本文查阅针刺治疗特发性面神经麻痹的相关文献,就特发性面神经麻痹的发病机制、针刺作用机制及针刺临床应用3个方面评述针刺治疗特发性面神经麻痹的研究进展。发现针刺治疗特发性面神经麻痹常与其他治法联合应用且疗效显著,其可能通过...本文查阅针刺治疗特发性面神经麻痹的相关文献,就特发性面神经麻痹的发病机制、针刺作用机制及针刺临床应用3个方面评述针刺治疗特发性面神经麻痹的研究进展。发现针刺治疗特发性面神经麻痹常与其他治法联合应用且疗效显著,其可能通过中枢和周围两大机制发挥作用。未来或可开展多中心、大样本的随机对照试验为临床提供更确切的依据。This article reviews the relevant literature on acupuncture treatment for idiopathic facial nerve paralysis, and evaluates the research progress of acupuncture treatment for idiopathic facial nerve paralysis from three aspects: the pathogenesis of idiopathic facial nerve paralysis, the mechanism of acupuncture action, and the clinical application of acupuncture. Acupuncture treatment for idiopathic facial nerve paralysis is often combined with other treatment methods and has significant therapeutic effects. It may exert its effects through two major mechanisms: central and peripheral. In the future, multi center, large sample randomized controlled trials may be conducted to provide more accurate evidence for clinical practice.展开更多
目的:探讨早期应用针灸联合表情肌锻炼治疗特发性面神经麻痹(idiopathic facial palsy,IFP)的临床效果。方法:选取2016年3月—2023年3月中国人民解放军联勤保障部队第九八五医院收治的77例IFP患者。根据随机数表法将其分为对照组(36例)...目的:探讨早期应用针灸联合表情肌锻炼治疗特发性面神经麻痹(idiopathic facial palsy,IFP)的临床效果。方法:选取2016年3月—2023年3月中国人民解放军联勤保障部队第九八五医院收治的77例IFP患者。根据随机数表法将其分为对照组(36例)和观察组(41例)。两组均给予常规药物治疗,对照组在发病7 d后给予针灸联合表情肌锻炼,观察组发病5 d内给予针灸联合表情肌锻炼。比较两组临床疗效、不良反应,治疗前后面神经功能、躯体功能和社会生活功能。结果:治疗后,两组House-Backmann评分升高,观察组House-Backmann评分高于对照组,差异有统计学意义(P<0.05)。观察组治愈率、总有效率均高于对照组,差异有统计学意义(P<0.05)。治疗后,两组面部残疾指数躯体功能(facial disability index physical functions,FDIP)、面部残疾指数社会功能(facial disability index social functions,FDIS)评分均升高,观察组FDIP、FDIS评分均高于对照组,差异有统计学意义(P<0.05)。两组在治疗过程中均无发生不良反应。结论:早期应用针灸联合表情肌锻炼治疗IFP临床效果显著,可有效提高治愈率、总有效率,促进患者面瘫功能快速恢复。展开更多
文摘本文查阅针刺治疗特发性面神经麻痹的相关文献,就特发性面神经麻痹的发病机制、针刺作用机制及针刺临床应用3个方面评述针刺治疗特发性面神经麻痹的研究进展。发现针刺治疗特发性面神经麻痹常与其他治法联合应用且疗效显著,其可能通过中枢和周围两大机制发挥作用。未来或可开展多中心、大样本的随机对照试验为临床提供更确切的依据。This article reviews the relevant literature on acupuncture treatment for idiopathic facial nerve paralysis, and evaluates the research progress of acupuncture treatment for idiopathic facial nerve paralysis from three aspects: the pathogenesis of idiopathic facial nerve paralysis, the mechanism of acupuncture action, and the clinical application of acupuncture. Acupuncture treatment for idiopathic facial nerve paralysis is often combined with other treatment methods and has significant therapeutic effects. It may exert its effects through two major mechanisms: central and peripheral. In the future, multi center, large sample randomized controlled trials may be conducted to provide more accurate evidence for clinical practice.
文摘目的:探讨早期应用针灸联合表情肌锻炼治疗特发性面神经麻痹(idiopathic facial palsy,IFP)的临床效果。方法:选取2016年3月—2023年3月中国人民解放军联勤保障部队第九八五医院收治的77例IFP患者。根据随机数表法将其分为对照组(36例)和观察组(41例)。两组均给予常规药物治疗,对照组在发病7 d后给予针灸联合表情肌锻炼,观察组发病5 d内给予针灸联合表情肌锻炼。比较两组临床疗效、不良反应,治疗前后面神经功能、躯体功能和社会生活功能。结果:治疗后,两组House-Backmann评分升高,观察组House-Backmann评分高于对照组,差异有统计学意义(P<0.05)。观察组治愈率、总有效率均高于对照组,差异有统计学意义(P<0.05)。治疗后,两组面部残疾指数躯体功能(facial disability index physical functions,FDIP)、面部残疾指数社会功能(facial disability index social functions,FDIS)评分均升高,观察组FDIP、FDIS评分均高于对照组,差异有统计学意义(P<0.05)。两组在治疗过程中均无发生不良反应。结论:早期应用针灸联合表情肌锻炼治疗IFP临床效果显著,可有效提高治愈率、总有效率,促进患者面瘫功能快速恢复。
