Xu Jingyan, Li Cheng
Department of Acupuncture and Physiotherapy, Affiliated Hospital of Jiangnan University Wuxi 214000, Jiangsu, China.
Am J Transl Res. 2025 Aug 15;17(8):6203-6213. doi: 10.62347/QJMA1265. eCollection 2025.
Peripheral facial paralysis, also known as Bell's palsy, is characterized by acute dysfunction of the facial nerve. Standard treatments like corticosteroids and antiviral agents don't always lead to full recovery. This study aimed to evaluate the efficacy of Yin-Yang Harmony Acupuncture Therapy (YYHAT) in improving facial muscle function and resting state facial appearance in affected patients.
A retrospective analysis was conducted on 202 patients with peripheral facial paralysis who received either conventional acupuncture or YYHAT in conjunction with standard medical treatments. Clinical outcomes were assessed using surface electromyography (sEMG) for muscle latency and amplitude, facial vascular hemodynamics (via Doppler ultrasound), modified Portmann scores, anxiety and depression scales, and patient satisfaction.
Compared to the conventional group, the YYHAT group demonstrated significantly better improvements in sEMG latency and amplitude for key facial muscles ( < 0.05). Doppler ultrasound revealed increased diastolic end velocity and systolic peak velocity of the facial artery in the YYHAT group ( < 0.05). The YYHAT group also achieved better modified Portmann scores in both facial motor function and resting state appearance. Additionally, patients in the YYHAT group showed greater reductions in anxiety and depression symptoms ( < 0.05) and higher satisfaction with treatment efficacy ( = 0.02).
Yin-Yang Harmony Acupuncture Therapy significantly enhances both physiological and psychological recovery in patients with peripheral facial paralysis compared to conventional acupuncture.
周围性面瘫，又称贝尔氏面瘫，其特征为面神经急性功能障碍。像皮质类固醇和抗病毒药物等标准治疗方法并非总能带来完全康复。本研究旨在评估阴阳调和针刺疗法（YYHAT）对改善患侧患者面部肌肉功能和静息状态下面部外观的疗效。
对202例接受传统针刺或YYHAT联合标准药物治疗的周围性面瘫患者进行回顾性分析。使用表面肌电图（sEMG）评估肌肉潜伏期和波幅、面部血管血流动力学（通过多普勒超声）、改良波特曼评分、焦虑和抑郁量表以及患者满意度来评估临床结果。
与传统组相比，YYHAT组关键面部肌肉的sEMG潜伏期和波幅改善明显更好（<0.05）。多普勒超声显示YYHAT组面动脉舒张末期速度和收缩期峰值速度增加（<0.05）。YYHAT组在面部运动功能和静息状态外观方面也取得了更好的改良波特曼评分。此外，YYHAT组患者的焦虑和抑郁症状减轻更明显（<0.05），对治疗效果的满意度更高（=0.02）。
与传统针刺相比，阴阳调和针刺疗法显著提高了周围性面瘫患者的生理和心理恢复水平。
