整脊结合经筋刺法治疗恢复期中重度周围性面瘫的临床疗效观察

Observation of clinical efficacy of spinal manipulation combined with meridian acupuncture in the treatment of moderate-to-severe peripheral facial paralysis during the recovery phase

目的:观察整脊结合经筋刺法治疗恢复期中重度周围性面瘫的临床疗效。方法:纳入符合标准的80例恢复期中重度周围性面瘫患者,随机分成治疗组和对照组,每组40例。对照组采取经筋刺法治疗,治疗组采用整脊结合经筋刺法治疗。观察两组患者治疗前、治疗2周后、治疗4周后House-Brackmann(H-B)量表等级、Portmann简易评分、面神经功能评分变化及临床疗效。结果:治疗4周后,治疗组总有效率92.11%高于对照组总有效率81.08%,治疗组临床疗效高于对照组,差异有统计学意义(P<0.05)。与治疗前比较,两组患者治疗2周后及4周后,H-B面神经功能等级降低、面神经功能评分、Portmann简易评分均提高,显示患者面神经功能均得到改善,差异具有统计学意义(P<0.05);治疗2周后,两组患者H-B面神经功能等级、面神经功能评分、Portmann简易评分比较,差异无统计学意义(P>0.05);治疗4周后,两组患者H-B面神经功能等级降低、面神经功能评分、Portmann简易评分均提高,差异有统计学意义(P<0.05)。结论:整脊结合经筋刺法治疗能够有效改善恢复期中重度周围性面瘫患者面部功能状态,值得临床推广。

Objective:To observe the clinical efficacy of spinal manipulation combined with meridian acupuncture in the treatment of moderate-to-severe peripheral facial paralysis during the recovery phase.Methods:Eighty patients with moderate-to-severe peripheral facial paralysis during the recovery phase who met the inclusion criteria were enrolled and randomly divided into a treatment group and a control group,with 40 patients in each group.The patients in the control group received meridian acupuncture treatment,while the patients in the treatment group underwent spinal manipulation combined with meridian acupuncture.The House-Brackmann(H-B)scale grade,Portmann simple score,and facial nerve function scores were observed before treatment,2 weeks after treatment,and 4 weeks after treatment,along with the clinical efficacy.Results:Four weeks after treatment,the overall effective rate of the treatment group(92.11%)was higher than that of the control group(81.08%).The clinical efficacy of the treatment group was significantly better than that of the control group,with statistically significant differences(P<0.05).Compared with those before treatment,both groups showed a decrease in the H-B facial nerve function grade and an increase in facial nerve function scores and Portmann simple scores at 2 weeks and 4 weeks after treatment,indicating improvement in facial nerve function,with statistically significant differences(P<0.05).At 2 weeks after treatment,there was no significant difference between the two groups in terms of the H-B facial nerve function grade,facial nerve function scores,and Portmann simple scores(P>0.05).At 4 weeks after treatment,both groups showed a decrease in the H-B facial nerve function grade and an increase in facial nerve function scores and Portmann simple scores,with statistically significant differences(P<0.05).Conclusion:Spinal manipulation combined with meridian acupuncture can effectively improve the facial function status in patients with moderate-to-severe peripheral facial paralysis during the recovery phase and is worthy of clinical promotion.