CAJ | 학술논문

目的：探讨运用面部运动疗法结合穴位按压治疗贝尔面瘫的有效性。方法58例贝尔面瘫患者随机分为对照组(n=29)和观察组(n=29)。对照组进行常规治疗；观察组除常规治疗外，增加面部肌肉运动疗法和穴位按压治疗。治疗前、治疗2周和治疗4周时两组分别进行面神经功能评分和疗效评估。结果对照组平均治疗时间为(29.62±12.15) d，观察组为(25.63±11.56) d，两组相比无显著性差异(P>0.05)。两组总有效率为100%。对照组完全恢复率58.6%，观察组72.4%，但无显著性差异(P>0.05)。随着治疗时间的延长，两组面神经功能评分显著降低(F=176.578, P<0.001)。两组相比，仅治疗2周时观察组面神经功能评分低于对照组(P<0.05)。但观察组的面神经功能评分始终存在低于对照组的趋势。结论面部运动疗法结合穴位按压治疗有促进贝尔面瘫恢复的趋势。
목적：탐토운용면부운동요법결합혈위안압치료패이면탄적유효성。방법58례패이면탄환자수궤분위대조조(n=29)화관찰조(n=29)。대조조진행상규치료；관찰조제상규치료외，증가면부기육운동요법화혈위안압치료。치료전、치료2주화치료4주시량조분별진행면신경공능평분화료효평고。결과대조조평균치료시간위(29.62±12.15) d，관찰조위(25.63±11.56) d，량조상비무현저성차이(P>0.05)。량조총유효솔위100%。대조조완전회복솔58.6%，관찰조72.4%，단무현저성차이(P>0.05)。수착치료시간적연장，량조면신경공능평분현저강저(F=176.578, P<0.001)。량조상비，부치료2주시관찰조면신경공능평분저우대조조(P<0.05)。단관찰조적면신경공능평분시종존재저우대조조적추세。결론면부운동요법결합혈위안압치료유촉진패이면탄회복적추세。
Objective To investigate the effectiveness of facial motor therapy combined with acupressure on Bell's palsy. Methods 58 patients with Bell's palsy were randomly divided into control group (n=29) and experimental group (n=29). The control group was treated with routine treatment. The experimental group was treated with motor therapy and acupressure routine treatment in addition. All patients were assessed with Facial Nerve Function Defect Assessment before, 2 weeks and 4 weeks after treatment. Results The average time for treatment was (29.62±12.15) days in the control group and (25.63±11.56) days in the experimental group (P>0.05). The rate of effectiveness was 100%in two groups. The rate of complete recovery was not significantly different between the two groups (58.6%vs. 72.4%, respec-tively, P>0.05). Significantly difference of score of Facial Nerve Function Defect Assessment was only found between two groups 2 weeks after treatment (P<0.05), but tended to be lower in the experimental group than in the control group. Conclusion Facial motor therapy plus acupressure is helpful in promoting the recovery of Bell's palsy.