Zeng Qin, Mao Xue-Wen, Wang Shi-Guang, Yao Jin, Liu Xiao-Jing, Yang Yi
Department of Acupuncture and Moxibustion, Shunyi Hospital of Beijing TCM Hospital, Beijing 101300, China.
Zhongguo Zhen Jiu. 2021 Jun 12;41(6):589-92. doi: 10.13703/j.0255-2930.20200520-0001.
To observe the effect of conventional acupuncture combined with row-like puncture at sternocleidomastoid on peripheral facial palsy at recovery stage.
A total of 60 patients with peripheral facial palsy at recovery stage were randomized into an observation group and a control group, 30 cases in each one. Acupuncture was applied at affected Cuanzhu (BL 2), Yangbai (GB 14), Sibai (ST 2), Quanliao (SI 18), Jiache (ST 6), Dicang (ST 4), Hegu (LI 4), Taichong (LR 3) and Zusanli (ST 36) in the control group. On the basis of the treatment in the control group, row-like puncture was applied at sternocleidomastoid (1 needle was punctured at muscle origin and insertion respectively, 3 to 4 needles were row-like punctured at the connection line of muscle origin and insertion). The treatment was given once a day, 5 times were as one course, with 2-day interval, totally 4 courses were required in the both groups. The house-brackmann (H-B) facial nerve function grade, facial nerve function rating system-dynamic view rating scale score and facial disability index (FDI) scale score [including scores of FDI physical function (FDIp) and FDI social life function (FDIs)] before and after treatment were observed, and the clinical efficacy was evaluated in the two groups.
After treatment, the H-B facial nerve function grades were improved compared before treatment in the both groups (<0.05), and that in the observation group was superior to the control group (<0.05). After treatment, the scores of dynamic view rating scale and FDIp were increased (<0.05), FDIs scores were decreased compared before treatment in the both groups (<0.05); compared with the control group, the scores of dynamic view rating scale and FDIp were increased (<0.05), FDIs score was decreased in the observation group (<0.05). The total effective rate was 93.3% (28/30) in the observation group, which was superior to 73.3% (22/30) in the control group (<0.05).
Compared with conventional acupuncture, combination therapy with row-like puncture at sternocleidomastoid can improve the therapeutic effect of peripheral facial palsy at recovery stage.
观察常规针刺联合胸锁乳突肌排刺治疗周围性面瘫恢复期的疗效。
将60例周围性面瘫恢复期患者随机分为观察组和对照组，每组30例。对照组取患侧攒竹（BL 2）、阳白（GB 14）、四白（ST 2）、颧髎（SI 18）、颊车（ST 6）、地仓（ST 4）、合谷（LI 4）、太冲（LR 3）及足三里（ST 36）针刺。观察组在对照组治疗基础上，于胸锁乳突肌行排刺（肌起点与止点各刺1针，肌起点与止点连线处行3～4针排刺）。每日治疗1次，5次为1个疗程，疗程间间隔2天，两组均共治疗4个疗程。观察两组治疗前后House-Brackmann（H-B）面神经功能分级、面神经功能评定系统-动态视野评定量表评分及面部残疾指数（FDI）量表评分[包括FDI躯体功能（FDIp）评分和FDI社会生活功能（FDIs）评分]，并评价两组临床疗效。
两组治疗后H-B面神经功能分级均较治疗前改善（P<0.05），且观察组优于对照组（P<0.05）。两组治疗后动态视野评定量表评分及FDIp评分升高（P<0.05）；FDIs评分降低（P<0.）；与对照组比较，观察组动态视野评定量表评分及FDIp评分升高（P<0.05），FDIs评分降低（P<0.05）。观察组总有效率为93.3%（28/30），优于对照组的73.3%（22/30）（P<0.05）。
与常规针刺相比，胸锁乳突肌排刺联合治疗可提高周围性面瘫恢复期的治疗效果。
