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不同时间点针刺治疗特发性面神经麻痹的临床效果分析
引用本文:杜果,曹惠敏,孙世平,许志强. 不同时间点针刺治疗特发性面神经麻痹的临床效果分析[J]. 检验医学与临床, 2021, 18(7): 901-903,908. DOI: 10.3969/j.issn.1672-9455.2021.07.011
作者姓名:杜果  曹惠敏  孙世平  许志强
作者单位:重庆市巴南区第二人民医院神经内科,重庆 400054;陆军特色医学中心神经内科,重庆 400042
基金项目:重庆市巴南区科技计划项目
摘    要:目的 对比分析不同时间针刺治疗特发性面神经麻痹患者的临床效果.方法 选取2018年6月至2020年4月该院收治的特发性面神经麻痹患者160例,均经头颅磁共振成像(MRI)证实并给予一般治疗.根据发病后针刺治疗时间将其分为4组:A组,发病后1~3 d行针刺治疗;B组,发病后4~7 d行针刺治疗;C组,发病后8~21 d行...

关 键 词:针刺  特发性面神经麻痹  面瘫  预后

Comparison of clinical outcomes of acupuncture in the treatment of idiopathic facial paralysis at different time
DU Guo,CAO Huimin,SUN Shiping,XU Zhiqiang. Comparison of clinical outcomes of acupuncture in the treatment of idiopathic facial paralysis at different time[J]. Laboratory Medicine and Clinic, 2021, 18(7): 901-903,908. DOI: 10.3969/j.issn.1672-9455.2021.07.011
Authors:DU Guo  CAO Huimin  SUN Shiping  XU Zhiqiang
Affiliation:(Department of Neurology,the Second People′s Hospital of Banan District,Chongqing 400054,China;Department of Neurology,Army Characteristic Medical Center,Chongqing 400042,China)
Abstract:Objective To compare the clinical outcomes of acupuncture in the treatment of idiopathic facial paralysis at different time.Methods From June 2018 to April 220,a total of 116 patients with idiopathic facial paralysis who were confirmed by head MRI in the hospital were collected.According to the onset time,they were divided into 4 groups:group A,1-3 days after onset;group B,4-7 days after onset;group C,8-21 days after onset;group D,control group,patients did not receive acupuncture treatment.The facial nerve compound motor action potential and House-Brackmann grading scales(H-B score)and blink reflex were recorded and compared.Results There was no significant difference in blink reflex between the four groups before treatment(P>0.05),but there was significant difference in blink reflex 1 month and 3 months after treatment(P<0.01).The latency and amplitude of facial nerve examination of the 4 groups were statistically significant at 1 month after treatment(P<0.01).The H-B score among the four groups were statistically significant at 1 month and at 3 months after treatment(P<0.05).Conclusion The best time for acupuncture may be 4-7 days after onset,which can promote the recovery of facial nerve function and reduce facial paralysis sequelae.
Keywords:acupuncture  idiopathic facial paralysis  facial paralysis  prognosis
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