基于红外热成像技术评价经筋刺法治疗难治性面瘫的临床疗效

• 作 者: 毛廷丽 王竹行 田丰玮 周熙
• 出 处: 针灸推拿医学（英文版）
• 发表日期: 2021年6期
• 关键词: Acupuncture Therapy Musculature of 12 Meridians Needling Methods Facial Paralysi

目的:探讨经筋刺法治疗不同病位难治性面瘫的临床疗效.方法:将110例受试者随机分为观察组和对照组,每组55例.观察组采用经筋刺法,对照组采用常规面部三线法,治疗4周后评估临床疗效,并对两组进行红外热成像图谱检查.结果:观察组总有效率高于对照组(P<0.05),且对于病位位于膝状神经节以上的难治性面瘫的疗效优于对照组(P<0.05);两组不同病位的色阶分布有明显差别(P<0.05),病损部位越高,凉区、低温区的出现率越高;治疗后观察组患者健-患侧面部、耳周温差缩小程度与对照组有统计学差异(P<0.05).结论:经筋刺法治疗难治性面瘫的疗效优于面部三线法,此法能促进患侧面部微循环,改善局部组织的供血供氧情况,从而促进外周面神经修复.“,”Objective: To explore the clinical efficacy of muscle regions of meridians needling method for refractory facial paralysis affecting different locations.Methods: A total of 110 participants were randomized into an observation group and a control group, with 55 cases in each group. The observation group was treated with muscle regions of meridians needling method, and the control group was treated with conventional facial three-line needling method. The clinical efficacy was evaluated four weeks after the treatment. And the infrared imaging spectra of the two groups were examined. Results: The total effective rate of the observation group was higher than that of the control group (P<0.05), and its curative effect for refractory facial paralysis located above the geniculate ganglion was better than that of the control group (P<0.05). The color scale distribution of different disease locations in the two groups varied significantly (P<0.05), the higher the disease location, the higher the occurrence rate of cool zone and low temperature zone. After treatment, the reductions of the facial and periotic temperature difference between the healthy side and the affected side in the observation group were statistically different from those in the control group (P<0.05). Conclusion: Muscle regions of meridians needling method has a better effect than facial three-line needling method for refractory facial paralysis. It can promote the microcirculation of the affected side of the face, improve the blood and oxygen supply to local tissues, and thus promote the repair of the peripheral facial nerve.