Li Ying, Zhang Zhongyi, Chen Yuelai, Zong Lei, Li Jing, Tao Ying, Zeng Liang, Hou Wenguang
Zhongguo Zhen Jiu. 2015 Jan;35(1):7-10.
To compare the differences in clinical efficacy on peripheral facial paralysis at acute stage between the opposing needling technique and routine acupuncture at the affected side so as to provide the evidence on the acupuncture treatment for peripheral facial paralysis at acute stage.
Forty patients were rando- mized into an opposing needling technique group (19 cases) and an affected side needling technique group (21 cases). The basic medication was same in the two groups. The acupoints were Fengchi (GB 20), Yangbai (GB 14) to Yuyao (EX-HN 4) (penetrating needling method), Jingming (BL 1), Chengqi (ST 1), Xiaguan (ST 7), Jiache (ST 6) to Dicang (ST 4), Hegu (LI 4) and Zusanli (ST 36). In supplementation, in the opposing needling technique group, the acupoints were stimulated on the face of healthy side. In the affected side needling technique group, the acupoints were stimulated on the face of the affected side. The treatment was given three times a week, for 4 weeks. House-Brackmann (H-B) facial nerve function assessment was used to evaluate facial nerve function before and after treatment in the patients of the two groups. The efficacy was compared between the two groups.
The facial nerve function was recovered in the two groups and the total effective rate was 100.0% in the two groups (P>0.05). The curative rate was 68.4% (13/19) in the opposing needling technique group and better than 47.6% (10/21) in the affected side needling technique group (P<0.05). On the 7th and 14th day, scores of H-B in the opposing needling technique group were better than those in the affected side needling technique group (both P<0.05). The curative time in the opposing needling technique group was apparently shorter than that in the affected side needling technique group ((23.95 +/- 4.30) days vs. (29.14 +/- 5.43) days, P<0.01).
The opposing needling technique accelerates the recovery of facial nerve function in peripheral facial paralysis at acute stage and apparently shortens the curative time. The efficacy is better than that in acupuncture on the affect- ed side of the face.
比较透刺法与患侧常规针刺法治疗急性期周围性面瘫临床疗效的差异，为急性期周围性面瘫的针刺治疗提供依据。
将40例患者随机分为透刺法组（19例）和患侧针刺法组（21例）。两组基础用药相同。穴位选取风池（GB 20）、阳白（GB 14）透鱼腰（EX-HN 4）（透刺法）、睛明（BL 1）、承泣（ST 1）、下关（ST 7）、颊车（ST 6）透地仓（ST 4）、合谷（LI 4）、足三里（ST 36）。其中，透刺法组在健侧面部穴位施针，患侧针刺法组在患侧面部穴位施针。每周治疗3次，共治疗4周。采用House-Brackmann（H-B）面神经功能评估法对两组患者治疗前后的面神经功能进行评价，比较两组疗效。
两组患者面神经功能均有恢复，两组总有效率均为100.0%（P>0.05）。透刺法组治愈率为68.4%（13/19），优于患侧针刺法组的47.6%（10/21）（P<0.05）。在第7天和第14天，透刺法组的H-B评分优于患侧针刺法组（均P<0.05）。透刺法组的治愈时间明显短于患侧针刺法组（（23.95±4.30）天对（29.14±5.43）天，P<0.01）。
透刺法能促进急性期周围性面瘫面神经功能的恢复，明显缩短治愈时间，疗效优于患侧面部针刺法。
