本文選題：電針 + 合谷穴�。� 參考：《中華中醫(yī)藥雜志》2017年09期

【摘要】：目的:觀察電針合谷穴對面神經(jīng)損傷家兔面部行為學評分及面神經(jīng)電圖的影響,初步探討電針合谷穴對面神經(jīng)損傷的修復作用。方法:用神經(jīng)卡壓法制備面神經(jīng)損傷家兔模型,將40只家兔隨機分為4組:假手術(shù)組、模型組、電針合谷穴組和電針后溪穴組,每組10只。假手術(shù)組切開左側(cè)面部皮膚,暴露面神經(jīng)后縫合。模型組造模后不給任何處置。電針合谷穴組采用電針合谷穴治療,電針后溪穴組予電針后溪穴治療,每次30min,每日1次,治療28d。肉眼觀察家兔面部運動情況并評分,面神經(jīng)電圖檢測受損面神經(jīng)復合肌肉動作電位的潛伏期和峰值振幅。結(jié)果:(1)行為學評分結(jié)果:電針合谷穴組造模7、14、21、28d后行為學評分升高,與模型組及電針后溪穴組比較,差異具有統(tǒng)計學意義(P0.05,P0.01);(2)面神經(jīng)電圖結(jié)果:電針合谷穴組造模14、28d后潛伏期縮短、峰值振幅增大,與模型組及電針后溪穴組比較,差異有統(tǒng)計學意義(P0.05,P0.01)。結(jié)論:電針合谷穴能改善面神經(jīng)損傷家兔面部運動情況,促進受損面神經(jīng)復合肌肉動作電位的恢復。
[Abstract]:Objective: to observe the effect of electroacupuncture at Hegu point on facial behavior score and facial electrogram in rabbits with facial nerve injury and to explore the effect of electroacupuncture at Hegu point on repairing facial nerve injury. Methods: the rabbit model of facial nerve injury was made by nerve compression. Forty rabbits were randomly divided into 4 groups: sham operation group, model group, electroacupuncture Hegu point group and electroacupuncture Houxi point group, each group had 10 rabbits. In the sham operation group, the left facial skin was cut open and the facial nerve was sutured after exposure. The model group does not give any disposal after making the model. Hegu point group was treated by electroacupuncture at Hegu point, and Houxi point group was treated by electroacupuncture at Houxi acupoint for 30 minutes, once a day for 28 days. Facial motility was observed and evaluated with naked eye. Facial electrogram was used to detect the latency and peak amplitude of the compound muscle action potential of injured facial nerve. Results (1) Behavioral score: the behavioral score of Hegu acupoint group was higher than that of model group and Hexi group. The difference was statistically significant compared with model group and Hexi group. The result of facial electrogram showed that the incubation period of the model of Hegu group was shorter than that of the model group at 1428 days, and that of Hegu group was shorter than that of model group and Hexi point group (P < 0.05), the results of facial electrogram showed that the latency of Hegu group was shorter than that of model group (P < 0.05). The peak amplitude increased, and the difference was statistically significant compared with the model group and the electroacupuncture group. Conclusion: electroacupuncture at Hegu point can improve facial movement and promote the recovery of facial nerve compound muscle action potential in rabbits with facial nerve injury.
【作者單位】： 湖南中醫(yī)藥大學;
【基金】：湖南省中醫(yī)藥管理局課題(No.201514)~~
【分類號】：R245.97

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