| 摘要: |
| 目的：探讨基于经筋理论和肌筋膜理论针刺结合电针疗法治疗顽固性面瘫的临床疗效及作用机制。方法：将64 例顽固性面瘫患者随机分为治疗组和对照组，每组各32 例。对照组接受常规针刺治疗，治疗组则在经筋理论和肌筋膜理论指导下取穴给予电针治疗。比较2组治疗后House-Brackmann（H-B）面神经功能分级量表、面部残疾指数量表（Facial Disability Index，FDI）、患者自身健侧对照量表评分，并根据面神经功能恢复评定标准判定综合疗效。结果：总有效率治疗组为100.00%（32/32），对照组为96.88%（31/32），2组比较，差异有统计学意义（P＜0.01）。治疗后治疗组在H-B面神经功能分级量表、FDI量表及自身健侧对照量表评分等方面均优于对照组（P＜0.01）。结论：基于经筋理论和肌筋膜理论指导下的电针治疗方案，能显著改善顽固性面瘫患者的面神经功能，值得临床深入研究和推广。 |
| 关键词: 顽固性面瘫 肌筋膜理论 电针 面神经功能 临床疗效 |
| DOI： |
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| Acupuncture Combined with Electroacupuncture Therapy for 32 Cases of Intractable Facial Paralysis Based on the Theory of Sinew Channels and Myofascial Theory |
| YE Zan,DU Geshu,ZHAI Wei |
| (Changsha Municipal Hospital of Traditional Chinese Medicine，Changsha 410100，Hunan，China) |
| Abstract: |
| Objective：To investigate the clinical effect and mechanism of action of electroacupuncture in the treatment of refractory facial paralysis based on muscle tendon theory and muscular fasciae theory for acupoint selection.Methods: A total of 64 patients with refractory facial paralysis were randomly divided into treatment group and control group，with 32 patients in each group.The patients in the control group received conventional acupuncture，while those in the treatment group received electroacupuncture under the guidance of muscle tendon theory and muscular fasciae theory for acupoint selection.The two groups were compared in terms of House-Brackmann (H-B) grade for facial nerve function，Facial Disability Index (FDI)，and self-contrast assessment against the contralateral side，and overall response was assessed based on the criteria for facial nerve function recovery.Results:There was a significant difference in overall response rate between the treatment group and the control group ［100.00% (32/32) vs 96.88% (31/32)，P < 0.01］.Compared with the control group after treatment，the treatment group had significantly better results of H-B grade for facial nerve function，FDI scale，and self-contrast assessment against the contralateral side (P < 0.01).Conclusion: Electroacupuncture under the guidance of muscle tendon theory and muscular fasciae theory can significantly improve facial nerve function in patients with refractory facial paralysis，and therefore，it holds promise for clinical application. |
| Key words: refractory facial paralysis muscular fasciae theory electroacupuncture facial nerve function clinical effect |
