| 吕素芳，李鑫*，苏心镜.翳风穴体表电刺激联合星状神经节阻滞治疗急性期Hunt综合征的临床研究[J].南京中医药大学学报(社会科学版),2016,32(3):229-232. |
| 翳风穴体表电刺激联合星状神经节阻滞治疗急性期Hunt综合征的临床研究 |
| Clinical Research on Transcutaneous Electrical Stimulation at Yifeng Acupoint(TE17) Combined with Stellate Ganglion Block in Treating Hunt Syndrome at Acute Stage |
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| DOI： |
| 中文关键词: Hunt综合征 体表电刺激 翳风穴 星状神经节阻滞 应激反应 |
| 英文关键词: Hunt syndrome transcutaneous electrical stimulation Yifeng(TE17) acupoint stellate ganglion block stress responses |
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| 中文摘要: |
| 目的 观察翳风穴体表电刺激联合星状神经节阻滞（SGB）对急性期Hunt综合征的临床疗效与应激激素水平的影响。方法 选择临床确诊的急性期Hunt综合征患者56例，按照就诊时间随机分为观察组和对照组，每组28例。对照组采用常规药物（口服泛昔洛韦颗粒剂、甲钴胺胶囊）治疗，观察组在对照组常规药物治疗的基础上，联合翳风穴体表电刺激与星状神经节阻滞，观察并比较2个疗程结束后2组患者疼痛程度、疱疹消退时间、面瘫恢复时间及治疗前后肾上腺素（E）、去甲肾上腺素(NE)含量。结果 治疗后，观察组疼痛程度（VAS评分）、疱疹消退时间以及面瘫恢复时间均低于对照组，P＜0.05；治疗后2组患者E、NE含量与治疗前比较，P＜0.05，观察组与对照组比较，P＜0.05。结论 翳风穴体表电刺激联合 SGB治疗急性期Hunt综合征临床疗效确切，且能降低患者的应激反应，避免了因应激反应增强而导致的其他并发症。 |
| 英文摘要: |
| OBJECTIVE To observe the clinical therapeutic effects of transcutaneous electrical stimulation at Yifeng acupoint(TE17) combined with stellate ganglion block in treating Hunt syndrome at acute stage and their influence on levels of stress hormones. METHODS 56 cases diagnosed with Hunt syndrome at acute stage were divided into observation group and control group based on consultation time， with 28 cases in each group. Patients in the control group were given conventional therapy(oral famciclovir granules and mecobalamin capsules)， while those in the observation group were further given transcutaneous electrical stimulation of Yifeng acupoint(TE17) and stellate ganglion block， apart from the conventional therapy. After two courses of treatment， pain degree， regression time of herpes， recovery time of facial paralysis， adrenaline and noradrenaline content were observed and comparison were made before and after treatment.RESULTS Pain degree(vas pain scores)， regression time of herpes， recovery time of facial paralysis in the observation group after treatment were lower or less than those in the control group， with statistical differences(P<0.05). There were statistical differences before and after treatment in adrenaline and noradrenaline content of both groups(P<0.05). And statistical differences could be found between the two groups when compared with each other(P<0.05). CONCLUSION Transcutaneous electrical stimulation of Yifeng acupoint(TE17) combined with stellate ganglion block possesses certain therapeutic effects in treating Hunt syndrome at acute stage and is able to reduce stress responses so as to avoid other complications. |
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