面神经按摩改善脑瘫流涎的效果分析

目的：观察面神经按摩改善脑瘫流涎的效果。方法：脑瘫流涎患儿72例根据随机抽签法分为治疗组与对照组各36例，对照组给予传统基础治疗，在此基础上治疗组给予积极的面神经按摩干预。结果：治疗后治疗组有效率为97.2%，对照组有效率为86.1%，治疗组明显好于对照组，差异有统计学意义（P〈0.05）。治疗前治疗组面部肌力评分为25.43±3.09分，对照组面部肌力评分为25.09±4.19分，差异无统计学意义（〉0.05；）治疗后治疗组面部肌力评分为49.55±4.22分，对照组面部肌力评分为37.98±5.19分，组内及组间差异均有统计学意义（P〈0.05）。结论：面神经按摩能有效改善脑瘫流涎的效果，其主要机制在于提高面部肌力。

推拿治疗周围性面神经炎30例

目的:观察推拿手法治疗周围性面神经炎的疗效。方法:先采用一指禅推印堂、攒竹、睛明等穴,后接着再拿合谷穴。结果:总有效率96.6%。提示:按摩穴位不仅对全身整体机能功能进行调整,一为临床治疗周围性面神经炎提供了一个新的方法。

Clinical observation on acupuncture plus subtle adjustment manipulation of the cervical spine for peripheral facial paralysis

Objective:To observe the clinical efficacy of acupuncture plus subtle adjustment manipulation of the cervical spine for peripheral facial paralysis.Methods:A total of 60 patients with peripheral facial paralysis who met the screening criteria were selected and divided into two groups according to the method of random number table,with 30 cases in each group.The patients in the acupuncture plus tuina group received routine treatment of acupuncture and subtle adjustment manipulation of the cervical spine,while the patients in the acupuncture group only received the same acupuncture treatment.Assessment of peripheral facial paralysis with integrated traditional Chinese and Western medicine was adopted for rehabilitation assessment.Results:The total effective rate of the acupuncture plus tuina group was 93.3%,while that of the acupuncture group was 70.0%,and there was a significant between-group difference(P<0.05).After treatment,the total scores of rehabilitation assessment in both groups were significantly higher than those before treatment(both P<0.05),and the score of the acupuncture plus tuina group was significantly higher than that of the acupuncture group(P<0.05).Conclusion:The treatment of acupuncture plus subtle adjustment manipulation of the cervical spine can improve the function of facial muscles in patients with peripheral facial paralysis,and its clinical efficacy is better than that of the acupuncture treatment alone.