| 摘要: |
| 目的：观察牵针正口法治疗特发性面神经麻痹（idiopathic facial nerve palsy，IFNP）的临床疗效，并探讨其对面动脉及其分支血流动力学的影响。方法：将74例IFNP患者随机分为治疗组与对照组，每组各37例。对照组采用西医常规治疗联合常规针刺治疗，治疗组在对照组基础上于IFNP亚急性期及恢复期时加用牵针正口法治疗，2组均连续治疗4个疗程。于治疗前后观察2组患侧面动脉及上、下唇动脉血流动力学参数［收缩期峰值血流速度（peak systolic velocity，PSV）、舒张末期血流速度（end-diastolic velocity，EDV）、阻力指数（resistance index，RI）］、House－Brackmann面神经功能分级量表（House-Brackmann Grading System，HBGS）分级及面神经功能指数（Facial Nerve Functin Index，FNFI）的变化，并评价临床疗效。结果：治疗期间，治疗组脱落2例，对照组脱落2例，最终纳入治疗组35例，对照组35例；总有效率治疗组为91.43%（32/35），对照组为82.86%（29/35），2组比较，差异有统计学意义（P<0.05）。2组患侧面动脉及上、下唇动脉血流动力学参数、HBGS分级及FNFI指数治疗前后组内比较及治疗后组间比较，差异均有统计学意义（P<0.01或P<0.05）。结论：牵针正口法联合西医常规治疗能够有效改善IFNP患者面动脉血流灌注、恢复面神经功能，值得临床推广。 |
| 关键词: 特发性面神经麻痹 针刺 牵针正口法 血流动力学 中西医结合治疗 |
| DOI： |
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| Clinical effect of the needle traction technique for correcting oral deviation in treatment of idiopathic facial nerve palsy: An analysis of 35 cases |
| LIU Yuping,XU Haochun,CAI Jiaxin,SHI Hengjie,HUANG Zhiqiang,LU Mingxiang,ZHUANG Chuijia |
| (Quanzhou Hospital of Traditional Chinese Medicine, Quanzhou 362000, Fujian, China;Shishi Hospital of Traditional Chinese Medicine, Shishi 362500, Fujian, China) |
| Abstract: |
| Objective： To investigate the clinical effect of the needle traction technique for correcting oral deviation in the treatment of idiopathic facial nerve palsy （IFNP） and its effect on the hemodynamics of the facial artery and its branches. Methods： A total of 74 patients with IFNP were randomly divided into treatment group and control group, with 37 patients in each group. The patients in the control group received conventional Western medicine treatment combined with conventional acupuncture, while those in the treatment group received the needle traction technique for correcting oral deviation during the subacute and recovery stages of IFNP in addition to the treatment in the control group, and both groups were treated for 4 consecutive weeks. The two groups were observed in terms of the hemodynamic parameters of the facial artery and the superior and inferior labial arteries on the affected side （peak systolic velocity ［PSV］, end-diastolic velocity ［EDV］, and resistance index ［RI］）, the House-Brackmann Grading System （HBGS） grade, and Facial Nerve Function Index （FNFI） before and after treatment, and clinical outcome was assessed for both groups. Results： Two patients in the treatment group and 2 patients in the control group were lost during the treatment period, and finally 35 patients in the treatment group and 35 patients in the control group were included for analysis. There was a significant difference in overall response rate between the treatment group and the control group ［91.43% （32/35） vs 82.86% （29/35）, P < 0.05］. After treatment, both groups had significant changes in the hemodynamic parameters of the facial artery and the superior and inferior labial arteries on the affected side, HBGS grade, and FNFI index, and there were significant differences in these indicators between the two groups after treatment（P < 0.01 or P < 0.05）. Conclusion：The needle traction technique for correcting oral deviation combined with conventional Western medicine treatment can effectively improve facial artery blood perfusion and restore facial nerve function in patients with IFNP, and therefore, it holds promise for clinical application. |
| Key words: idiopathic facial nerve palsy acupuncture needle traction technique for correcting oral deviation hemodynamics integrated traditional Chinese and Western medicine therapy |
