[1]房 涛,王歌文,赵佳华.牵正散合温胆汤联合针灸治疗周围性面瘫疗效及对患者口唇微循环状态影响的研究*[J].陕西中医,2019,(12):1721-1724.
　FANG Tao,WANG Gewen,ZHAO Jiahua..Effects of Qianzheng San and Wendan decoction combined with acupuncture and moxibustion on oral lip microcirculation in patients with peripheral facial paralysis[J].,2019,(12):1721-1724.
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牵正散合温胆汤联合针灸治疗周围性面瘫疗效及对患者口唇微循环状态影响的研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年12期
页码:
1721-1724
栏目:
临床研究
出版日期:
2019-12-05

文章信息/Info

Title:
Effects of Qianzheng San and Wendan decoction combined with acupuncture and moxibustion on oral lip microcirculation in patients with peripheral facial paralysis
文章编号:
DOI:10.3969/j.issn.10007369.2019.12.017
作者:
房 涛1; 王歌文2; 赵佳华2
1.陕西省铜川市人民医院全科中医科（铜川 727031）；2.陕西省铜川九三中医医院全科中医科（铜川 727031）
Author(s):
FANG Tao; WANG Gewen; ZHAO Jiahua.
Department of General Chinese Medicine， Tongchuan People’s Hospital in Shaanxi Province（Tongchuan 727031）
关键词:
牵正散; 温胆汤; 针灸; 周围性面瘫; 面部残疾指数; 口唇微循环
Keywords:
Key words Qianzheng San; Wendan decoction; Acupuncture and moxibustion; Peripheral facial paralysis; Facial disability index; Oral lip microcirculation
分类号:
R745
文献标志码:
A
摘要:
摘 要 目的：探讨牵正散合温胆汤联合针灸治疗周围性面瘫的疗效以及对患者肌电图、口唇微循环状态的影响。方法：选取周围性面瘫患者90例，用计算机随机数字法分为观察组和对照组各45例。两组患者均予以西医基础治疗，对照组予以针灸治疗，观察组在针灸基础上予以牵正散合温胆汤治疗。比较两组患者临床疗效，观察治疗前后中医症状积分、面神经功能（Housebrackmann量表）、面部残疾指数（FDI）、肌电图检查、口唇微循环指标等变化情况。结果：观察组患者治疗总有效率高于对照组（P＜005）；治疗4周后，两组患者中医症状积分、社会生活功能（FDIS）评分较治疗前降低，且观察组低于对照组（P＜005），HB量表评分、躯体功能（FDIP）评分较治疗前升高，且观察组高于对照组（P＜005），动作电位潜伏期较治疗前缩短，波幅较治疗前增大，且观察组改善程度高于对照组（P＜005）。治疗4周后，两组患者微血管形态为发夹型者、微血管排列整齐者、微血管为线型者明显较治疗前增多，且观察组多于对照组（P＜005）。结论：牵正散合温胆汤联合针灸治疗周围性面瘫可显著缓解患者临床症状，促进面神经功能以及面部表情肌兴奋性和收缩性恢复，改善口唇微循环状态，有利于病情转归。
Abstract:
Abstract Objective:To explore the efficacy of Qianzheng San and Wendan decoction combined with acupuncture and moxibustion on peripheral facial paralysis and its effects on electromyography and oral lip microcirculation. Methods:90 patients with peripheral facial paralysis admitted to our hospital were selected and randomly divided into observation group and control group according to the computer random number method,with 45 cases in each group. Two groups were treated with western medicine basic treatment,and control group was treated with acupuncture and moxibustion,and observation group was given Qianzheng San and Wendan decoction on the basis of acupuncture and moxibustion. The clinical efficacy was compared between the two groups. The changes of TCM symptoms scores,facial nerve function (HouseBrackmann scale),facial disability index (FDI),electromyography results and oral lip microcirculation indexes were observed before and after treatment. Results:Total effective rate of treatment in observation group was higher than that in control group (P＜005). After 4 weeks of treatment,the scores of TCM symptoms and social life function (FDIS) in the two groups were lower than those before treatment,and the scores in observation group were lower than those in control group (P＜005),and the HB scale score and physical function (FDIP) score were higher than those before treatment,and the scores in observation group were higher than those in control group (P＜005). The latency of action potential was shorter than that before treatment,and the amplitude was larger than that before treatment,and the improvements in observation group were higher than those in control group (P＜005). After 4 weeks of treatment,the number of patients with microvessel morphology of hairpin type,neat microvascular arrangement and linear microvessel in the two groups was significantly higher than that before treatment,and the number of patients in observation group was more than that in control group (P＜005). Conclusion:Qianzheng San and Wendan decoction combined with acupuncture and moxibustion for peripheral facial paralysis can significantly alleviate the clinical symptoms,promote facial nerve function and facial muscle excitability and con〖LM〗traction recovery,improve the oral lip microcirculation status,and facilitate the outcomes of the disease.

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相似文献/References:

[1]高少才,屈小元,马战平,等.刘氏温胆汤临床应用研究[J].陕西中医,2016,(10):1423.
[2]王岚萱,吴若辉,贺小卉,等.牵正散合桂枝加葛根汤加减、温针灸联合康复训练治疗顽固性周围性面瘫临床研究*[J].陕西中医,2020,(9):1262.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.024]

备注/Memo

备注/Memo:
*陕西省卫生和计划生育委员会科研项目（2018FHK180631）
更新日期/Last Update: 2019-12-19