistical significance(P<0.05).After treatment,Facial Disability Index Scale scores in both groups were lower than before treatment,and the study group were lower than those in the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 11.67%,which was higher than 6.67%in the control group,but the difference was not statistically significant(P>0.05).Conclusion:The treatment of central facial paralysis after stroke with the combination of supervision and stomach acupuncture is effective,can promote the recovery of facial nerve function,reduce the degree of facial disability,and has good safety.