调阴阳跷脉结合根溜注入旁通法针刺治疗特发性面神经麻痹的临床观察

李雪萍; 吴旭丽; 彭礼; 郗亚薇

doi:10.3969/j.issn.2095-6606.2023.02.009

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调阴阳跷脉结合根溜注入旁通法针刺治疗特发性面神经麻痹的临床观察

临床研究 | 更新时间：2023-03-31

- 调阴阳跷脉结合根溜注入旁通法针刺治疗特发性面神经麻痹的临床观察
- Clinical efficacy of bypass therapy of Yin and Yang Qiaomai in combination with the Gen Liu Zhu Ru for idiopathic facial paralysis
- 现代中医临床 2023年30卷第2期页码：44-48
- 作者机构：
  
  北京市房山区良乡医院针灸科　北京　102401
- 作者简介：
  
  李雪萍，女硕士，主治医师
  #郗亚薇，女，硕士，副主任医师，E-mail：yyaawweeii@hotmail.com
- 基金信息：
  
  北京中医药薪火传承“3＋3”工程室站（分站）建设项目
- DOI：10.3969/j.issn.2095-6606.2023.02.009
  中图分类号： R246.6
- 收稿：2022-08-31，
  
  纸质出版：2023-03-30
- 稿件说明：
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李雪萍, 吴旭丽, 彭礼, 等. 调阴阳跷脉结合根溜注入旁通法针刺治疗特发性面神经麻痹的临床观察[J]. 现代中医临床, 2023,30(2):44-48.

LI Xueping, WU Xuli, PENG Li, et al. Clinical efficacy of bypass therapy of Yin and Yang Qiaomai in combination with the Gen Liu Zhu Ru for idiopathic facial paralysis[J]. Modern Chinese Clinical Medicine, 2023, 30(2): 44-48.
李雪萍, 吴旭丽, 彭礼, 等. 调阴阳跷脉结合根溜注入旁通法针刺治疗特发性面神经麻痹的临床观察[J]. 现代中医临床, 2023,30(2):44-48. DOI： 10.3969/j.issn.2095-6606.2023.02.009.

LI Xueping, WU Xuli, PENG Li, et al. Clinical efficacy of bypass therapy of Yin and Yang Qiaomai in combination with the Gen Liu Zhu Ru for idiopathic facial paralysis[J]. Modern Chinese Clinical Medicine, 2023, 30(2): 44-48. DOI： 10.3969/j.issn.2095-6606.2023.02.009.

摘要

目的

观察调阴阳跷脉结合根溜注入旁通法针刺治疗特发性面神经麻痹的临床疗效。

方法

将60例特发性面神经麻痹患者根据就诊时间顺序分为治疗组30例、对照组30例。对照组采用常规方法进行针刺治疗。治疗组采用调阴阳跷脉结合根溜注入旁通法进行针刺治疗。观察临床疗效，HB面神经功能分级评分，面部残疾指数躯体功能(FDIP)评分、面部残疾指数社会功能(FDIS)评分，并进行安全性评价。

结果

治疗组30例中，痊愈21例，显效5例，有效2例，无效2例，总有效率为93.33%；对照组30例中，痊愈14例，显效7例，有效1例，无效8例，总有效率为73.33%。经秩和检验，

＝－2.006，

0.05，说明治疗组疗效优于对照组。HB面神经功能分级评分2组治疗后较本组治疗前均提高，差异均有统计学意义(

0.05)。2组治疗前比较差异无统计学意义(

0.05)，表示2组具有可比性。治疗后治疗组较对照组提高明显，2组治疗前后差值比较，差异有统计学意义(

0.05)，治疗组优于对照组。FDIP、FDIS评分2组治疗后较本组治疗前均提高，差异均有统计学意义(

0.05)。2组治疗前FDIP、FDIS评分比较差异均无统计学意义(

0.05)，表示2组具有可比性。治疗后FDIP、FDIS评分治疗组较对照组均提高明显，2组治疗前后差值比较，差异均有统计学意义(

0.05)，治疗组优于对照组。2组患者治疗过程中均未出现针刺不良反应。

结论

调阴阳跷脉结合根溜注入旁通法针刺治疗特发性面神经麻痹具有较好的临床疗效。

Abstract

Objective

To observe the clinical efficacy of bypass therapy of Yin and Yang Qiaomai in combination with the Gen Liu Zhu Ru for idiopathic facial paralysis.

Methods

Sixty patients with idiopathic facial paralysis were assigned to the treatment group (

=30) and control group (

=30) according to their visiting time. The control group was treated with conventional acupuncture. The treatment group was treated with the bypass therapy of Yin and Yang Qiaomai in combination with the Gen Liu Zhu Ru for idiopathic facial paralysis. Clinical efficacy

House-Brackmann(HB) facial nerve function grading score

facial disability index physical function (FDIP) score

and facial disability index social function (FDIS) score were observed

and the safety of this therapy was evaluated.

