本文選題：面癱 + 紅外熱成像�。� 參考：《福建中醫(yī)藥大學》2016年碩士論文

【摘要】：目的：觀察急性期周圍性面癱患者的面部紅外熱像圖,探索其溫差區(qū)的分布情況及健患側(cè)溫差大小變化情況；觀察急性期梅花針叩刺溫差區(qū)對周圍性面癱臨床療效及病程長短的影響。研究方法：1.納入2014年10月至2015年12月期間于廈門市海滄醫(yī)院康復醫(yī)學科、神經(jīng)內(nèi)科門診就診的急性期周圍性面癱患者60例,隨機分為梅花針組(治療組)30例及毫針組(對照組)30例；急性期,治療組采用梅花針叩刺面部溫差區(qū),對照組予毫針淺刺,非急性期,兩組均予毫針常規(guī)針刺,留針30min,每日1次,6次為一個療程,共四個療程,療程間間隔1天。治療前后對兩組患者進行面神經(jīng)功能分級評定,進行統(tǒng)計學分析,評價急性期梅花針叩刺溫差區(qū)對周圍性面癱臨床療效及病程長短的影響。2.根據(jù)急性期周圍性面癱患者的面部紅外熱像圖,探索其溫差區(qū)分布情況及健患側(cè)溫差大小變化情況。結(jié)果：1.療效比較兩組治療前后面神經(jīng)功能分級對比,經(jīng)秩和檢驗,兩組均有改善(P0.05)。治療后兩組面神經(jīng)功能分級比較,經(jīng)秩和檢驗,具有顯著性差異(P0.05)。臨床療效比較：治療組治愈24例,顯效4例,好轉(zhuǎn)1例,總有效率96.67%；對照組治愈18例,顯效2例,好轉(zhuǎn)6例,總有效率86.67%,經(jīng)秩和檢驗,兩組療效有顯著性差異(P0.05)。2.病程比較治療組病程23.37±1.215天；對照組病程27.30±1.211天。兩組病程比較,經(jīng)秩和檢驗,具有顯著性差異(P0.05),治療組病程較對照組縮短。3.急性期溫差區(qū)表現(xiàn)及分布情況60例急性期患者溫差區(qū)均表現(xiàn)為高溫,分布頻率由高到低依次為口角區(qū)41.25%、耳周區(qū)23.75%、頰區(qū)18.75%、額區(qū)10%、鼻旁6.25%。4.急性期健患側(cè)溫差大小變化情況急性期,對照組患者面部健患側(cè)溫差大小隨時間變化呈上升趨勢；治療組患者溫差大小在急性期前3天仍呈上升趨勢,但在急性期后4天呈現(xiàn)穩(wěn)定并逐漸下降的趨勢。結(jié)論：1.急性期采用梅花針叩刺溫差區(qū)可使健患側(cè)溫差穩(wěn)定或減小,提高周圍性面癱的臨床療效,并縮短病程。2.急性期周圍性面癱面部溫差區(qū)表現(xiàn)為高溫,分布頻率由高到低依次為口角區(qū)、耳周區(qū)、頰區(qū)、額區(qū)、鼻旁。
[Abstract]:Objective: to observe the facial infrared thermography of patients with acute peripheral facial paralysis and to explore the distribution of the temperature difference area and the change of the temperature difference of the affected side.Objective: to observe the clinical effect and course of peripheral facial paralysis treated by plum-blossom needle tapping temperature difference area in acute stage.Research method: 1.From October 2014 to December 2015, 60 patients with acute peripheral facial palsy were randomly divided into two groups: the treatment group (n = 30) and the control group (n = 30).In the acute stage, the treatment group used plum blossom needle to tap the facial temperature difference area, the control group was treated with mild needle acupuncture, non-acute stage, both groups were treated with the routine acupuncture of the millimeter needle for 30 minutes, 6 times a day as a course of treatment, a total of four courses of treatment, the interval between the courses of treatment was 1 day.Before and after treatment, the patients in the two groups were assessed with facial nerve function grading and statistical analysis, to evaluate the clinical efficacy and duration of peripheral facial paralysis affected by plum needle tapping temperature difference area in acute stage. 2.According to the infrared thermogram of the patients with acute facial paralysis, the distribution of the temperature difference and the variation of the temperature difference of the healthy side were explored.The result is 1: 1.The curative effect was compared between the two groups before and after treatment. By rank sum test, both groups had improved P0.05.After treatment, there was a significant difference in the classification of facial nerve function between the two groups by rank sum test (P 0.05).Comparison of clinical efficacy: 24 cases were cured in the treatment group, 4 cases were obviously effective, 1 case was improved, the total effective rate was 96.67%, while in the control group, 18 cases were cured, 2 cases were improved, 6 cases were improved, and the total effective rate was 86.67%. By rank sum test, there was a significant difference between the two groups.The course of disease was 23.37 鹵1.215 days in the treatment group and 27.30 鹵1.211 days in the control group.By rank sum test, there was a significant difference in the course of disease between the two groups (P 0.05), and the course of disease in the treatment group was shorter than that in the control group.The temperature difference area of 60 patients in acute stage showed hyperthermia. The distribution frequency from high to low was 41.25 in the oral area, 23.75 in the periauricular area, 18.75in the buccal area, 10in the frontal area and 6.25.4.Changes of the temperature difference of the affected side in the acute phase, the temperature difference on the face of the patients in the control group showed an upward trend with time, while the temperature difference in the treatment group was still on an upward trend 3 days before the acute phase.But in the acute period 4 days after the stable and gradually declining trend.Conclusion 1.In the acute stage, the temperature difference of the affected side can be stabilized or decreased by tapping the temperature difference area with plum blossom needle, and the clinical effect of peripheral facial paralysis can be improved, and the course of disease can be shortened by 2. 2.The facial temperature difference area of peripheral facial paralysis in acute stage was high temperature, and the distribution frequency from high to low was the oral corner area, periauricular area, buccal area, frontal area and nasal region.
【學位授予單位】：福建中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.6

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