中药外敷联合红外线治疗急性周围性面瘫临床研究
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R745.1+2

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Clinical Study on External Application with Chinese Herbal Medicine Combined with Infrared Ray for Acute Peripheral Facial Paralysis
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    摘要:

    目的:观察中药外敷联合红外线照射治疗急性期周围性面瘫的临床疗效。方法:选取面瘫患者62 例,按照随机数字法分为2 组各31 例,对照组给予常规治疗,治疗组在对照组治疗方案的基础上加用中药外敷联合红外线照射治疗。运用广义估计方程评估模型比较2 组各时间点House-Brackmann(HB) 面神经功能分级、混合线性模型评估面瘫评分变化。结果:组间比较示:治疗组优于对照组(P<0.05)。重复测量各时间点结果比较:与治疗30 天比较,治疗随着时间增加,疗效越来越好;但治疗14 天与治疗30 天在广义估计方程HB 评级上,差异无统计学意义(P>0.05),但混合线性模型分析面瘫评分比较结果示,差异仍有统计学意义(P<0.05),提示从治疗14 天到治疗30 天恢复减慢。结论:对急性期周围型面瘫采用中药面敷联合红外线照射效果优于常规治疗的对照组,且随着治疗时间的增加效果越好,同时,可能在经过2 周内的快速恢复期后,恢复开始减慢。

    Abstract:

    Abstract:Objective:To observe the clinical effect of external application with Chinese herbal medicine combined with infrared ray for acute peripheral facial paralysis. Methods:A total of 62 cases of patients with facial paralysis were selected and divided into two groups according to the random number table method,31 cases in each group. The control group was given routine treatment, and the treatment group was additionally treated with external application with Chinese herbal medicine combined with infrared ray based on the treatment of the control group. The House- Brackmann(HB) facial nerve function ratings in the two groups at various time points were compared by the evaluation model of generalized estimation equation; the changes in the scores of facial paralysis was evaluated by mixed linear model. Results: The comparison between the two groups showed that the effect in the treatment group was better than that in the control group(P<0.05). According to the results of repeated measurements at various time points,with the increase of time and compared with that on the 30th day of treatment,the curative effect was better and better;there was no significant difference being found in the comparison of HB ratings by generalized estimation equation between 14 days of treatment and 30 days of treatment(P> 0.05);but the comparison result of the scores of facial paralysis analyzed by mixed linear model still showed significance in the difference(P<0.05),suggesting that the recovery slowed down from the 14th day of treatment to 30th day of treatment. Conclusion:The therapy of external application with Chinese herbal medicine combined with infrared ray for acute peripheral facial paralysis has better effect than that of routine treatment in the control group,and the effect will be better and better as the treatment time increases. Meanwhile,probably after a rapid recovery period within two weeks,the recovery will begin to slow down.

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戴伟,钱冰洁,黄媚媚,陈晓燕.中药外敷联合红外线治疗急性周围性面瘫临床研究[J].新中医,2020,52(15):106-109

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  • 在线发布日期: 2020-08-08
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