Liang Hui, Li Zhuorong, Lin Haibo, Chen Junwei
Department of Rehabilitation, Second People's Hospital of Jiangmen, Jiangmen 529000, Guangdong Province, China.
Department of Rehabilitation, Wuyi TCM Hospital of Jiangmen, the Affiliated TCM Hospital of Jinan University, Jiangmen 529000, Guangdong Province.
Zhongguo Zhen Jiu. 2018 Sep 12;38(9):955-60. doi: 10.13703/j.0255-2930.2018.09.013.
To observe the clinical efficacy of methycobal iontophoresis combined with balance acupuncture in the treatment of peripheral facial paralysis.
A total of 108 patients with peripheral facial paralysis were randomly divided into a methycobal iontophoresis combined with balance acupuncture group (a combined group), a methycobal iontophoresis group and a simple balance acupuncture group, 36 cases in each one. Basic medical treatment were given in the three groups. The simple balance acupuncture was applied at contralateral lumbago acupoint, rhinitis acupoint, stomachache acupoint in the simple balance acupuncture group. Methycobal through iontophoresis anodic introduction therapy was given in the methycobal iontophoresis group. On the basic treatment of methycobal iontophoresis, in the combined group, acupuncture was supplied at contralateral lumbago acupoint, rhinitis acupoint and stomachache acupoint. The treatment in all groups was given once a day, for 2 weeks. The House-Brackmann grading scale and the modified portmann score (RPA) method were used to observe the degree of nerve function and facial paralysis before and after treatment, and the clinical efficacy of each group was evaluated.
The total effective rate of the combined group was 97.2% (35/36), which was higher than 83.3% (30/36) in the methycobal iontophoresis group and 88.9% (32/36) in the simple balance acupuncture group (all <0.05). After treatment, the H-B classification of the combined group was significantly different from those of the methycobal iontophoresis group and simple balance acupuncture group (both <0.05). There was no significant difference between the methycobal iontophoresis group and simple balance acupuncture group (>0.05). The RPA score of the combined group was higher than those in the methycobal iontophoresis group and simple balance acupuncture group (both <0.05), and there was no significant difference in the RPA score between the methycobal iontophoresis group and simple balance acupuncture group (>0.05).
Compared with methycobal iontophoresis and simple balance acupuncture therapy, methycobal iontophoresis combined with balance acupuncture therapy can effectively improve the clinical symptoms and signs of peripheral facial paralysis.
观察甲钴胺离子导入联合平衡针灸治疗周围性面瘫的临床疗效。
将108例周围性面瘫患者随机分为甲钴胺离子导入联合平衡针灸组（联合组）、甲钴胺离子导入组和单纯平衡针灸组，每组36例。三组均给予基础治疗。单纯平衡针灸组在对侧腰痛穴、鼻炎穴、胃痛穴行单纯平衡针灸治疗。甲钴胺离子导入组采用甲钴胺阳极导入离子电渗疗法。联合组在甲钴胺离子导入基础治疗上，于对侧腰痛穴、鼻炎穴、胃痛穴行针刺治疗。三组治疗均每日1次，共2周。采用House - Brackmann分级量表及改良Portmann评分（RPA）法观察治疗前后神经功能及面瘫程度，并评价各组临床疗效。
联合组总有效率为97.2%（35/36），高于甲钴胺离子导入组的83.3%（30/36）和单纯平衡针灸组的88.9%（32/36）（均P<0.05）。治疗后，联合组的H - B分级与甲钴胺离子导入组和单纯平衡针灸组相比差异有统计学意义（均P<0.05）。甲钴胺离子导入组与单纯平衡针灸组之间差异无统计学意义（P>0.05）。联合组的RPA评分高于甲钴胺离子导入组和单纯平衡针灸组（均P<0.05），甲钴胺离子导入组与单纯平衡针灸组的RPA评分差异无统计学意义（P>0.05）。
与甲钴胺离子导入及单纯平衡针灸疗法相比，甲钴胺离子导入联合平衡针灸疗法能有效改善周围性面瘫的临床症状和体征。
