Clinical study on different acupuncture methods for peripheral facial paralysis at the acute stage

ZHOU Ying; SONG Fengjun; LI Lingzhe; ZHANG Chaonan

doi:10.16305/j.1007-1334.2020.01.014

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Clinical study on different acupuncture methods for peripheral facial paralysis at the acute stage

更新时间：2022-08-31

- Clinical study on different acupuncture methods for peripheral facial paralysis at the acute stage
- Shanghai Journal of Traditional Chinese Medicine Vol. 54, Issue 1, Pages: 56-59(2020)
- 作者机构：
  
  1. 浙江省温州市中医院针灸推拿科,浙江,温州,325000
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2020.01.014
  CLC：
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ZHOU Ying, SONG Fengjun, LI Lingzhe, et al. Clinical study on different acupuncture methods for peripheral facial paralysis at the acute stage. [J]. Shanghai Journal of Traditional Chinese Medicine 54(1):56-59(2020)
DOI：

ZHOU Ying, SONG Fengjun, LI Lingzhe, et al. Clinical study on different acupuncture methods for peripheral facial paralysis at the acute stage. [J]. Shanghai Journal of Traditional Chinese Medicine 54(1):56-59(2020) DOI： 10.16305/j.1007-1334.2020.01.014.

摘要

目的：观察不同针灸方法早期介入周围性面瘫的临床疗效。方法：将90例急性期周围性面瘫患者按随机数字表法分为A组、B组、C组,每组30例。各组均予基础西药治疗,急性期A组加用浅刺法治疗,B组加用耳针治疗,C组只予西药基础治疗。各组急性期后均采用针刺,加用电针,针后患侧面部闪罐,总疗程均为4周。观察各组临床疗效,比较改良Portmann评分、面部残疾指数躯体评分(FDIP)变化情况。结果：①治疗后,各组改良Portmann评分、FDIP评分均较治疗前增加(P<0.01)；A组、B组治疗后改良Portmann评分、FDIP评分高于C组,差异有统计学意义(P<0.01)。②临床有效率A组86.7%,B组83.3%,均高于C组的56.7%(P<0.05)；A组临床有效率与B组比较,差异无统计学意义(P>0.05)。结论：浅刺法、耳针疗法早期介入周围性面瘫均能有效改善患者的临床症状,较急性期单用西药者效果更优；急性期介入浅刺法或耳针疗法均能提高临床有效率,且不增加继发面肌痉挛的风险。

Abstract

Objective:To observe and compare the clinical efficacy of different acupuncture methods in the treatment of peripheral facial paralysis (PFP) at the acute stage. MethodsA total of 90 cases of patients with PFP at the acute stage were randomly divided into group A, group B and group C with 30 cases in each group. All groups were given basic western medicine treatment routinely while at the acute stage group A was also treated with shallow needling and group B with auricular acupuncture; after the acute stage, all groups were treated with acupuncture, electro-acupuncture and post-needling flash cupping on the affected side of face. The total treatment course was four weeks. The clinical effect, the Portmann criteria score and the change of Facial Disability Index Physiology (FDIP) before and after treatment in the three groups were compared. Results:①After treatment, the Protmann criteria score and FDIP in the three groups all increased when compared with those before treatment respectively (P<0.01); the scores of Protmann criteria and FDIP in group A and group B were higher than those in group C with significant difference (P<0.01). ②The clinical efficacy rate in group A and group B was 86.7% and 83.3% respectively, higher than that of 56.7% in group C (P <0.05); the difference of clinical efficacy rate between group A and group B was not significant (P>0.05). Conclusion:The application of shallow needling and auricular acupuncture to the treatment of PFP at the acute stage can effectively improve the clinical symptoms of patients compared to the single therapy of western medicine treatment and increase clinical efficacy rate without increasing the risk of hemifacial spasm.

关键词

周围性面瘫急性期浅刺法耳穴贴压面肌痉挛

Keywords

peripheral facial paralysisacute stageshallow needlingauricular point stickinghemifacial spasm

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