新疆医科大学学报

目的 比较甲钴胺翳风穴注射联合面部推拿与单纯常规针刺治疗顽固性面瘫的临床疗效。方法 选择2019年8月-2021年6月阜阳市中医医院住院的60例顽固性面瘫患者，采用随机数字表法分为观察组和对照组，每组30例。对照组采用常规针刺；观察组在常规针刺的基础上，予以翳风穴位注射甲钴胺配合面部推拿。两组均以10日为1疗程治疗，共治疗2个疗程。比较治疗前后观察组和对照组的总有效率、Sunnybrook面神经评分、躯体功能评分(Facial disability index physical function, FDIP)及社会功能评分(Facial disability index social function, FDIS)的变化。结果 两组治疗后，观察组总有效率(76.7%)高于对照组总有效率(33.3%),差异有统计学意义(P<0.01)。甲钴胺穴位注射联合面部推拿后，观察组Sunnybrook面神经评分显著低于对照组，差异有统计学意义(P<0.05)。与对照组比较，观察组FDIP评分及FDIS评分均显著降低，差异均有统计学意义(P<0.05)。结论 甲钴胺穴位注射联合面部推拿能够有效的改善顽固性面瘫症状，减轻躯体化障碍，提高社会生活质量，安全可靠，值得推广。

Objective To compare the clinical efficacy of mecobalamin Yifeng point injection combined with facial massage and simple routine acupuncture in the treatment of intractable facial paralysis. Methods 60 patients with intractable facial paralysis hospitalized in the hospital from August 2019 to June 2021 were randomly divided into observation group and control group with 30 patients in each group. The control group was treated with routine acupuncture; on the basis of routine acupuncture, the observation group was treated with Yifeng point injection of mecobalamin and facial massage. Both of groups took 10 days as a course of the treatment, and the 2 courses of the treatment in total. The total effective rate, Sunnybrook facial nerve assessment system score, facial disability index physical function score and facial disability index social function score of observation group and the control group were compared before and after the treatment. Results After the treatment, the total effective rate of the observation group(76.7%) was higher than that the control group(33.3%), with a statistically significant difference(P<0.01). After mecobalamin acupoint injection combined with facial massage, Sunnybrook facial nerve evaluation system score in the observation group was significantly lower than that in the control group, with a statistically significant difference(P<0.05). Compared with the control group, FDIP score and FDIS score of the observation group were significantly reduced, and the difference was statistically significant(P<0.05). Conclusion Mecobalamin acupoint injection combined with facial massage can effectively improve the symptoms of intractable facial paralysis, reduce somatization disorder, and improve the quality of social life, which is safe and reliable, and it is worthy of promotion.