Shen Te-li, Cao Lian-ying, Zhang Wei, Li Yan, Wu Qing-hong, Yao Mei-jin, Gu Lu-yan
Department of Acupuncture and Moxibustion, Changning District Tianshan Hospital of TCM, Shanghai 200051, China.
Zhongguo Zhen Jiu. 2009 May;29(5):357-60.
To observe effects of intervention time of local acupuncture at the affected side on the facial nerve injury and the therapeutic effect at acute stage of peripheral facial paralysis.
Two hundred and seventy-nine cases within 3 days of attack were randomly divided into 4 groups, group A (n=74), group B (n=70), group C (n=74) and control group (n=61). The 4 groups were treated with Prednisone on the third day after attack, and acupuncture was added in the group A, B and C, with Fengchi (GB 20), Yangbai (GB 14), Taiyang (EX-HN 5), Sibai (ST 2), Yingxiang (LI 20), etc. on the affected side and bilateral Hegu (LI 4) selected, and with superficial insertion method used for acupoints on the ear-face parts without manipulating the needles, and electroacupuncture was added from the fifth session of the treatment, and uniform reinforcing-reducing method was used for the distal acupoints selected. The needles were retained for 20 min and the treatment was given for 25 sessions, once other day. The therapeutic effects, the mean therapeutic courses for the cured patients and changes of electroneurography (ENoG) were compared among the groups.
The clinical total effective rate was 98.6%, 95.7%, 94.6% and 72.1% in the group A, B, C and the control group, respectively, with a significant difference (P < 0.05), and the therapeutic course for the cured patients increased in the order of the group A, B, C and the control group; and there was no significant difference among the 4 groups in changes of ENoG at the third day and the fourteenth day (both P > 0.05).
Acute stage is the best opportunity for acupuncture treatment of peripheral facial paralysis, and the earlier the intervention time, the better the therapeutic effect and the shorter the therapeutic course.
观察患侧局部针刺干预时间对面神经损伤及周围性面瘫急性期治疗效果的影响。
将发病3天内的279例患者随机分为4组，A组（n = 74）、B组（n = 70）、C组（n = 74）和对照组（n = 61）。4组均于发病第3天开始口服泼尼松治疗，A、B、C组加用针刺治疗，选取患侧风池（GB 20）、阳白（GB 14）、太阳（EX-HN 5）、四白（ST 2）、迎香（LI 20）等穴位及双侧合谷（LI 4），耳面部穴位采用浅刺法，不提插捻转，从第5次治疗开始加用电针，远端穴位采用平补平泻法。留针20分钟，治疗25次，隔日1次。比较各组治疗效果、痊愈患者的平均疗程及神经电图（ENoG）变化。
A组、B组、C组和对照组的临床总有效率分别为98.6%、95.7%、94.6%和72.1%，差异有统计学意义（P < 0.05），痊愈患者的疗程按A组、B组、C组、对照组顺序依次延长；4组在治疗第3天和第14天ENoG变化差异无统计学意义（均P >
0.05）。
急性期是针刺治疗周围性面瘫的最佳时机，干预时间越早，治疗效果越好，疗程越短。
