[1]陈国旗 朱海燕.针刺结合面部推拿治疗孕期周围性面瘫的临床研究[J].现代中医药,2019,(02):020-22,26.[doi:10.13424/j.cnki.mtcm.2019.02.006]
　Chen Guoqi Zhu Haiyan.Clinical Study on Acupuncture Combined with Facial Massage for the Treatment of Peripheral Facial Paralysis During Pregnancy[J].Modern Traditional Chinese Medicine,2019,(02):020-22,26.[doi:10.13424/j.cnki.mtcm.2019.02.006]
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针刺结合面部推拿治疗孕期周围性面瘫的临床研究()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2019年02期
页码:
020-22,26
栏目:
针灸推拿
出版日期:
2019-03-10

文章信息/Info

Title:
Clinical Study on Acupuncture Combined with Facial Massage for the Treatment of Peripheral Facial Paralysis During Pregnancy
文章编号:
1672-0571(2019)02-0020-04
作者:
陈国旗 朱海燕
安康市中心医院，陕西 安康 ７２５０００
Author(s):
Chen Guoqi Zhu Haiyan
Central Hospital of Ankang, Ankang China, 725000
关键词:
孕期; 周围性面瘫; 针刺; 面部推拿
Keywords:
pregnancy;  peripheral facial paralysis;  acupuncture;  facial massage
分类号:
R254
DOI:
10.13424/j.cnki.mtcm.2019.02.006
文献标志码:
A
摘要:
目的 比较针刺结合面部推拿和单纯面部推拿治疗孕期周围性面瘫的临床疗效差异。 方法 将门诊收入的 ６２ 例孕期周围性面瘫患者随机分为治疗组（ｎ ＝３２）和对照组（ｎ ＝ ３０），治疗组采用针刺结合面部推拿的方法治疗，对照组则采用面部推拿的方法治疗，每日 １ 次，１０ 次为 １ 个疗程，观察 ２ 个疗程。 应用 Ｈｏｕｓｅ － Ｂｒａｃｋｍａｎｎ 量表、ＦＤＩ 面部残疾指数问卷、面神经炎的中医症状疗效标准对孕期周围性面瘫患者治疗前、后面神经功能和残疾指数等进行评价，并观察两组临床疗效差异。 结果 与治疗前比较
Abstract:
To compare the clinical efficacy of acupuncture combined with facial massage and facial massage alone in the treatment of peripheral facial paralysis during pregnancy. Method 62 cases of peripheral facial paralysis in pregnancy from the outpatient department were randomly divided into treatment group ( n =32) and control group ( n =30) . The treatment group was treated by acupuncture combined with facial massage, while the control group was treated by facial massage, once a day, 10 times as a course of treatment. Two courses of treatment were observed. House -Brackmann Scale, FDI Facial Disability Index Questionnaire and TCM Symptom Therapeutic Criteria of Facial Neuritis were used to evaluate the nerve function and disability index of patients with peripheral facial paralysis before and after treatment, and the difference of clinical efficacy between the two groups were observed. Result Compared with before treatment, the scores of somatic function, social function, symptoms and signs of TCM in the two groups were improved after treatment, and the difference was statistically significant ( P <0. 05) . Compared with before treatment, the total effective rate of the control group was 71. 43%, and that of the treatment group was 96. 55%. The treatment had good clinical efficacy, the total effective rate of the treatment group was higher than that of the control group, and the difference wasstatistically significant ( P <0. 05) . Conclusion Acupuncture combined with facial massage has better therapeutic effect on peripheral facial paralysis during pregnancy than simple facial massage. So, it is an effective and safe method for clinical treatment of peripheral facial paralysis during pregnancy.

参考文献/References:

[1]Aditya V. LMN Facial Palsy in Pregnancy: An Opportuni-ty to Predict Preeclampsia - Report and Review[ J]. CaseReports in Obstetrics & Gynecology, 2014, 2014(4, part1):626871.
[2]Vrabec JT, Isaacson B, Van Hook JW. Bell’ s palsy and pregnancy[ J]. Otolaryngol Head Neck Surg,2007,137:858-861.
[3]吴江. 神经病学[M]. 北京:人民卫生出版社,2014:118- 120.
[4]House JW, Brackmann DE. Facial nerve grading system[J ]. Otolaryngol Head Neck Surg, 1985, 93 ( 2 ): 146- 147.
[5] Finsterer J. Management of peripheral facial nerve palsy[J]. Eur Arch Oto - Rhino - Laryngol,2008, 265 (7 ):743 - 752.
[6]李莹,张中一,陈跃来,等. 巨刺法治疗急性期周围性面瘫临床疗效观察[J]. 中国针灸,2015,35(1):7 - 10.

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备注/Memo

备注/Memo:
收稿日期：２０１８－０５－０６ 编辑：巩振东）
更新日期/Last Update: 2019-03-15