针刺联合穴位注射治疗周围性面神经麻痹临床观察及电生理分析

目的:探讨针刺联合穴位注射治疗周围性面神经麻痹临床疗效及电生理改变。方法:临床纳入周围性面神经麻痹患者90例,根据治疗方案的不同分为治疗组与对照组。对照组给予单纯针刺治疗,治疗组给予针刺联合穴位注射治疗。观察2组患者临床疗效,并在治疗前后2组患者两侧眼轮匝肌、鼻肌及口轮匝肌进行电生理检测,比较2组患者治疗前后神经电图潜伏期及患健侧波幅比值的变化。结果:治疗组1个疗程治疗有效率、2个疗程治疗有效率分别为86.67%、100.00%,对照组分别为68.89%、82.22%,差异均有统计学意义(P0.05);治疗前,2组患者眼轮匝肌、鼻肌及口轮匝肌神经电图潜伏期及患健侧波幅比值差异均无统计学意义(P0.05)。治疗后,治疗组眼轮匝肌、口轮匝肌神经电图潜伏期为(3.46±0.49)ms、(3.14±0.57)ms,对照组为(3.92±0.50)ms、(3.34±0.48)ms,差异有统计学意义(P0.05)。治疗组眼轮匝肌、口轮匝肌神经电患健侧波幅比值为(0.67±0.18)、(0.65±0.17),对照组为(0.52±0.17)、(0.50±0.15),差异有统计学意义(P0.05)。2组患者鼻肌神经电图潜伏期及患健侧波幅比值差异无统计学意义(P0.05)。结论:针刺联合穴位注射治疗周围性面神经麻痹具有较好的临床疗效,能够显著缩短病程,促进患者的康复。

Clinical Observation and Electrophysiological Analysis of Acupuncture Combined with Acupoint Injection in the Treatment of Peripheral Facial Paralysis

To investigate the clinical effect and electrophysiological changes of acupuncture combined with acupoint injection in the treatment of peripheral facial paralysis. Methods: Ninety patients with peripheral facial paralysis were divided into the study group and the control group according to different treatment plans. The control group was treated with acupuncture, while the study group was treated with acupuncture combined with acupoint injection. Clinical curative effects of patients in the two groups were observed and electrophysiological examinations on both sides of the orbicularis oculi, orbicular muscle, nose and mouth of patients in both the groups before and after treatment were done and electroneurogram latency and amplitude ratio changes were compared between the two groups before and after treatment. Results: The effective rate after a course and two courses of treatment were 86.67% and 100.00% respectively, while that of the control group were 68.89% and 82.22%, whose difference was statistically significant (P<0.05). There is no significant difference in EMG latency and amplitude ratio changes of orbicularis oculi, orbicular muscle, nose and mouth of patients in both the groups before treatment (P>0.05). EMG latency of the orbicularis oculi muscle and orbicularis oris muscle of the study group after treatment were (3.46±0.49) ms and (3.14±0.57) ms and those of the control group were (3.92±0.50) ms and (3.34±0.48) ms, with significant difference (P<0.05). Normal side amplitude ratio of orbicularis oculi muscle and orbicularis oris muscle nerve of patients in the study group were (0.67±0.18) and (0.65±0.17), while that of the control group were (0.52±0.17) and (0.50±0.15), which showed was significant difference (P<0.05).There was no significant difference in the latency and amplitude of the contralateral side of patients in the two groups (P>0.05). Conclusion: Acupuncture combined with acupoint injection in the treatment of peripheral facial paralysis has a good clinical effect and may significantly shorten the course of disease and promote the rehabilitation of patients.