【摘要】：目的：觀察電子灸雙側合谷、雙側腎俞、’百會對改善中重度貝爾麻痹患者面神經(jīng)功能障礙和軀體、社會功能障礙的影響。方法：按照簡單隨機分組的原則,將60例符合納入標準的中重度貝爾麻痹患者分為治療組和對照組,每組各30例。治療組：予電子灸雙側合谷、雙側腎俞、百會并結合普通針刺,電子灸和普通針刺項目均治療30min,每日1次,每周治療6天,周天休息,連續(xù)治療6周。對照組：只施予普通針刺治療。所有入組的患者在治療前后均接受House-Brackmann (H-B)面神經(jīng)功能分級、評分量表及面部殘疾指數(shù)(FDI)調查問卷的專人評定。最后由專人負責整理所有數(shù)據(jù)資料,建立Excel數(shù)據(jù)庫,采用SPSS18.0統(tǒng)計軟件進行統(tǒng)計分析。結果：①兩組患者治療前后組內(nèi)的各項量表比較：H-B分級及其總分比較均有顯著統(tǒng)計學差異(P0.01),治療后較治療前的H-B總分均有顯著下降；H-B各項評分比較均有顯著統(tǒng)計學差異(P0.01),治療后較治療前的H-B各項評分均有顯著下降；FDI軀體功能評分比較均有顯著統(tǒng)計學差異(P0.01),治療后較治療前的FDI軀體功能評分均有顯著上升；FDI社會功能評分比較均有顯著統(tǒng)計學差異(P0.01),治療后較治療前的FDI社會功能評分均有顯著下降。②經(jīng)過6周治療后兩組間各項量表評分比較：根據(jù)H-B分級量表評定最終療效,組間比較有明顯差異(P0.05),治療組的總有效率明顯高于對照組；治療組的H-B總分及FDI社會功能評分較對照組均有明顯下降(P0.05),有明顯統(tǒng)計學差異；H-B各項評分中額紋項比較有顯著統(tǒng)計學差異(P0.01),閉眼、鼻翼活動、鼻唇溝及鼓腮四項評分比較均有明顯統(tǒng)計學差異(P0.05),H-B各項評分其余5項和FDI軀體功能評分比較均沒有統(tǒng)計學意義(P0.05)。結論：電子灸雙側合谷、雙側腎俞、百會可以調養(yǎng)陽氣、溫養(yǎng)經(jīng)筋,重塑陰陽平衡,從而改善中重度貝爾麻痹面神經(jīng)功能,進而改善患者因面神經(jīng)功能障礙而引起的社會功能障礙。
[Abstract]:Objective: To observe the effect of electronic moxibustion on bilateral Hegu, bilateral Shenshu and "Baihui" on improving facial nerve dysfunction and physical and social dysfunction in patients with moderate and severe Baer's paralysis. Methods: according to the principle of simple and random grouping, 60 patients with moderate and severe Baer's palsy were divided into the treatment group and the control group, each group was treated with 30 cases. The treatment group: the electronic moxibustion bilateral Hegu, bilateral Shenshu, Baihui combined with common acupuncture, electronic moxibustion and common acupuncture were treated with 30min, 1 times a day, 6 days of treatment, Sunday rest, and 6 weeks of continuous treatment. The control group was only treated with ordinary acupuncture. All the patients received House-Brackmann (H-B) facial nerve function before and after treatment. Classification, rating scale and FDI questionnaire were evaluated by special persons. Finally, all data were arranged by special people, Excel database was set up, and SPSS18.0 statistical software was used for statistical analysis. Results: (1) there were significant statistics in each of the two groups of patients before and after treatment: H-B and their total scores. Difference (P0.01), after treatment, compared with the total score of H-B before treatment, there were significant differences in H-B scores (P0.01). After treatment, the scores of H-B before treatment were significantly lower than those before treatment, and there were significant differences in FDI somatic function score (P0.01). After treatment, the scores of FDI body function before treatment were all compared with those before treatment. The scores of FDI social function scores were significantly different (P0.01). After treatment, the social function scores of FDI before treatment were significantly lower. After 6 weeks of treatment, the scores of the two groups were compared: the final curative effect was evaluated according to the H-B scale (P0.05). The total effective rate of the treatment group was significant. The total score of H-B and the social function of FDI in the treatment group were significantly lower than those in the control group (P0.05), and there were significant differences in statistical difference. There were significant statistical differences between the scores of H-B scores (P0.01), the four scores of the closed eyes, the alar activity, the nasolabial groove and the drums and gills were statistically different (P0.05), H-B in each of the scores (P0.05). The scores of the other 5 items and the FDI somatic function score were not statistically significant (P0.05). Conclusion: the electronic moxibustion of bilateral Hegu, bilateral Shenshu and Baihui can adjust the Yang Qi, warm up the meridian and reshape the balance of yin and Yang, so as to improve the facial nerve function of the moderate and severe Baer paralysis, and then improve the social functional barrier caused by facial nerve dysfunction. Hindering.
【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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