电针评价周围性面瘫程度与预后评测的临床研究.pdfVIP

·100· Shanghai J Acu-mox, Feb 2014, Vol 33, No 2 文章编号:1005-0957(2014)02-0100-03 ·临床研究· 电针评价周围性面瘫程度与预后评测的临床研究 陈申旭1,张馥晴2 (1.上海交通大学医学院附属仁济医院,上海 200127;2.上海市针灸经络研究所,上海 200030) 【摘要】 目的 用电针刺激面神经评价90例周围性面瘫严重程度以及评测预后,探讨电针是否可用于周围性面瘫的评价及 与House-Brackman量表的相关性。方法 对急性周围性面瘫患者取牵正、翳风二穴,针刺后用电针连续波连接二穴,观察面部 肌群的收缩运动状态,以此评价周围性面瘫严重程度并对预后进行评测,并用House-Brackman面瘫评定系统作相关性分析。结 果 电针预测与House-Brackman量表对面瘫程度评价的比较,未见显著性差异,二者相关性高,呈负相关。结论 电针刺激面 神经可以对面瘫进行分级并预测预后。 【关键词】 面神经麻痹;针灸疗法;电针;神经电刺激;House-Brackman量表 【中图分类号】 R246.6 【文献标志码】 A DOI:10.13460/j.issn.1005-0957.2014.02.0100 Electroacupuncture Assessment of the Severity and Prognosis of Peripheral Facial Paralysis CHEN Shen-xu 1, ZHANG Fu-qing2 . 1.Shanghai Jiaotong University Medical College Renji Hospital,Shanghai 200127,China; 2.Shanghai Research Institute of Acupuncture and Meridian,Shanghai 200030,China [Abstract] Objective To investigate if electroacupuncture can be used to assess the severity and prognosis of peripheral facial paralysis, and the correlation with the House-Brackmann scale by evaluation using electroacupuncture stimulation of facial nerves in 90 patients with peripheral facial paralysis. Method Points Qianzheng (Ex-HN16) and Yifeng (TE17) were selected in patients with acute peripheral facial paralysis. After needle insertion, the two points were given electroacupuncture with continuous waves. The contractile activities of facial muscle groups were observed to assess the severity and prognosis of peripheral facial paralysis. A correlation analysis was made using the House-Brackmann Facial Nerve Grading System. Result There was no statistically significant difference between assessments of facial paralysis severity using electroacupuncture and the H-B scale. The two had a high negative correlation. Conclusion Electroacupuncture