翳风穴贴敷联合温针灸应用于特发性面神经麻痹的效果研究

目的 分析翳风穴贴敷联合温针灸对特发性面神经麻痹患者面部Portmann评分、House-Brackmann分级、SF-36评分及症状恢复时间的影响。 方法 将杭州市萧山区中医院2017年2月—2019年2月收治的76例特发性面神经麻痹患者纳入本研究,依照随机数字表法将其分为对照组(38例)与观察组(38例),对照组给予醋酸泼尼松片、甲钴胺胶囊联合传统针灸治疗,观察组则行翳风穴贴敷联合温针灸治疗,比较2组患者面部症状改善情况以及症状恢复时间,统计面部功能障碍情况,观察生活质量和治疗效果。 结果 对照组患者的RPA评分显著低于观察组,症状恢复时间长于观察组,差异有统计学意义(t=7.717、7.180,均P<0.05)。对照组患者的H-B分级情况明显差于观察组(P<0.05),SF-36评分低于观察组(P<0.05)。对照组患者临床治疗的总有效率(71.05%)显著低于观察组(97.37%),2组疗效比较差异有统计学意义(Z=10.396,P<0.05)。 结论 在特发性面神经麻痹患者接受治疗的过程中,采用翳风穴贴敷联合温针灸治疗的临床效果较好,可显著提升患者的生活质量。 

Effect of Yifeng acupoint application combined with warm acupuncture on idiopathic facial paralysis

Objective To analyze the effects of Yifeng acupoint application combined with warm acupuncture on the facial Portmann score, House-Brackmann rating, SF-36 score and time to recovery of symptoms in patients with idiopathic facial paralysis. Methods Total 76 patients with idiopathic facial paralysis admitted in Hangzhou Xiaoshan District Hospital of Traditional Chinese Medicine from February 2017 to February 2019 were included in this study. They were divided into the control group(38 cases) and observation group(38 cases) according to the digital random table method. The control group was given prednisone acetate tablets, mecobalamin capsules combined with traditional acupuncture treatment, and the observation group was treated with Yifeng acupoint application combined with warm acupuncture. The improved facial symptoms and the time to recovery of the two groups were compared. The facial dysfunction was counted. The quality of life and treatment effect were observed. Results The RPA score of patients in the control group was significantly lower than that in the observation group, and the time to recovery of symptoms was longer than that in the observation group(t=7.717, 7.180, all P<0.05). The H-B classification of patients in the control group was significantly worse than that in the observation group, and the difference was statistically significant(P<0.05). The SF-36 score of the control group was lower than that of the observation group, and the difference was statistically significant(P<0.05). The total effective rate of clinical treatment in the control group was 71.05%, which was significantly lower than that in the observation group 97.37%, and the difference of curative effect between two groups was statistically significant(Z=10.396, P<0.05). Conclusion In the treatment of patients with idiopathic facial paralysis, the clinical effect of Yifeng acupoint application combined with warm acupuncture is better, which can significantly improve the quality of life of patients, and is worth promoting in clinical treatment.