摘要
目的:观察经颅重复针刺百会及健侧运动区下1/5治疗恢复期特发性面神经麻痹(IFP)的临床疗效。方法:将72例处于恢复期的IFP患者随机分为对照组(36例,脱落3例)和治疗组(36例,脱落2例)。两组患者均接受西医基础治疗,服用营养神经药物至疗程结束。对照组采用常规电针治疗,取患侧阳白、太阳、四白等穴,电针30 min,电针治疗结束后继续留针10 min,共治疗40 min;治疗组在对照组30 min电针治疗的基础上,加用经颅重复针刺法分别针刺百会及健侧运动区下1/5,各捻转5 min,共治疗40 min。两组均每日治疗1次,6次为1个疗程,每治疗1个疗程后休息1 d,连续治疗4个疗程。治疗前、治疗后分别应用豪斯-布雷克曼(H-B)面神经功能分级量表、面部残疾指数(FDI)评分量表、中医症状疗效标准评分量表对患者进行疗效的评估,并比较两组的临床疗效。结果:与治疗前相比,治疗后两组患者H-B分级好转(P<0.05,P<0.01),面部残疾指数躯体功能(FDIP)评分升高(P<0.05),面部残疾指数社会生活功能(FDIS)评分及中医症状疗效评分降低(P<0.05)。治疗后,与对照组相比,治疗组H-B分级好转情况更为显著(P<0.05),FDIP评分升高(P<0.05),FDIS评分及中医症状疗效评分降低(P<0.05)。治疗组总有效率为94.12%(32/34),对照组总有效率为87.88%(29/33),治疗组总有效率显著优于对照组(P<0.05)。结论:在常规电针治疗的基础上联合经颅重复针刺百会及健侧运动区下1/5可提高临床疗效,明显改善患者的面部肌肉瘫痪程度以及口眼歪斜、食物滞留、味觉障碍等面神经损伤的相关症状。
Objective To observe the clinical efficacy of transcranial repeated acupuncture at Baihui(GV20)and the lower 1/5 of the healthy-side motor area in treating idiopathic facial paralysis(IFP)during the recovery phase.Methods A total of 72 IFP patients in the recovery phase were randomly divided into control group(36 cases,3dropped off)and treatment group(36 cases,2 dropped off).Both groups received basic western medical treatment,including neurotrophic drugs,until the end of the treatment course.The control group underwent conventional electroacupuncture(EA)for 30 min,followed by an additional 10 min of needle retention,totaling 40 min per session.The treatment group received the same 30 min EA as the control group,with the addition of transcranial repeated acupuncture involving manual twisting of needles at GV20 and the lower 1/5 of the healthy-side motor area for 5 min each,also totaling 40 min per session.Both groups were treated once daily,with 6 sessions constituting 1 treatment course.After each course,a 1-day break was taken,and treatment continued for 4 consecutive courses.Before and after treatment,efficacy was evaluated using the House-Brackmann(H-B)facial nerve grading scale,facial disability index(FDI)scale(including physical function[FDIP]and social function[FDIS]subscales),and a traditional Chinese medicine(TCM)symptomefficacy scoring scale.Clinical outcomes were compared between the 2 groups.Results Compared with pre-treatment levels,both groups showed improvement in H-B grading(P<0.05,P<0.01),increased FDIP scores(P<0.05),and decreased FDIS and TCMsymptomscores(P<0.05)after treatment.Post-treatment,the treatment group exhibited significantly greater improvement in H-B grading(P<0.05),higher FDIP scores(P<0.05),and lower FDIS and TCMsymptomscores(P<0.05)compared to the control group.The total effective rate was 94.12%(32/34)in the treatment group and 87.88%(29/33)in the control group,with the treatment group demonstrating statistically superior efficacy(P<0.05).Conclusion Combining transcranial repeated acupuncture at GV20 and the lower 1/5 of the healthy-side motor area with conventional EA enhances clinical efficacy,significantly improves facial muscle paralysis and related symptoms such as facial deviation,food retention,and taste dysfunction in IFP patients during the recovery phase.
作者
周明园
张东旭
蒋焕莹
焦雪峰
孙忠人
尹洪娜
ZHOU Ming-yuan;ZHANG Dong-xu;JIANG Huan-ying;JIAO Xue-feng;SUN Zhong-ren;YIN Hong-na(Graduate School,Heilongjiang University of Chinese Medicine,Harbin 150040,China;Department of Acupuncture and Moxibustion,The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001)
出处
《针刺研究》
北大核心
2025年第10期1178-1185,共8页
Acupuncture Research
基金
国家中医药管理局中医药循证能力建设项目(No.2019XZZX-ZJ005)。
关键词
特发性面神经麻痹
经颅重复针刺法
电针
百会
健侧运动区下1/5
Idiopathic facial paralysis
Transcranial repeated acupuncture
Electroacupuncture
Baihui(GV20)
Lower 1/5 of the healthy-side motor area
