【摘要】 目的观察现代康复技术结合温针灸治疗风寒袭络型周围性面瘫的临床效果。方法选择2018年4月至2020年1月潍坊医学院附属医院康复医学科收治的风寒袭络型周围性面瘫患者40例,依照随机数字表法将其分为观察组和对照组,每组各20例。两组患者在发病后均接受基础药物治疗。发病1周后,对照组加用现代康复技术治疗,观察组在对照组的基础上加用温针灸治疗。两组患者在发病1周后和治疗4个疗程后运用面神经功能分级标准(H-B),额肌群、鼻肌群、颊肌群及口轮匝肌群表面肌电图(sEMG)的均方根(RMS)平均值比值评估面部功能。结果治疗后,观察组总有效率高于对照组,差异有统计学意义(P <0.05)。两组治疗后H-B分级均优于治疗前,且观察组治疗后H-B分级优于对照组,差异有统计学意义(P <0.05)。治疗后,两组额肌群、鼻肌群、颊肌群及口轮匝肌群的RMS平均值比值均显著高于治疗前,且观察组高于对照组,差异有统计学意义(P <0.05)。结论现代康复技术结合温针灸治疗风寒袭络型周围性面瘫效果显著,表面肌电能准确评估患者面部功能。更多还原

【Abstract】 Objective To observe the clinical effect of modern rehabilitation technique combined with warm acupuncture in the treatment of peripheral facial paralysis with syndrome of wind-cold attacking collaterals. Methods A total of40 peripheral facial paralysis patients with syndrome of wind-cold attacking collaterals admitted to Department of Rehabilitation Medicine of Affiliated Hospital of Weifang Medical University from April 2018 to January 2020 were selected and divided into observation group and control group according to random number table method, with 20 cases in each group. Patients in both groups received basic drug therapy after onset. One week after onset, the control group was additionally treated with modern rehabilitation techniques, the observation group was additionally treated with warm acupuncture on the basis of control group. Facial function was assessed by House-Brackmann(H-B), and the ratios of mean root mean square(RMS) of surface electromyography(sEMG) in frontal muscle group, nasal muscle group, buccal muscle group and orbicularis muscle group with one week after onset and four courses of treatment in both groups.Results After treatment, the total effective rate of observation group was higher than that in control group, the difference was statistically significant(P < 0.05). The H-B grade in two groups was better than that before treatment, and the H-B grade in observation group was better than that in control group, the differences were statistically significant(P < 0.05).The ratios of the mean RMS of frontal muscle group, nasal muscle group, buccal muscle group and orbicularis muscle group in the two groups were higher than those before treatment, which in the observation group were higher than those in control group, the differences were statistically significant(P < 0.05). Conclusion Modern rehabilitation technique combined with warm acupuncture has a significant effect in the treatment of peripheral facial paralysis with syndrome of wind-cold attacking collaterals. The surface myoelectricity can accurately evaluate patients’ facial function.更多还原