Li Ming, Zhu Shan-Shan, Wan Qian-Rong, Ruan Jian-Guo, Wang Yu-Juan, Xu Tian-Shu
Drum Tower Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210008, Jiangsu Province, China; Department of TCM, Drum Tower Hospital, Affiliated Hospital of Medical School of Nanjing University, Nanjing 210008, Jiangsu Province.
Department of Acupuncture-Moxibustion and Physiotherapy, Nanjing Xuanwu Hospital.
Zhongguo Zhen Jiu. 2020 Dec 12;40(12):1281-5. doi: 10.13703/j.0255-2930.20191128-k0002.
To compare the curative effect between the warm acupuncture at Yifeng (TE 17) combined with conventional acupuncture and TDP plus conventional acupuncture on facial paralysis with periauricular pain during pregnancy.
A total of 68 patients were randomized into an observation group (36 cases, 3 cases dropped off) and a control group (32 cases, 1 case dropped off). First week, TDP light was used on the affected side in the control group, and warm acupuncture at Yinfeng (TE 17) on the affected side was used in the observation group, both once a day. From the second week, both groups were given acupuncture at Chengjiang (CV 24) and the affected side of Cuanzhu (BL 2), Yangbai (GB 14), Taiyang (EX-HN 5), Yingxiang (LI 20), Dicang (ST 4), etc. and electroacupuncture (continuous wave, 2 Hz in frequency) was connected at Cuanzhu (BL 2) and Taiyang (EX-HN 5), Jiache (ST 6) and Dicang (ST 4). Both treatments were given every other day for 4 weeks totally. The visual analogue scale (VAS) score of the periauricular pain degree before treatment and after 1 week of treatment, the House-Brackmann (H-B) facial nerve function grading scale and facial disability index (FDI) score before treatment and after 2, 4 weeks of treatment were compared between the two groups.
After 1 week of treatment, the VAS scores of both groups decreased (<0.001), and the variation in the observation group was larger than the control group (<0.01). After 2 and 4 weeks of treatment, the H-B grading of both groups were improved (<0.01, <0.05), and those in the observation group were better than the control group (<0.05). After 2 and 4 weeks of treatment, the FDI physical function (FDIP) scores of both groups were higher (<0.01), and the FDI social life function (FDIS) scores were lower than before treatment (<0.05, <0.01), and the FDIP scores in the observation group were higher than those in the control group (<0.05).
Warm acupuncture at Yinfeng (TE 17) combined with conventional acupuncture can effectively improve the periauricular pain and facial nerve function in patients of facial paralysis with periauricular pain during pregnancy, and the curative effect is better than TDP plus conventional acupuncture.
比较翳风穴（TE 17）温针灸联合传统针刺与特定电磁波谱（TDP）照射加传统针刺治疗妊娠期间伴有耳周疼痛的面瘫的疗效。
将68例患者随机分为观察组（36例，脱落3例）和对照组（32例，脱落1例）。第1周，对照组患侧使用TDP照射，观察组患侧采用翳风穴（TE 17）温针灸，均每日1次。从第2周起，两组均针刺承浆（CV 24）及患侧攒竹（BL 2）、阳白（GB 14）、太阳（EX-HN 5）、迎香（LI 20）、地仓（ST 4）等穴位，并在攒竹（BL 2）与太阳（EX-HN 5）、颊车（ST 6）与地仓（ST 4）连接电针（连续波，频率2Hz）。两种治疗均隔日进行，共治疗4周。比较两组治疗前及治疗1周后耳周疼痛程度的视觉模拟评分（VAS）、治疗前及治疗2、4周后的House-Brackmann（H-B）面神经功能分级量表及面部残疾指数（FDI）评分。
治疗1周后，两组VAS评分均降低（<0.001），且观察组变化幅度大于对照组（<0.01）。治疗2、4周后，两组H-B分级均改善（<0.01，<0.05），且观察组优于对照组（<0.05）。治疗2、4周后，两组FDI身体功能（FDIP）评分均升高（<0.01），FDI社会生活功能（FDIS）评分均低于治疗前（<0.05，<0.01），且观察组FDIP评分高于对照组（<0.05）。
翳风穴（TE 17）温针灸联合传统针刺能有效改善妊娠期间伴有耳周疼痛的面瘫患者的耳周疼痛及面神经功能，疗效优于TDP照射加传统针刺。