Results

Among the 30 cases in the treatment group

21 cases were cured

5 cases were significantly effective

2 cases were effective and 2 cases were ineffective

with a total effective rate of 93.33%. In the control group

14 cases were cured

7 cases were significantly effective

1 case was effective and 8 cases were ineffective

with a total effective rate of 73.33%. Rank sum test showed

=-2.006

(

0.05)

indicating that the curative efficacy was higher in the treatment group than in the control group. The HB facial nerve function grading score was higher after treatment than before treatment in the two groups (

0.05).There was no significant difference between the two groups before treatment (

0.05)

indicating that the two groups were comparable. After treatment

the treatment group was significantly improved as compared with the control group. The difference between the two groups before and after treatment was statistically significant (

0.05). The treatment group was better than the control group. The scores of FDIP and FDIS were higher after treatment than before treatment in the two groups

and the difference was statistically significant (

0.05). There was no significant difference in FDIP and FDIS scores between the two groups before treatment (

0.05)

indicating that the two groups were comparable. After treatment

FDIP and FDIS scores in the treatment group were significantly improved as compared with the control group. The difference between the two groups before and after treatment was statistically significant (

0.05). The treatment group was superior to the control group. There was no adverse reaction of acupuncture in both groups.

Conclusion

The bypass therapy of Yin and Yang Qiaomai in combination with the Gen Liu Zhu Ru for idiopathic facial paralysis has a good clinical efficacy in the treatment of idiopathic facial paralysis.

关键词

Keywords

references

贾建平，陈生弟 . 神经病学 [M]. 8版 . 北京：人民卫生出版社， 2018 : 389 .

朱凤亚，罗婷婷，朱昕昀，等 . 《循证针灸临床实践指南：贝尔面瘫》质量评价及解读 [J]. 世界科学技术(中医药现代化) ， 2020 , 22 ( 9 ): 3344 - 3349 .

张冲，万军 . 周围性面瘫针刺时机临床循证分析 [J]. 中国针灸， 2011 , 31 ( 1 ): 93 - 96 .

中华医学会神经病学分会，中华医学会神经病学分会神经肌肉病学组，中华医学会神经病学分会肌电图与临床神经电生理学组 . 中国特发性面神经麻痹诊治指南 [J]. 中华神经科杂志， 2016 , 49 ( 2 ): 84 - 86 .

高树中，杨骏 . 针灸治疗学 [M]. 北京：中国中医药出版社， 2016 : 45 - 47 .

舒湘宁，马跃文 . 面神经功能评定方法 [J]. 中国康复理论与实践， 2015 , 21 ( 8 ): 924 - 928 .

中华耳鼻咽喉头颈外科杂志编辑委员会，中华医学会耳鼻咽喉科学分会 . 面神经功能评价标准(讨论稿) [J]. 中华耳鼻咽喉头颈外科杂志， 2006 , 41 ( 1 ): 22 - 24 .

VANSWEARINGEN J M ， BRACH J S . The facial disability index：reliability and validity of a disability assessment instrument for disorders of the facial neuromuscular system [J]. Phys Ther ， 1996 , 76 ( 12 ): 1288 - 1298 .

韩维举 . 贝尔面瘫的诊断和治疗进展 [J]. 中华临床医师杂志(电子版) ， 2009 , 3 ( 9 ): 1435 - 1444 .

FRANZKE P ， BITSCH A ， WALTHER M ， et al . Weather，weather changes and the risk of Bell’s palsy：a multicenter case-crossover study [J]. Neuroepidemiology ， 2018 , 51 ( 3/4 ): 207 - 215 .

赵琨，李健东，付志强，等 . 高分辨螺旋CT面神经管重建成像在贝尔面瘫和亨特面瘫综合征中的应用价值 [J]. 中华耳科学杂志， 2017 , 15 ( 5 ): 510 - 517 .

GREWAL D S . Bell’s palsy-tertiary ischemia：an etiological factor in residual facial palsy [J]. Indian J Otolaryngol Head Neck Surg ， 2018 , 70 ( 3 ): 374 - 379 .

李慧敏，李纪奎 . 周围性面瘫的综合治疗体会 [J]. 临床口腔医学杂志， 2020 , 36 ( 1 ): 56 - 57 .

田莉莉 . 针灸治疗周围性面瘫文献研究 [D]. 济南：山东中医药大学， 2010 .

马天一 . 近10年针灸治疗Bell’s面瘫的回顾性研究 [D]. 广州：广州中医药大学， 2020 .

吴朝刚，贾瑞莉，李丹虹，等 . 针刺联合电针治疗急性周围性面瘫50例 [J]. 光明中医， 2017 , 32 ( 2 ): 240 - 241 .

丁雪艳，赵松佳 . 针刺结合电针在周围性面瘫分期治疗中的应用 [J]. 浙江中医杂志， 2019 , 54 ( 8 ): 606 .

毛竹，马世骏，胡玲香 . 针刺跷脉治疗面瘫眼睑闭合不全机制初探 [J]. 天津中医药， 2011 , 28 ( 1 ): 37 - 38 .

薛立功 . 中国经筋学 [M]. 北京：中医古籍出版社， 2015 : 381 .

乔晋晟，刘庆国，汤文龙 . 咬肌神经－面神经吻合治疗面瘫的解剖学研究 [J]. 中华耳科学杂志， 2019 , 17 ( 4 ): 492 - 497 .

解鸿宇，周超，袁爱红，等 . 基于数据挖掘探讨经筋理论在针灸治疗周围性面瘫的运用 [J]. 辽宁中医药大学学报， 2020 , 22 ( 3 ): 111 - 116 .

田叶红，赵建新，邱晓伟，等 . 基于经筋理论探析针药联合治疗顽固性贝尔面瘫 [J]. 湖南中医杂志， 2022 , 38 ( 3 ): 84 - 87 .

王扬，彭唯娜，李喜梅，等 . 韩碧英治疗面神经炎经验总结 [J]. 中华中医药杂志， 2018 , 33 ( 4 ): 1422 - 1425 .

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