| 摘要: |
| 摘要 目的 探讨超声弹性成像技术动态评估周围性面瘫针灸治疗效果的临床应用价值。方法 选取2019年11月至2020年9月于重庆市中医院接受针灸治疗的50例周围性单侧面瘫患者为研究对象，应用超声弹性成像技术评估针灸治疗过程中6个时间点面部表情肌（额肌、降口角肌、降下唇肌）的弹性模量值，同时临床面神经功能评分评估面瘫程度。线性相关分析不同治疗时间点，患侧弹性模量值与临床面神经功能评分的相关性。结果 面瘫患者患侧表情肌（额肌、降口角肌、降下唇肌）的弹性模量值，随着针灸治疗次数增加，弹性模量值逐渐降低，6个检测时间点差异比较均具有统计学意义（P＜0.01)，且治疗前7天下降速率最快；而对照组表情肌的弹性模量值无明显变化。与弹性模量值改变相一致的是，患侧面神经功能临床评分随着治疗时间增加，评分逐渐升高，治疗后7天内评分上升速率增快，差异具有统计学意义（P＜0.01）。相关性分析发现，弹性模量值与临床面神经功能评分呈负相关（r=-0.546, P＜0.001; r=-0.757, P＜0.001; r=-0.683, P＜0.001）。结论 利用超声弹性成像技术可动态评估针灸治疗前后面部表情肌群的弹性变化，与面神经功能临床评分相关，可为面瘫治疗效果评估提供重要影像学依据。 |
| 关键词: 周围性面瘫 弹性成像 弹性模量值 影像学 面部表情肌萎缩 |
| DOI： |
| 投稿时间：2021-11-30修订日期：2022-02-16 |
| 基金项目:重庆市2019年科卫联合中医药科研项目(2019ZY023149) |
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| Application value of ultrasound elastography in acupuncture and moxibustion evaluation of peripheral facial paralysis |
| WU Xiaoming,DONG Gui-fang,MU Shuang,PAN Yu,JIANG Yao |
| (Department of Ultrasound,Chongqing Traditional Chinese Medicine Hospital) |
| Abstract: |
| ABSTRACT Objective To explore the dynamic evaluation of acupuncture treatment effect and clinical value of peripheral facial paralysis by ultrasonic elastic imaging technology. Methods Fifty patients with peripheral unilateral facial paralysis treated with acupuncture and moxibustion in Chongqing hospital of traditional Chinese medicine from November 2019 to September 2020 were selected as the research object. The elastic modulus of facial expression muscles (frontal muscle, descending angular muscle and descending labial muscle) at 6 time points during acupuncture and moxibustion treatment were evaluated by ultrasonic elastic imaging technology, and the degree of facial paralysis was evaluated by clinical facial nerve function score. Linear correlation analysis was used to analyze the correlation between the elastic modulus of the affected side and the clinical facial nerve function score at different treatment time points. Results The elastic modulus of facial expression muscles (frontal muscle, descending angular muscle and descending labial muscle) in patients with facial paralysis decreased gradually with the increase of acupuncture treatment times. The difference between the six detection time points was statistically significant (P < 0.01), and the rate of decline was the fastest 7 days before treatment, while there was no significant change in the elastic modulus of expression muscle in the control group. Consistent with the change of elastic modulus, the clinical score of affected lateral nerve function gradually increased with the increase of treatment time, and the rate of rise of score increased within 7 days after treatment, the difference was statistically significant (P < 0.01). Correlation analysis showed that the elastic modulus was negatively correlated with the clinical facial nerve function score (r = -0.546, P < 0.001; r = -0.757, P < 0.001; r = -0.683, P < 0.001. Conclusion：Ultrasonic elastography can dynamically evaluate the elastic changes of facial expression muscles before and after acupuncture treatment, which is related to the clinical score of facial nerve function, and can provide an important imaging basis for the evaluation of the treatment effect of facial paralysis. |
| Key words: Peripheral facial paralysis Elastography Elastic modulus value Imaging Atrophy of facial expression muscles |
