Fang Chenchen, Hu Xianfeng, Shen Meihong
College of Acupuncture-Moxibustion and Tuina, College of Health Maintenance and Rehabilitation, Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu Province, China; TCM Hospital of Lu'an City, Lu'an 237001, Anhui Province.
TCM Hospital of Lu'an City, Lu'an 237001, Anhui Province.
Zhongguo Zhen Jiu. 2024 Aug 12;44(8):894-8. doi: 10.13703/j.0255-2930.20230824-k0004.
To observe the clinical effect of acupuncture at the infusion points of "four seas" for refractory peripheral facial paralysis on the basis of conventional acupuncture.
A total of 52 patients with refractory peripheral facial paralysis were randomized into an observation group (26 cases, 2 cases dropped out) and a control group (26 cases, 1 case dropped out). On the basis of conventional acupuncture (Yintang [GV 24] and Yangbai [GB 14], Dicang [ST 4] at affected side, etc.), acupuncture at the infusion points of "four seas", i.e. Baihui (GV 20), Dazhui (GV 14) and bilateral Shangjuxu (ST 37), Xiajuxu (ST 39), Zusanli (ST 36), was delivered in the observation group. On the basis of conventional acupuncture, shallow acupuncture was applied at corresponding non-meridian and non-acupoint points of the infusion points of "four seas" in the control group. The needles were maintained for 30 min, the treatment was given once every other day, 3 times a week for 4 weeks in the two groups. Before and after treatment, the House-Brackmann (H-B) facial nerve grading and the dynamic view score of the facial nerve function scoring system were observed, and the clinical efficacy was evaluated after treatment in the two groups.
After treatment, the H-B facial nerve grading was improved compared with that before treatment in the two groups (<0.05), and the grading in the observation group was superior to that in the control group (<0.05); the dynamic view scores of the facial nerve function scoring system were increased compared with those before treatment in the two groups (<0.05), and the score in the observation group was higher than that in the control group (<0.05). The total effective rate was 91.7% (22/24) in the observation group, and that in the control group was 84.0% (21/25), there was no significant difference in the total effective rate between the two groups (>0.05). The cure rate was 62.5% (15/24) in the observation group, which was higher than 20.0% (5/25) in the control group (<0.05).
On the basis of conventional acupuncture, acupuncture at infusion points of "four seas" can effectively treat refractory peripheral facial paralysis, improve the facial nerve function and increase the cure rate.
观察在常规针刺基础上针刺“四海”输注点治疗难治性周围性面瘫的临床疗效。
将52例难治性周围性面瘫患者随机分为观察组（26例，脱落2例）和对照组（26例，脱落1例）。观察组在常规针刺（印堂[督脉24]、阳白[胆经14]、患侧地仓[胃经4]等）基础上，针刺“四海”输注点，即百会（督脉20）、大椎（督脉14）及双侧上巨虚（胃经37）、下巨虚（胃经39）、足三里（胃经36）；对照组在常规针刺基础上，于“四海”输注点相应的非经非穴处浅刺。留针30分钟，两组均隔日治疗1次，每周3次，共治疗4周。治疗前后观察House-Brackmann（H-B）面神经分级及面神经功能评分系统动态观评分，两组治疗后评价临床疗效。
治疗后，两组H-B面神经分级较治疗前均有改善（<0.05），且观察组分级优于对照组（<0.05）；两组面神经功能评分系统动态观评分较治疗前均升高（<0.05），且观察组评分高于对照组（<0.05）。观察组总有效率为91.7%（22/24），对照组为84.0%（21/25），两组总有效率比较差异无统计学意义（>0.05）。观察组治愈率为62.5%（15/24），高于对照组的20.0%（5/25）（<0.05）。
在常规针刺基础上，针刺“四海”输注点能有效治疗难治性周围性面瘫，改善面神经功能，提高治愈率。
