Zhang Dong
Department of Biomedical Engineering, Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Am J Chin Med. 2007;35(6):967-75. doi: 10.1142/S0192415X07005430.
The purpose of this study is to select acupoints for acupuncture treatment of peripheral facial paralysis according to the temperature on the face of the patient detected by thermogram, to determine an objective acupoint selection method for acupuncture treatment. In the test group of 60 cases of facial paralysis, the infrared thermogram on the face was detected at the first visit, and then acupuncture was given at the acupoints on the affected side with a temperature difference of over 0.5 degrees C from the healthy side for one therapeutic course, and in each successive course the acupoints were re-determined according to the results of thermogram examination and were administrated till the end of the total therapeutic course, and 120 cases of the control group were treated with acupuncture at conventionally selected acupoints. The results showed that the cured and basically cured rate was 90.0% (54 cases) in the test group and 77.5% (93 cases) in the control group with a significant difference between the two groups (p < 0.05); and the total sessions of acupuncture were less and the course of treatment was shorter in the test group than those in the control group (both p < 0.001). The utilization rate of the acupoints selected by facial thermogram in the test group was in order of Dicang (ST 4, 92.3%), Yingxiang (LI 20, 90.6%), Taiyang (EX-HN 5, 85.5%), Yangbai (GB 14, 76.6%), Quanliao (SI 18, 72.3%), and so on. In conclusion, acupuncture at the acupoints selected by thermogram for treatment of facial paralysis in the cured rate, the therapeutic course and sessions of acupuncture is significantly superior to acupuncture at the conventionally selected acupoints, and the thermogram-aided acupoint selection method is beneficial to objectivity and modernization of acupoint selection for acupuncture and moxibustion treatments.
本研究旨在根据患者面部热像图检测的温度来选取针刺治疗周围性面瘫的穴位，确定一种针刺治疗的客观选穴方法。将60例面瘫患者作为试验组，初诊时检测面部红外热像图，然后在患侧选取与健侧温差超过0.5℃的穴位针刺，治疗1个疗程，以后每个疗程根据热像图检查结果重新确定穴位并施治，直至整个疗程结束；120例对照组患者采用传统选穴针刺治疗。结果显示，试验组痊愈和基本痊愈率为90.0%（54例），对照组为77.5%（93例），两组差异有统计学意义（p<0.05）；试验组针刺总次数少于对照组，疗程短于对照组（均p<0.001）。试验组中通过面部热像图选取穴位的使用率依次为地仓（ST4，92.3%）、迎香（LI20，90.6%）、太阳（EX-HN5，85.5%）、阳白（GB14，76.6%）、颧髎（SI18，72.3%）等。综上所述，热像图选穴针刺治疗面瘫在治愈率、疗程及针刺次数方面明显优于传统选穴针刺，热像图辅助选穴方法有利于针灸选穴的客观化和现代化。
