陈名涛 刘美 徐向勇

摘要 目的：探討针刺联合中西药治疗对复发性周围性面瘫患者的疗效影响。方法：以入院病例号为编号，根据随机数字表，将80例复发性周围性面瘫患者随机分成2组，每组40例。2组患者均给予西药+中药治疗，观察组在此基础上联合针刺治疗，2组患者均治疗1周。治疗后，比较患者临床疗效、H-B面神经功能评分、Portmann评分、FDI评分情况。结果：1）治疗后观察组总有效率为97.5%，对照组总有效率为85.0%（P<0.05）。2）治疗后，2组H-B评分均较治疗前降低（P<0.05），且观察组H-B评分明显低于对照组（P<0.05）。3）治疗后，2组FDI评分均较治疗前提高（P<0.05），且治疗后，观察组H-B评分明显高于对照组（P<0.05）;4）治疗后，2组Portmann评分均较治疗前提高（P<0.05），且治疗后观察组Portmann评分明显高于对照组（P<0.05）。结论：针刺联合中西药治疗复发性周围性面瘫的临床疗效显著，且无不良反应。

关键词 针刺;中药;西药;复发性;周围性面瘫;效果观察

Efficacy Observation on Acupuncture Combined with Chinese and Western Medicine

in the Treatment of Recurrent Peripheral Facial Palsy

Chen Mingtao1， Liu Mei1，Xu Xiangyong2

（Department of Neurology， The Second Worker′s Hospital of Wuhan Iron and Steel （Group） Company， Wuhan 430085， China;

2 Wuhan Iron and Steel Group Corp second staff hospital laboratory，Wuhan 430085，China）

Abstract Objective：To explore the effects of acupuncture combined with Chinese and western medicine in the treatment of patients with recurrent peripheral facial paralysis. Methods：According to the number of admission cases， .80 patients with recurrent peripheral facial paralysis were randomly divided into two groups according to random number table， with 40 cases in each group. Two groups of patients were given western medicine and Chinese medicine treatment. The observation group was added acupuncture treatment. Two groups of patients were treated for 1 week. After treatment， the clinical efficacy， H-B facial nerve function score， Portmann score and FDI score were compared. Results：1） After treatment， the total effective rate of the observation group was 97.5%， and the total effective rate of the control group was .85% （P<0.05）. 2） After treatment， the H-B scores of the two groups were lower than that before treatment （P<0.05）， and the H-B score of the observation group was significantly lower than that of the control group （P<0.05）. 3） After treatment， two groups of FDI scores were improved （P<0.05）， and H-B score of the observation group was significantly higher than that of the control group （P<0.05）. 4） After treatment， the Portmann scores of the two groups were improved （P<0.05）， and the Portmann score of the observation group was significantly higher than that of the control group （P<0.05）. Conclusion：The clinical effects of acupuncture combined with Chinese and western medicine in the treatment of recurrent facial paralysis is significant， without adverse reactions and side effects.

Key Words Acupuncture; Traditional Chinese medicine; Western medicine; Recurrence; Peripheral facial paralysis; Effects observation

中图分类号：R245文献标识码：Adoi：10.3969/j.issn.1673-7202.2018.03.047

面瘫属于中医学“口僻”范畴，又称“吊线风”，主要表现为口眼斜，一侧鼻唇沟变浅，眼裂不能闭合或闭合不全，口角流涎，舌体麻木等症状，现代医学称为周围性神经麻痹[1]。复发性面瘫，又称复发性面神经麻痹（Recurrent Facial Never Palsy，RFNP）是指面神经麻痹反复出现在同侧或对侧面部2次或以上者。面瘫的复发率约为10%[2]，复发性面瘫的病因尚不明确，可能与气候、面神经循环障碍、病毒感染等原因有关。大约有10%的面瘫的患者留有不同程度的后遗症，复发性面瘫后遗症的发生率则更高。因此选择安全有效的治疗方案对RFNP患者进行干预，对于提高患者康复率，改善其生命质量有着极为重要的意义。本研究以针刺联合中西药治疗RFNP患者，并对其临床疗效、H-B面神经功能评分、Portmann评分以及FDI评分等情况进行观察，从而研究研究该种治疗方案的疗效，现报道如下。

1 资料与方法

1.1 一般资料 选取2015年1月至2017年1月我院神经内科收治的80例复发性周围性面瘫患者。……