耳针联合常规针刺对脑卒中后面瘫的疗效观察

Observation of the Therapeutic Effect of Auricular Acupuncture Combined with Conventional Acupuncture on Post-Stroke Facial Paralysis

摘要: 目的：探讨耳针联合常规针刺在脑卒中后面瘫患者中的疗效观察。方法：选取2024年1月~2025年1月在河源市人民医院康复医学科治疗的脑卒中后面瘫患者70例，随机将其分为观察组和对照组各35例，对照组进行常规针刺治疗，观察组在此基础上进行耳针治疗，比较两组干预前后面神经功能分级系统量表(H-B)、多伦多面神经分级系统量表(TGFS)、面神经麻痹程度分级量表(DFNP)和面部残疾指数问卷表(FDI)评分及临床疗效变化及治疗总有效率。结果：两组患者干预前的H-B评分、TGFS评分、DFNP评分、FDI躯体功能评分，无统计学差异(P > 0.05)；与干预前比较，两组患者治疗后的H-B评分、TGFS评分、DFNP评分、FDI躯体功能评分及总有效率均明显提高(P < 0.05)；而在干预后与对照组比较，观察组H-B评分、TGFS评分、DFNP评分、FDI躯体功能评分明显上升(P < 0.05)，观察组的总有效率明显高于对照组(P < 0.05)。结论：耳针联合常规针刺对脑卒中后面瘫具有较好的临床效果，能显著地改善患者的面神经功能。

Abstract: Objective: To investigate the therapeutic effect of auricular acupuncture combined with conventional acupuncture in patients with post-stroke facial paralysis. Methods: A total of 70 patients with post-stroke facial paralysis treated at the Department of Rehabilitation Medicine, Heyuan People’s Hospital from January 2023 to January 2024 were randomly divided into an observation group and a control group, with 35 patients in each group. The control group received conventional acupuncture treatment, while the observation group received auricular acupuncture in addition to conventional acupuncture. The House-Brackmann (H-B) facial nerve function grading scale, Toronto Facial Grading System (TFGS), Dynamic Facial Nerve Palsy (DFNP) grading scale, Facial Disability Index (FDI) scores, and clinical efficacy (total effective rate) were compared between the two groups before and after intervention. Results: Before intervention, there were no significant differences in H-B, TFGS, DFNP, and FDI physical function scores between the two groups (P > 0.05). Post-intervention, both groups showed significant improvements in H-B, TFGS, DFNP, and FDI physical function scores, as well as total effective rate, compared to pre-intervention (P < 0.05). Compared with the control group, the observation group exhibited significantly greater improvements in H-B, TFGS, DFNP, and FDI physical function scores (P < 0.05), and the total effective rate was significantly higher in the observation group (P < 0.05).Conclusion: Auricular acupuncture combined with conventional acupuncture demonstrates a favorable clinical effect in patients with post-stroke facial paralysis, significantly improving facial nerve function.