Wang Yun, Yu Xiao-Yang
Department of Acupuncture and Moxibustion, Chongqing TCM Hospital, Chongqing 400021, China.
Zhongguo Zhen Jiu. 2019 Mar 12;39(3):237-40. doi: 10.13703/j.0255-2930.2019.03.003.
To observe the effect of different acupuncture intervention time on the improvement of the symptoms of acute facial neuritis and the length of recovery time, and to find the best interventional opportunity for acute facial neuritis.
A total of 120 patients with acute facial neuritis (all unilateral onset) were randomly divided into 4 groups, namely group A, group B, group C and group D, 30 cases in each group. Acupuncture performed within 3 days after onset in the group A; oral mecobalamin dispersible tablets and multivitamin B tablets were received within 3 days after onset, and acupuncture was started from the 4th day in the group B; oral mecobalamin dispersible tablets and multivitamin B tablets were given within 5 days after onset, and acupuncture was administered from the 6th day in the group C; oral mecobalamin dispersible tablets and multivitamin B tablets were given within 7 days after onset, and acupuncture was applied from the 8th day in the group D. Penetration needling was the main acupuncture treatment, with infrared radiation on the cheeks, once a day, 6 days a week and 3 weeks were given. After treatment, the symptom scores (Portmann scores) of the 7th, 14th and 28th day after onset were compared. The time of improvement and the clinical effect of each group were compared.
On the 7th, 14th and 28th day after onset, the Portmann scores of the 4 groups were higher than those before treatment (all <0.05). On the 7th, 14th and 28th day after onset, the Portmann scores in the group A were higher than those in the other 3 groups (all <0.05). There was significant difference between both pairs of group B, group C and group D (all <0.05). The total effective rate in the group A was 96.7% (29/30), which was higher than 93.3% (28/30), 86.7% (26/30) and 83.3% (25/30) in the other 3 groups (all <0.05). The difference between the 4 groups in the beginning of improvement, significant improvement time and clinical recovery time was statistically significant (all <0.05), and the group A was optimal.
Early intervention of acupuncture with acute facial neuritis can appropriately slow the progression of facial nerve injury, improve the therapeutic effect, and shorten the clinical recovery time.
观察不同针刺干预时间对急性面神经炎症状改善及恢复时间长短的影响，探寻急性面神经炎的最佳干预时机。
将120例急性面神经炎患者（均为单侧发病）随机分为4组，即A组、B组、C组和D组，每组30例。A组于发病后3天内进行针刺治疗；B组于发病后3天内口服甲钴胺分散片和复合维生素B片，从第4天开始针刺治疗；C组于发病后5天内口服甲钴胺分散片和复合维生素B片，从第6天开始针刺治疗；D组于发病后7天内口服甲钴胺分散片和复合维生素B片，从第8天开始针刺治疗。针刺治疗以透刺为主，面颊部辅以红外线照射，每天1次，每周6次，共治疗3周。治疗后比较发病后第7天、14天和28天的症状评分（Portmann评分）。比较各组症状改善时间及临床疗效。
发病后第7天、14天和28天，4组的Portmann评分均高于治疗前（均P<0.05）。发病后第7天、14天和28天，A组的Portmann评分高于其他3组（均P<0.05）。B组、C组和D组两两比较差异均有统计学意义（均P<0.05）。A组总有效率为96.7%（29/30），高于其他3组的93.3%（28/30）、86.7%（26/30）和83.3%（25/30）（均P<0.05）。4组在症状开始改善时间、显著改善时间及临床恢复时间方面差异有统计学意义（均P<0.05），且A组最优。
针刺早期干预急性面神经炎可适度减缓面神经损伤进程，提高治疗效果，缩短临床恢复时间。
