CAJ | 학술논문

将60例脑卒中后面神经损伤患者分成两组,单纯神经内科常规药物治疗组(A组),常规药物+整体穴位针刺治疗组(B组),各30例.治疗前两组患者面临床神经功能症状评分、血流动力学和神经功能差异无统计学意义,治疗30 d后,临床症状评分[B组(17.0±2.5)分,A组(13.0±2.0)分,P＜0.01]、大脑中动脉血流速度[B组(90±17) cm/s,A组(52±15) cm/s,P＜0.01]和面神经传导功能[患侧口轮匝肌潜伏期:B组(3.35±0.67) ms,A组(3.95 ±0.58) ms,P＜0.01],B组与A组比较均有显著提高.
장60례뇌졸중후면신경손상환자분성량조,단순신경내과상규약물치료조(A조),상규약물+정체혈위침자치료조(B조),각30례.치료전량조환자면림상신경공능증상평분、혈류동역학화신경공능차이무통계학의의,치료30 d후,림상증상평분[B조(17.0±2.5)분,A조(13.0±2.0)분,P＜0.01]、대뇌중동맥혈류속도[B조(90±17) cm/s,A조(52±15) cm/s,P＜0.01]화면신경전도공능[환측구륜잡기잠복기:B조(3.35±0.67) ms,A조(3.95 ±0.58) ms,P＜0.01],B조여A조비교균유현저제고.
To investigate the effects of comprehensive and integrated therapy on the recovery of facial nerve function,60 patients with post-stroke facial nerve injury were divided into two groups:Group A (control group) was administered a simple conventional medication,and Group B underwent acupuncture by total considered therapy and was administered a simple conventional medication.Thirty patients were enrolled in each group.The Portmann modified clinical symptom score,intracranial hemodynamics,and electrophysiological parameters were analyzed before and after treatment.Thirty days later,the clinical symptom score in Group B increased significantly compared with that in the control group ( Group B,17.0 ±2.5 ; Group A,13.0 ±2.0; P ＜0.01 ).Group B showed significant improvements in middle cerebral artery blood flow [ Group B,(90 ± 17 ) cm/s; Group A,( 52 ± 15 ) cm/s ; P ＜ 0.01 ],facial nerve conductivity [Group B,latency of the ipsilateral orbicularis muscle,(3.35 ± 0.67) ms; Group A (3.95 ±0.58) ms;P ＜ 0.01 ].These results indicate that the total considered therapy improved the recovery of post-stroke facial nerve function and that this improvement was related to the increase in intracranial blood supply.