林華儉 劉鴻

[摘要] 目的 評價針灸結合康復功能訓練對周圍性面癱患者恢復的影響。 方法 選擇我院2016年1月～2017年4月收治的周圍性面癱患者79例為研究對象，根據(jù)隨機數(shù)字表法將奇數(shù)39例設為對照組，偶數(shù)40例設為觀察組。對照組開展常規(guī)康復功能訓練，觀察組在對照組基礎上開展針灸療法，對兩組患者進行隨訪6個月，對比兩組患者恢復情況。 結果 療效：對照組治療總有效率為84.62%，觀察組治療總有效率為97.50%，組間比較差異有統(tǒng)計學意義（P<0.05）;面神經(jīng)功能評分：治療前兩組面神經(jīng)功能評分比較差異無統(tǒng)計學意義（P>0.05），治療后觀察組評分明顯優(yōu)于對照組，差異有統(tǒng)計學意義（P<0.05），兩組組內(nèi)治療前后比較差異均有統(tǒng)計學意義（P<0.05）;生存質(zhì)量評分：入院時兩組患者生存質(zhì)量評分比較差異無統(tǒng)計學意義（P>0.05），治療結束后觀察組優(yōu)于對照組（P<0.05），隨訪6個月時觀察組優(yōu)于對照組（P<0.05），組內(nèi)比較差異均有統(tǒng)計學意義（P<0.05）。結論 對周圍性面癱患者開展針灸聯(lián)合康復功能訓練能夠顯著提升治療效果，改善面部神經(jīng)功能，提升患者生存質(zhì)量，值得臨床應用與推廣。

[關鍵詞] 針灸;康復訓練;周圍性面癱;神經(jīng)功能

[中圖分類號] R745.12? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2018）36-0110-04

[Abstract] Objective To evaluate the effect of acupuncture combined with rehabilitative functional training on the recovery of peripheral facial paralysis patients. Methods Seventy-nine patients with peripheral facial paralysis admitted to our hospital from January 2016 to April 2017 were enrolled in this study. According to the random number table method， the 39 patients of odd number were divided into the control group and the 40 cases of even number were divided into the observation group. The control group was given routine rehabilitative functional training. The observation group was given acupuncture in addition. The two groups were followed up for 6 months， and the recovery of the two groups was compared. Results Efficacy： The total effective rate of the control group was 84.62%， and the total effective rate of the observation group was 97.50%. There was statistically significant difference between the two groups （P<0.05）. Facial nerve function score： There was no significant difference in facial nerve function score between the two groups before treatment（P>0.05）， and the score of the observation group was significantly higher than that of the control group after treatment（P<0.05）. There were statistically significant differences in the data before and after treatment in both groups （P<0.05）. Quality of life score： There was no significant difference in quality of life score between the two groups at admission （P>0.05）. The observation group was superior to the control group after treatment （P<0.05）， and the observation group was superior to the control group at 6 months follow-up （P<0.05）; the differences were statistically significant before and after the treatment（P<0.05）. Conclusion Acupuncture combined rehabilitative functional training for patients with peripheral facial paralysis can significantly improve the treatment effect， the facial nerve function， and the quality of life of patients， and is worthy of clinical application and promotion.