[1]吴小红,李思康,张正龙.针刺联合柴胡桂枝汤治疗对难治性面瘫患者面神经肌电图和瞬目反射的影响[J].陕西中医,2022,(9):1297-1300.[doi:DOI:10.3969/j.issn.1000-7369.2022.09.037]
　WU Xiaohong,LI Sikang,ZHANG Zhenglong.Effects of acupuncture combined with Chaihu Guizhi decoction on facial nerve electromyography and blink reflex in patients with refractory facial paralysis[J].,2022,(9):1297-1300.[doi:DOI:10.3969/j.issn.1000-7369.2022.09.037]
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针刺联合柴胡桂枝汤治疗对难治性面瘫患者面神经肌电图和瞬目反射的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年9期
页码:
1297-1300
栏目:
针灸经络
出版日期:
2022-09-05

文章信息/Info

Title:
Effects of acupuncture combined with Chaihu Guizhi decoction on facial nerve electromyography and blink reflex in patients with refractory facial paralysis
作者:
吴小红; 李思康; 张正龙
(芜湖市中医医院针灸科,安徽 芜湖 241000)
Author(s):
WU Xiaohong; LI Sikang; ZHANG Zhenglong
(Department of Acupuncture and Moxibustion,Wuhu Hospital of Traditional Chinese Medicine,Wuhu 241000,China)
关键词:
难治性面瘫;  针刺;  柴胡桂枝汤;  肌电图;  瞬目反射
Keywords:
Refractory facial paralysis;  Acupuncture;  Chaihu Guizhi decoction;  Electromyography;  Blink reflex
分类号:
R 745.1
DOI:
DOI:10.3969/j.issn.1000-7369.2022.09.037
文献标志码:
A
摘要:
目的:探讨针刺联合柴胡桂枝汤治疗对难治性面瘫患者面神经肌电图和瞬目反射的影响。方法:选取122例难治型面瘫患者为研究对象,采用随机数字表法将患者分为对照组(n=62)和试验组(n=60)。对照组给予针刺治疗,试验组在针刺治疗的基础上口服柴胡桂枝汤,连续治疗4周。比较两组患者治疗前后Sunnybrook评分、House-Brackmann(H-B)评分、面神经肌电图指标、瞬目反射引出情况及临床总有效率以及不良反应发生情况。结果:试验组临床总有效率为96.67%,高于对照组的85.48%。治疗4周后,试验组鼻肌、眼轮匝与口轮匝肌的传导潜伏期均低于对照组,患健侧波幅比值则高于对照组(P<0.05)。治疗2、4周后,试验组Sunnybrook评分高于对照组,而H-B评分低于对照组(P<0.05)。治疗后,试验组患侧R1、R2检出情况优于对照组,患侧瞬目反射R1、R2潜伏期低于对照组(P<0.05)。结论:针刺联合柴胡桂枝汤治疗难治性面瘫疗效较好,可疏通经络,调整气血,有效缓解临床症状,改善面部神经功能、肌电图、瞬目反射指标,安全性较好。
Abstract:
Objective:To explore effects of acupuncture combined with Chaihu Guizhi decoction on facial nerve electromyography and blink reflex in patients with refractory facial paralysis.Methods:122 patients with refractory facial paralysis were selected as the research objects,randomly divided into control group(n=62)and experimental group(n=60).The patients in the control group were treated with acupuncture,the experimental group treated with Chaihu Guizhi decoction on the basis of treatment in the control group.Both groups were treated for 4 weeks.Before and after treatment,Sunnybrook score,House-Brackmann(H-B)score,EMG index of facial nerve,blink reflex,total clinical effective rate,occurrence of adverse reactions were compared between the two groups.Results:The total effective rate of the experimental group was 96.67% higher than 85.48% in the control group.After 4 weeks of treatment,the conduction latency of nasal muscle,orbicularis oculi and orbicularis oris muscle in the experimental group was significantly lower than that in the control group,while the amplitude ratio of the affected side was significantly higher than that in the control group(P<0.05).After 2 and 4 weeks of treatment,the sunnybrook score in the experimental group was significantly higher than that in the control group,and the H-B score was significantly lower than that in the control group(P<0.05).After treatment,the detection of R1 and R2 in the affected side in the experimental group was better than those in the control group,and the latency of R1 and R2 in the affected side blink reflex decreased significantly(P<0.05).Conclusion:Acupuncture combined with Chaihu Guizhi decoction is effective in the treatment of refractory facial paralysis.It can effectively alleviate the clinical symptoms of patients,and improve the facial nerve function,electromyography and blink reflex indexes,it's safe better.

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更新日期/Last Update: 2022-09-08