针灸临床杂志2023，Vol.39Issue(11)：13-19,7.DOI:10.19917/j.cnki.1005-0779.023210
年龄与针刺频次对恢复期贝尔氏面瘫的影响及回顾性数据再分析
Effect of Age and Acupuncture Frequency on Convalescent Bell's Palsy Based on Data Reanalysis
摘要
Abstract
Objective:To compare the efficacy of different acupuncture frequency in treatment of Bell's palsy(BP)during recovery stage,and to explore the impact of age on acupuncture treatment.Methods:184 BP patients during recovery stage were randomly divided into the daily group(n=92,8 cases dropped off)and the every other day group(n=92,10 cases dropped off).Both groups were given the same basic treatment,acupuncture was applied at Yangbai(GB14),Cuanzhu(BL2),Sibai(ST2),Quanliao(SI18)and Dicang(ST4)once a day or once every other day.The treatment course was 4 weeks in the two groups.The scores of House-Brackmann(H-B),Sunnybrook,FDI(including FDIp and FDIs)were compared between before and after the treatment in the two groups.The clinical efficacy was evaluated in the two groups.The Sunnybrook score was used as a dependent variable to screen the influencing factors of acupuncture treatment.Then age was taken as a layered internal factors to subdivide the groups according to young patients(18＜age≤35),middle-aged patients(35＜age≤60)and elderly patients(60＜age≤80).The daily group was subdivided into the young patients group(n=31,2 cases dropped off),the middle-aged patients group(n=29,2 cases dropped off),and the elderly patients group(n=31,3 cases dropped off);the every other day group was also subdivided into the young patients group(n=32,4 cases dropped off),the middle-aged patients group(n=31,3 cases dropped off),and the elderly patients group(n=28,2 cases dropped off).There were a total of six subgroups for the retrospective data analysis.Results:The scores of H-B and FDIs were decreased(P＜0.05),whereas the scores of Sunnybrook and FDIp were increased after the treatment compared with those before the treatment in each group(P＜0.05);of which the improvements were more significant in the daily group than those in the every other day group(P＜0.05);the improvements in the young patients of the daily group were more significant than those in the young patients of the every other day group(P＜0.05);there were no statistical differences in the improvements between the middle-aged patients and the elderly patients of the daily group and those of the every other day group(P＞0.05).The cure rate was 58.3％(49/84)in the daily group,which was higher than 46.3％(38/82)in the every other day group(P＜0.05).The cure rate was 79.3％(23/29)in the young patients of the daily group,which was higher than 50.0％(14/28)in the young patients of the every other day group(P＜0.05).There was no statistical difference in the cure rate between the middle-aged and the elderly people of the daily group and those of the every other day group(P＞0.05).Regression analysis showed that the patient's age and acupuncture frequency were correlated with the effect of BP treatment(P＜0.05).Conclusion:On the basis of basic treatment,acupuncture can effectively improve the clinical symptoms of BP patients during the recovery period and improve their quality of life.It is preliminarily found that there is a certain correlation between age,acupuncture frequency and clinical efficacy.For young patients,the effect of acupuncture once a day is more significant than that of acupuncture once every other day.For middle-age and elderly people,the effect of acupuncture once a day may be similar to that of acupuncture once every other day.关键词
贝尔氏面瘫/针刺/频次/年龄/恢复期/回顾性Key words
Bell's palsy/Acupuncture/Frequency/Age/Recovery stage/Retrospection分类
医药卫生引用本文复制引用
茅伟,李成龙,吴海洋,张国庆,张君宇,张利达,韩为,王颖..年龄与针刺频次对恢复期贝尔氏面瘫的影响及回顾性数据再分析[J].针灸临床杂志,2023,39(11):13-19,7.基金项目
国家自然科学基金,编号:81973933 （）
安徽省第十三批115产业创新团队项目,编号:皖人才办[2020]4号 （）
安徽省名中医王颖工作室建设项目,编号:中发展[2022]5号. （）
