针刺治疗面肌痉挛疗效观察

摘要

目的：观察针刺治疗面肌痉挛的临床疗效以及对眼轮匝肌在收缩状态下表面肌电信号的影响。方法将76例面肌痉挛患者随机分为治疗组和对照组，每组38例。对照组采用常规药物治疗，治疗组在对照组基础上采用针刺治疗。比较两组治疗前后患者眼轮匝肌在收缩状态下的表面肌电信号、临床疗效和副反应发生情况。结果两组治疗后MF、MPF数值与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后MPF数值与对照组比较，差异具有统计学意义(P＜0.05)。治疗组总有效率为92.1%，对照组为63.2%，两组比较差异具有统计学意义(P＜0.05)。两组治疗后TESS评分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后TESS评分与对照组比较，差异具有统计学意义(P＜0.05)。结论针刺是一种治疗面肌痉挛的有效方法，能缓解肌肉疲劳。%Objective To observe the clinical efficacy of acupuncture in treating hemifacial spasm and its effect on the surface electromyogram signal of orbicularis oculi muscle under contraction state.Method Seventy-six patients with hemifacial spasm were randomized into a treatment group and a control group, 38 cases in each group. The control group was intervened by conventional medications, while the treatment group was by acupuncture in addition to the intervention given to the control group. The surface electromyogram signal of orbicularis oculi muscle under contraction before and after intervention, clinical efficacies, and side effects were compared between the two groups.Result The MF and MPF values were significantly changed after intervention in both groups (P<0.05). After intervention, the MPF value in the treatment group was significantly different from that in the control group (P<0.05). The total effective rate was 92.1% in the treatment group versus 63.2% in the control group, and the difference was statistically significant (P<0.05). The TESS scores after intervention were significantly different from that before intervention in both groups (P<0.05). After intervention, the TESS score in the treatment group was significantly different from that in the control group (P<0.05).Conclusion Acupuncture is an effective method in treating hemifacial spasm, and it can release muscle fatigue.