直流感应电定向透穴疗法治疗特发性面神经炎临床研究

目的 评价直流感应电定向透穴疗法治疗特发性面神经炎的疗效.方法 将符合入选标准的65例特发性面神经炎患者按随机数字表法分为治疗组33例和对照组32例,对照组采用西医常规疗法治疗,治疗组在对照组基础上配合地仓透颊车、阳白透太阳直流感应单向脉冲波定向透穴治疗.2组均治疗3周.分别于治疗前后行House-Brackmann面神经功能分级评估及肌电图瞬目反射检测,评价患者临床疗效及面神经功能的改善情况.结果 治疗组总有效率为66.7%(22/33)、对照组为43.8%(14/32),2组比较差异有统计学意义(U=2.175,P=0.013).治疗后,治疗组House-Brackmann面神经功能Ⅰ级15例、Ⅱ级4例、Ⅲ级3例,对照组Ⅰ级5例、Ⅱ级7例、Ⅲ级2例,2组比较差异有统计学意义(U=2.069,P=0.018);治疗组瞬目反射R1、R2波检出率为87.9%(29/33)、对照组为81.3%(26/32),2组比较差异有统计学意义(U=2.135,P=0.016).治疗后,治疗组瞬目反射R1波(12.28±2.55)ms比(13.84±3.07)ms,t=2.227]、R2波(32.28±7.08)ms比(35.95±5.11)ms,t=2.396]潜伏期低于对照组(P值分别为0.030、0.020).结论 直流感应电定向透穴疗法可缩短特发性面神经炎患者瞬目反射R1、R2波,提高临床疗效.

Clinical effect of point-to-point acupuncture with electric stimulation of direct current induction for facial nerve paralysis

Objective To observe the clinical effect of point-to-point acupuncture with electric stimulation of direct current induction for facial nerve paralysis. Methods A total of 65 patients with facial nerve paralysis were randomly divided into the observation group (n=33) and the control group (n=32). The control group received routine treatment, and observation group was received Dicang (ST4)-to-Jiache (ST6) and Yangbai (GB14)-to-Taiyang (EX-HN5) by acupuncture with electric stimulation of direct current induction combined with conventional western medicine. The treatment of both groups last 3 weeks. The House-Brackmann Scale and the BR indexe at baseline and after 3 weeks treatment were observed. Results After treatment, The clinical effect of observation group was 66.7%, which was significantly higher than control group 43.8% (U=2.175, P=0.013). After treatment, House-Brackmann facial nerve scale (Ⅰ level=15 cases, Ⅱ level=4 cases, Ⅲ level=3 cases) in the observation group was significantly better than that in the control group (Ⅰ level=5 cases, Ⅱ level=7 cases, Ⅲ level=2 cases; U=2.069, P=0.018). After treatment, R1 latency (12.28 ± 2.55 ms vs. 13.84 ± 3.07 ms, t=2.227) and R2 latency (32.28 ± 7.08 ms vs. 35.95 ± 5.11 ms, t=2.396) in the observation group were significantly shorter than those in the control group (P=0.030, P=0.020). Conclusions The point-to-point acupuncture with electric stimulation of direct current induction could reduce latency of R1 and R2 for facial nerve paralysis, and improve the clinical effect.