芦燕 刘敏

【摘 要】 目的：观察中西医结合治疗面神经炎的疗效。方法：选取76例面神经炎患者作为研究对象，随机分为对照组和观察组各38例。对照组采取西医常规治疗的同时结合针刺和红外线治疗；观察组在对照组的基础上采取穴位贴敷联合中药治疗。对比两组治疗前后的口眼歪斜、鼓腮、吹口哨漏气，眼睑闭合不全，表情肌肉瘫痪症状的改善情况，综合评价临床疗效，并作对比分析。结果：治疗后，观察组总有效率为94.73%，优于对照组84.21%，差异具有统计学意义（P<0.05）。结论：中西医结合治疗面神经炎的临床疗效较好，值得临床推广应用。

【关键词】 面神经炎；穴位贴敷；中药

【中图分类号】R745.1+2 【文献标志码】 A 【文章编号】1007-8517（2018）07-0099-03

Abstract：Objective To explore the clinical efficacy of Traditional Chinese medicine combined with western Medicine treatment on Facial neuritis.Methods 76 patients were randomly divided into two groups， 38 cases in each group. The control group was given routine treatment plus acupuncture and infrared. The observation group was treated by acupoint application and traditional Chinese medicine more. The facial paralysis ，failed to check blowing and whistle， hypophasis ，paralysis of facial expression symptoms were compared in groups ，to comprehensively evaluate efficacy. Results The total efficiency was 94.37% in the observation group ，and higher than 84.21% in the control group ；the difference was statistically significant（P<0.05）.Conclusion Acupoint application plus Traditional Chinese medicine on Facial neuritis shows a significant effect，is worth popularizing.

Keywords：Facial Neuritis； Acupoint Application； Traditional Chinese Medicine

特发性面神经麻痹又称面神经炎或贝尔麻痹，是因乳突孔面神经非特异性炎症所致周围性面瘫[1]，中医又称“歪嘴巴”。在临床上，面神经炎患者往往伴随着不同程度的口角歪斜、鼓腮及吹口哨时漏气、眼睑闭合不全，表情肌瘫痪，若未采取有效治疗，可遗留后遗症，造成患者外观及功能上的损害，影响患者的人际交往与生活质量。面神经炎的发病机制不明，治疗原则为促进局部炎症、水肿及早消退，并促进神经功能的恢复[1]，以上方法对于缓解症状有一定作用，但往往遗留有后遗症，中医治疗面神经炎有丰富的临床经验及优势，中西医结合在治疗效果上更是相辅相成，可提高疗效，减少后遗症的发生。笔者在西医常规治疗基础上采取穴位贴敷联合中药治疗，作用在于益气补血，祛风散寒，活血通络，临床效果满意，现报道如下。……