基于面部神经功能及中医症状评分探究温针灸对周围性面瘫患者预后的影响

Effects of needle warming moxibustion on the prognosis of patients with peripheral facial paralysis based on facial nerve function and traditional Chinese medicine symptoms scores

关键词:  周围性面瘫  温针灸  面部神经功能  中医症状积分  免疫功能

Key words:  peripheral facial paralysis  needle warming moxibustion  facial nerve function  TCM symptoms scores  immune function

摘要:

[目的] 基于面部神经功能和中医症状评分分析温针灸对周围性面瘫患者预后的影响。[方法] 选择2021年2月—2021年11月于四川省骨科医院针灸科进行治疗周围性面瘫患者99例为研究对象，应用数字表的奇偶随机分为对照组（予以常规西药联合康复训练治疗，49例）和治疗组（在对照组基础上予以温针灸治疗，50例），两组均干预2周，比较其干预前后面神经功能情况、临床疗效、中医症状积分、免疫功能指标以及生活质量。[结果] 干预后，治疗组患者面部神经功能分级量表（H-B）分级优于对照组（P<0.05）；治疗组患者临床治疗总有效率为94.00%优于对照组的79.59%（P<0.05）；干预后治疗组患者中医症状评分皆小于对照组（P<0.05）；治疗组患者免疫球蛋白G（IgG）、免疫球蛋白M（IgM）、免疫球蛋白A（IgA）水平皆低于对照组（P<0.05）；治疗组患者躯体功能评分高于对照组，社会生活功能评分低于对照组（P<0.05）；治疗组不良反应发生率为4.00%（2/50），对照组不良反应发生率为2.05%（1/49），差异无统计学意义（P>0.05）。[结论] 温针灸可改善周围性面瘫患者面部神经功能，且临床疗效显著，可以减轻患者中医症状评分，改善其免疫功，提高其生活质量，安全有效。

Abstract:

[Objective] To analyze the effects of needle warming moxibustion on the prognosis of patients with peripheral facial paralysis based on facial nerve function and scores of traditional Chinese medicine(TCM) symptoms. [Methods] The 99 patients with peripheral facial paralysis who were treated in department of acupuncture and moxibustion of the hospital between February 2021 and November 2021 were selected as study subjects,and they were divided into the control group (treated with conventional western medicine combined with rehabilitation training,49 cases) and the treatment group(given needle warming moxibustion on the basis of the control group,50 cases) by adopting odd-even number method. Both groups were intervened for 2 weeks,and the facial nerve function,clinical efficacy,TCM symptoms scores,immune function indicators and quality of life were compared before and after intervention. [Results] After intervention,the House-Brackmann Facial Nerve Function Grading Scale(H-B) grading of patients in the treatment group was better than that in the control group (P<0.05). The total effective rate of clinical treatment was 94.00% in the treatment group,which was better than 79.59% in the control group(P<0.05). The scores of TCM symptoms in the treatment group after intervention were lower compared with those in the control group (P<0.05). The levels of immunoglobulin G(IgG),immunoglobulin M(IgM) and immunoglobulin A(IgA) were lower in the treatment group after intervention than the control group (P<0.05). After intervention,the score of physical function was higher in the treatment group than that in the control group while the score of social life function was lower than that in the control group(P<0.05). The incidence rate of adverse reactions was 4.00% (2/50) in the treatment group and 2.05% (1/49) in the control group (P>0.05). [Conclusion] Needle warming moxibustion can improve the facial nerve function in patients with peripheral facial paralysis,and it has a significant clinical efficacy and can reduce the TCM symptoms scores,improve the immune function and enhance the quality of life,thus it is safe and effective.