| 摘要: |
| 摘 要 目的 探讨彩色多普勒超声在周围性面瘫针灸治疗中的应用价值。方法 选取我院周围性面瘫患者60例，随机分为治疗组（30例）与对照组（30例），两组应用相同内科药物治疗，治疗组加用（面部局部三线取穴法：神庭、印堂、水沟、承浆、阳白、鱼腰、承泣、四白、巨髎、地仓、太阳、下关及颊车）针灸治疗，每天1次，持续2个疗程，共计28 d。应用多普勒超声测量并比较两组治疗前和治疗第1、3、7、14、28天患者双侧面动脉及其分支收缩期峰值流速（Vs）、舒张末期流速（Vd）及阻力指数（RI）变化。结果 治疗前，两组患侧面动脉及其分支Vs、Vd均低于其健侧，RI均高于健侧，差异均有统计学意义（均P＜0.05），治疗组与对照组上述各参数比较，差异均无统计学意义。随着治疗时间延长，两组患者患侧面动脉及其分支Vs、Vd均逐渐增高，RI逐渐降低，治疗组变化更加明显。治疗7 d后，治疗组患侧面动脉及其分支Vs、Vd均明显高于对照组，RI明显低于对照组，差异均有统计学意义（均P＜0.05）。治疗28 d后，治疗组患侧面动脉血流动力学参数基本恢复正常，与健侧比较差异均无统计学意义；对照组患侧面动脉血流动力学参数仍低于健侧，差异均有统计学意义（均P＜0.05）。结论 彩色多普勒超声可实时动态、定量监测针灸治疗过程中面动脉血流参数变化，可作为针灸治疗周围型面瘫疗效评价的重要影像学依据。 |
| 关键词: 超声检查，多普勒，彩色 面动脉 针灸治疗 周围性面瘫 |
| DOI： |
| 投稿时间：2017-08-29修订日期：2018-01-08 |
| 基金项目: |
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| The Value of Color Doppler Ultrasound in Acupuncture Treatment of Peripheral Facial Paralysis |
| WuXiaoming,RanHaitao |
| (The second clinical college of chongqing medical university) |
| Abstract: |
| ABSTRACT Objective Explore the application value of ultrasound in the treatment of peripheral facial paralysis. Methods Selected60 cases of patients with facial paralysis in Chongqing Traditional Chinese Medicine Hospital，randomly divided them into experimental group（30 cases）and control group（30 cases），the two groups was given the same routine medical treatment，the experimental group add acupuncture treatment （the facial local three-line acupoint selection： Shenting、Yintang、Shuigou、Chengjiang、Yangbai、Yuyao、Chengqi、Sibai、Juliao、Dicang、Taiyang、Xiaguan、Jiache）once a day，for 2 courses，a total of 28 days. Using doppler ultrasound to record and compare the systolic peak velocity（Vs），end-diastolic velocity（Vd）and resistance index （RI）of the patients’ bilateral arteries and their branches before acupuncture treatment and the 1，3，7，14，28 days，respectively，in the two groups. Results Before acupuncture treatment，the Vs and Vd of the ipsilateral facial arteries and their branches of all patients were lower than the contralateral ones，but the RI was higher，and the differences were statistically significant（all P＜0.05），however，there was no significant difference between the experimental group and the control group.The Vs and Vd of ipsilateral arteries and their branches increased and the RI decreased gradually with the prolongation of treatment time，and changes in the experimental group were more obvious.，after the 7th day of treatment，the Vs and Vd of ipsilateral arteries were significantly higher than those in the experimental group，and the RI was significantly lower（all P＜0.05）；After 28 days of the treatment，the blood flow parameters of the ipsilateral arteries returned to normal，and there was no significant difference compared with the contralateral side，while the blood flow parameters of ipsilateral sides in control group were still lower than those in contralateral sides，the difference was s statistically significant（all P＜0.05）. Conclusion Color Doppler ultrasound can be used to quantitatively monitor the changes of arterial blood flow parameters during acupuncture treatment. It can be used as an important imaging basis of efficacy evaluation for acupuncture treatment of peripheral facial paralysis. |
| Key words: Ultrasound, Doppler ,color Facial artery Acupuncture treatment Peripheral facial paralysis |
