中药熏蒸联合针刺治疗面神经炎疗效观察及对肌电图的影响
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R745.1+2

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Clinical Observation of Chinese Herbal Fumigation Combined with Acupuncture for Facial Neuritis and Its Effect on Electromyography
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    摘要:

    目的:观察祛风通络方熏蒸联合针刺疗法治疗面神经炎的临床疗效及对患者肌电图的影响。方法:将面神经炎患者80例随机分为2组,对照组40例在西医基础治疗的基础上加用针刺治疗,观察组40例在对照组基础上加用祛风通络方中药熏蒸,疗程均为4周;观察比较患者生活质量(QOL)评分、多伦多面神经功能检测量表(TFGS)评分及House-Brackmann(H-B)分级情况,检测患者瞬目反射R1潜伏期、面神经复合肌动作电位(CMAP)波幅变化。结果:治疗后,2组患者QOL评分均较治疗前降低(P<0.05),TFGS评分较治疗前升高(P<0.05);且观察组两项评分改善较对照组更显著(P<0.05)。治疗后,2组患者R1潜伏期均较治疗前降低(P<0.05),CMAP波幅较治疗前升高(P<0.05);且观察组两项指标改善较对照组更显著(P<0.05)。治疗后,2组H-B分级疗效均较治疗前改善,经秩和检验,差异均有统计意义(P<0.05);且观察组H-B分级疗效优于对照组,差异有统计学意义(P<0.05)。治疗期间2组患者均未出现治疗相关的不良反应。结论:祛风通络方熏蒸联合针刺治疗面神经炎,可有效改善患者肌电图指标,加速面神经功能恢复,且安全性较高。

    Abstract:

    Objective: To observe the clinical effect of Chinese herbal fumigation with Qufeng Tongluo prescription combined with acupuncture for facial neuritis and its effect on electromyography.Methods:Divided 80 cases of patients with facial neuritis into the control group and the observation group randomly,40 cases in each group.The control group wastreate with acupuncture on the basis of western medicine,while the observation group additionally received Chinese herbal fumigation with Qufeng Tongluo prescription on the basis of western medicine.The treatment of both groups lasted for 4 weeks.Observed and compared the quality of life(QOL)scores,Toronto facial grading system(TFGS)scores and House-Brackmann(H-B)grading,and detected the changes in R1 latency in blink reflex and amplitude of compound muscle action potential(CMAP)in facial nerve of patients in both groups.Results:After treatment,the scores of QOL in both groups were lower than those before treatment(P < 0.05), and the scores of TFGS were higher than those before treatment(P < 0.05);each score above in the observation group was improved better than that in the control group(P< 0.05).After treatment,R1 latency in both groups was lower than that before treatment(P < 0.05),and the amplitude of CMAP was higher than that before treatment(P < 0.05);each index above in the observation group was improved more significantly than that in the control group(P<0.05).After treatment,the clinical effect of H-B grading in both groups was improved when comparing with that before treatment,differences being significant(P < 0.05);the clinical effect of H-B grading in the observation group was better than that in the control group,difference being significant(P < 0.05).During treatment,no adverse reactions related to treatment occurred in both groups.Conclusion:Acupuncture combined with Chinese herbal fumigation with Qufeng Tongluo prescription can effectively improve the indexes in electromyography and accelerate the recovery of facial nerve function with relatively high safety.

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周贞国,陈华丽.中药熏蒸联合针刺治疗面神经炎疗效观察及对肌电图的影响[J].新中医,2020,52(1):149-152

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  • 在线发布日期: 2020-01-06
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