Mei Jun-Hua, Gao Shan, Chen Guo-Hua
First Hospital of Wuhan City, Wuhan.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Oct;30(10):1026-9.
To study the influence of neuro-psychological factors on the effect of acupuncture in the treatment of Bell's palsy and the overall prognosis in patients.
Fifty patients with Bell's palsy were randomized into the treatment group and the control group, and they were treated with manipulated and non-manipulated acupuncture, respectively. Scorings by subjective perceptive scale of acupuncture, Cartel personality test, and Hamilton Anxiety Scale were performed and the curative effect was assessed according House-Brackmann grading standards.
The total effective rate of acupuncture was 78.0% (39/50), and that of manipulated acupuncture was better than that of non-manipulated acupuncture [89.2% (25/28) vs. 63.6% (14/22), P < 0.01]. Visual analogue scoring for perception of "Deqi", evaluated either by patients or by doctors, showed that the scores was higher in the treatment group than in the control group (P < 0.01). Cartel personality test (16PF) found that patients with personality factors of sociability, intellectuality, excitability, braveness, and independence were capable of getting "Deqi" more easily, there existed a significant correlation between personality factors and curative effect. By Hamilton Anxiety Scale scoring, 92.0% (46/50) of the patients were found being in an anxiety state, and the efficacy of treatment was negatively correlated with the degree of anxiety (r = -0.9491, P < 0.05).
Neuro-psychological factors put great influence on the efficacy of treatment for Bell's palsy, multiple measures, such as drug-therapy, acupuncture, psychological intervention, rehabilitation therapy, etc., should be taken in combination for improving patients' prognosis.
探讨神经心理因素对针灸治疗贝尔面瘫疗效及患者整体预后的影响。
将50例贝尔面瘫患者随机分为治疗组和对照组，分别采用手法针刺和非手法针刺治疗。进行针刺主观感觉量表评分、卡特尔人格测试及汉密尔顿焦虑量表评分，并根据House-Brackmann分级标准评估疗效。
针灸总有效率为78.0%（39/50），手法针刺疗效优于非手法针刺[89.2%（25/28）对63.6%（14/22），P<0.01]。患者及医生评价的“得气”视觉模拟评分显示，治疗组得分高于对照组（P<0.01）。卡特尔人格测试（16PF）发现，具有社交性、聪慧性、兴奋性、敢为性及独立性人格因素的患者更容易得气，人格因素与疗效存在显著相关性。通过汉密尔顿焦虑量表评分，发现92.0%（46/50）的患者处于焦虑状态，治疗效果与焦虑程度呈负相关（r=-0.9491，P<0.05）。
神经心理因素对贝尔面瘫的治疗效果影响较大，应联合采用药物治疗、针灸、心理干预、康复治疗等多种措施改善患者预后。
