ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (5): 432-436.doi: 10.3969/j.issn.1674-3865.2022.05.012

• 临床研究 • 上一篇    下一篇

ICF-CY理论框架指导下的早期干预结合半刺法对儿童面神经炎的疗效分析

陈志蕊, 吴德   

  1. 230031 合肥，安徽医科大学第一附属医院儿科（小儿神经康复中心）

  • 收稿日期:2022-04-13 出版日期:2022-10-25 上线日期:2022-10-25
  • 通讯作者: 陈志蕊，E-mail：1475704403@qq.com

Analysis of the curative effect of early intervention combined with shallow needling method on facial neuritis in children under the guidance of ICF-CY theory

CHEN Zhirui, WU De   

  1. Pediatric Neurorehabilitation Center, the First Affiliated Hospital of Anhui Medical University, Hefei 230031, China

  • Received:2022-04-13 Published:2022-10-25 Online:2022-10-25
  • Contact: CHEN Zhirui ，E-mail：1475704403@qq.com

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摘要： 目的 探究《国际功能、残疾和健康分类(儿童青少年版)》(ICF-CY)理论框架指导下的早期干预结合半刺法治疗儿童面神经炎的临床疗效。方法 对2019年10月至2020年10月我院就诊的80例面神经炎患儿资料进行回顾性分析，依据不同治疗方法分为结合组(40例)和针刺组(40例)。针刺组采用半刺法(即对所取穴位快速点刺，不行针、不留针)治疗，结合组在此基础上联合应用ICF-CY理论框架指导下的早期家庭干预治疗。两组患儿均服用激素、B族维生素等常规药物治疗，观察两组患儿的总有效率、治疗所用时间以及治疗前后House-Brakmann面神经功能评分(H-B评分)。结果 结合组总体临床疗效好，治疗时间少，与针刺组相比，组间差异有统计学意义(P<0.05);结合组患儿治疗后H-B评分上升较针刺组明显，差异有统计学意义(P<0.05)。结论 以ICF-CY理论框架为指导的早期干预与半刺法相结合可有效提高儿童面神经炎有效率、缩短治疗时间。

关键词: 面神经炎, ICF-CY, 半刺法, 疗效分析, 儿童

Abstract: Objective To explore the clinical efficacy of early intervention combined with shallow needling in the treatment of facial neuritis in children under the guidance of ICF-CY theory. Methods The data of 80 children with facial neuritis treated in our hospital from October 2019 to October 2020 were retrospectively analyzed, and they were divided into acupuncture group(40 cases) and combination group(40 cases) according to different treatment methods. All children were treated with hormones, B vitamins and other conventional drugs. The children in the both groups were treated with shallow needling (that is, the acupoints were quickly punctured without needle manipulation or needle retention), while the combination group was also treated with early intervention under the guidance of ICF-CY theoretical framework. The total effective rate, treatment time and House-Brakmann facial nerve function score (H-B score) before and after treatment were observed in the two groups. Results According to the statistical analysis, the total effective rate of the combination group was high, and the treatment time was short. Compared with the acupuncture group, the difference between the two groups was significant (P<0.05). After treatment, the increase in H-B score in combination group was more obvious than that in acupuncture group(P<0.05), and the difference was statistically significant.Conclusion Under the guidance of ICF-CY theory early intervention combined with shallow needling can effectively improve the effectiveness in children with facial neuritis and shorten the treatment time.


Key words:

Facial neuritis, ICF-CY, Shallow needling, Curative effect analysis, Children