高压氧联合针刺对少儿面神经炎的疗效观察

观察高压氧联合针刺治疗少儿周围性面神经炎的效果。方法 本研究为前瞻性研究,研究对象为我院2022年5月~2023年8月期间接诊的90例周围性面神经炎患儿,基于随机、双盲法原则将其分别列为A组(22例)、B组(22例)、C组(22例)、D组(24例),A组仅予以常规治疗,B组予以常规治疗+高压氧治疗,C组予以常规治疗+针刺治疗,D组予以常规治疗+高压氧指标+针刺治疗,比较四组患儿的治疗效果。结果 在不同治疗方案下,D组的颜面麻木、面部抽搐、口眼歪斜等症候积分均低于C组、B组、A组;D组治疗10d、30d后的面神经复合肌肉动作电位(CMAP)波幅均高于C组、B组、A组,瞬目反射(R1)潜伏期低于B组、A组;D组治疗10d、30d后的慢相角速度(SPV)均高于C组、B组、A组,治疗10d、30d后的面神经功能Portmann评分均高于C组、B组、A组(P<0.05)。结论 高压氧联合针刺治疗少儿周围性面神经炎能有效改善患儿临床症候,对促进面神经肌电活动及神经功能恢复均有积极意义。

针刺结合药线点灸治疗周围行面瘫的临床疗效

观察针刺联合药线点灸对周围性面瘫患者的影响。方法 选择2023年07月-2024年06月到本院治疗周围性面瘫的患者共60例,随机分为观察组和对照组(每组30例)。分析两组治疗效果、面神经功能、恢复程度、面部残疾指数。结果 观察组总有效率高,P<0.05;治疗后,观察组面神经功能HB分级降低,TFGS高,P<0.05;治疗后,观察组潜伏期指标低,波幅高,P<0.05;治疗后,观察组FDI评分高,P<0.05。结论 采用针刺联合药线点灸疗法对周围性面瘫患者进行综合治疗,该方法能够显著优化患者的面神经功能,改善面神经肌电指标,进而提升患者的躯体功能以及社会生活功能。

Observation on clinical effect of acupuncture for peripheral facial paralysis in acute period and facial nerve F-wave

Objective： To observe the clinical effect of acupuncture on peripheral facial paralysis in acute period and changes in facial nerve F-wave.Methods： A total of 148 eligible cases were randomly allocated into an observation group（n=74） and a control group（n=74） by their visiting sequence. In addition to oral Prednisone and Aciclovir tablets, patients in the observation group received point-towards-point acupuncture therapy, whereas patients in the control group received routine acupuncture therapy. The treatment was done once a day and 6 times made up a course of treatment. The efficacy evaluation was made after 2 courses. The electromyography（EMG） F-wave was monitored before and after treatment. Results： After 2 courses of treatment, the recovery rate and total effective rate were 47.3% and 94.6% respectively in the observation group, versus 20.3% and 82.4% in the control group, showing statistical differences（P〈0.01）. Before treatment, the facial nerve F-wave latency on the affected side was prolonged and its frequency of occurrence was decreased in both groups. After treatment, the F-wave latency and frequency of occurrence were significantly improved in both groups（P〈0.05） and there were significant between-group differences（P〈0.05）. Conclusion： In addition to Western medication, point-towards-point acupuncture therapy can obtain more accurate and better effect than routine acupuncture therapy for acute peripheral facial paralysis.

Clinical study on tube moxibustion plus point-toward-point needling method in treating refractory facial paralysis

Objective To evaluate the clinical efficacy of tube moxibustion plus point-toward-point needling method for refractory facial paralysis.Methods A total of 100 patients with refractory facial paralysis who met the inclusion criteria were randomized into an observation group and a control group,with 50 cases in each group.Both groups were treated with acupuncture by point-toward-point needling method,mainly in the affected eye,cheek and mouth areas.The observation group was given additional tube moxibustion after receiving the point-toward-point needling method,which inserted a tube moxibustion device into the external acoustic meatus 1 cm on the affected side for 20 min.Both groups were treated once a day,6 times a week,for 4 consecutive weeks.The House-Brackmann scale was scored before and after treatment,and the facial nerve electromyogram data were collected.Results The total effective rate of the observation group was 93.6%,which was higher than 64.6%of the control group,and the difference between the two groups was statistically significant(P<0.05).The proportion of new-onset facial paralysis complications(facial synkinesis,facial spasm,facial paralysis perversion,and crocodile tears)in the observation group was 6.4%,which was lower than 35.4%in the control group.The difference between the two groups was statistically significant(P<0.05).In the observation group,the numbers of cases after treatment with the ratio of action potential amplitude between the affected side and the healthy side increased by 10%–30%and over 30%were more than those in the control group.And the difference between the two groups was statistically significant(P<0.05).Conclusion Tube moxibustion plus point-toward-point needling method has a better effect in improving symptoms of refractory facial paralysis,decreasing the incidence of sequelae,and increasing clinical efficacy than the point-toward-point needling method alone.