[1] LI Yongzhi PENG Hua LIU Guoling LIU Zili,.Clinical Study on Alternate Acupuncture on Healthy and Affected Sides in The Treatment of Acute Wind Heat Type Bell's Paralysis [J]. Modern Traditional Chinese Medicine, 2022, 1(01): 82-85. [doi: 10.13424/j.cnki.mtcm.2022.01.015]
Clinical Study on Alternate Acupuncture on Healthy
and Affected Sides in The Treatment of Acute
Wind Heat Type Bell's Paralysis
- Article number:
- 1672-0571(2021)06-0082-04
- Keywords:
- Key words:Acute Bell paralysis; Wind heat syndrome; Healthy side; Affected side; Alternate treatment
- ZTFLH:
- R255.2
- Code:
- A
- Abstract:
- Abstract：Objective To explore the clinical effect of alternating acupuncture on the healthy side and the affected side in the treatment of acute wind heat type bell's paralysis.Methods 70 patients who met the inclusion criteria in Yunnan Traditional Chinese medicine hospital from December 2015 to March 2017 were randomly divided into the treatment group (35 cases of alternating acupuncture on the healthy side and the affected side in the acute stage) and the control group (35 cases of conventional acupuncture).The improvement of H-B grade and facial injury score of the two groups were observed and evaluated on the 7th，15th and 25th times of treatment.Results There was no significant difference between the two groups on the 7th and 15th times of treatment (P＞0.05)，but on the 25th time of treatment，the facial score，H-B grade and curative effect between the two groups were statistically significant (P＜0.05)，suggesting that the improvement of the treatment group in the above three aspects was better than that of the control group.Conclusion Alternate acupuncture on the healthy side and the affected side in the acute stage is an advantageous method for the treatment of wind heat type Bell's palsy，and the curative effect is better than simple acupuncture on the affected side acupoints.
References:
[1］朱玉华,郑雪丽,塞娜,等.贝尔面瘫的研究进展及诊疗现状[J].中华耳科学杂志,2020,18(4):768-773.
[2]Mower S.Bell's palsy:excluding serious illness in urgent and emergency care settings[J].Emergency Nurse,2017,25(1):32-39.
[3]王丹,贾云,汪爱华.Bell麻痹的研究进展[J].中医临床研究,2019,11(17):145-148.
[4]娄爱琴,马云枝,沈晓明.马云枝教授分期治疗周围性面瘫经验[J].中西医结合心脑血管病杂志,2018,16(10):1466-1467.
[5]阮春鑫,陈兴奎,林树梁.针刺配合中频分期治疗贝尔面瘫疗效观察及对表面肌电信号的影响[J].新中医,2018,50(7):204-207.
[6]杨美凤,陆瑾,魏心昶.陆瑾教授治疗周围性面瘫经验拾粹[J].四川中医,2018,36(3):4-6.
[7]郭芳,郝风玲.周围性面瘫的中医治疗研究进展[J].国医论坛,2019,34(6):68-70.
[8]赵创,刘志丹,李晓燕,等.贝尔氏面瘫急性期低频电针介入对疗效的影响[J].针灸临床杂志,2018,34(3):8-15.
[9]王邦博,杨晓倩.针灸综合疗法治疗急性周围性面瘫[J].中医药信息,2018,35(3):105-108.
[10]毋春霞.健患侧同调针法对急性期周围性面瘫患者面神经功能的影响[J].河南医学研究,2018,27(4):716-717.
[11]马翔,彭勋超,唐成林,等.针刺治疗周围性面瘫急性期研究进展[J].实用中医药杂志,2021,37(1):160-162.
[12]甘艳艳,邢奥静,樊小闯,等.针灸疗法治疗周围性面瘫的研究进展[J].中国民间疗法,2019,27(12):105-107.
[13]吴碧雯,姚问,张江松,等.巨刺法治疗急性期周围性面瘫临床疗效的Meta分析[J].上海针灸杂志,2018,37(3):338-347.
[14]刘明生,蒲传强,崔丽英.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.
[15]石学敏.针灸学[M].2版.北京:中国中医药出版社,2007:220.
[16]Lee HY,Park MS,Byun JY,et al.Agreement between the facial nerve grading system 2.0 and the house-brackmann grading system in patients with bell palsy[J].Clinical and Experimental Otorhinolaryngology,2013,6(3):135-139.
[17]李军,焦琳,肖源诣.针灸治疗急性面神经麻痹研究进展[J].江西中医药,2019,50(9):78-80.
[18]何水辉,范郁山,李君,等.针刺治疗周围性面瘫的研究进展[J].大众科技,2019,21(8):82-84,107.
[19]张婷.针刺疗法联合拔罐治疗对急性期周围性面瘫患者的疗效评价[J].实用临床医药杂志,2018,22(19):63-66.
[20]陈琴.针灸治疗周围性面瘫急性期的临床研究[J].中国中医药现代远程教育,2018,16(21):139-140.
[21]龚丽,唐巍,昝兴淳.针灸治疗周围性面瘫近五年研究进展[J].陕西中医药大学学报,2018,41(3):112-116.
[22]李芳如.针灸综合治疗周围性面瘫43例[J].陕西中医药大学学报,2018,41(5):44-46.
[23]韩立华.中西医结合治疗面瘫体会[J].世界最新医学信息文摘,2018,18(93):146.
[24]刘红平.中医针灸治疗周围性面瘫急性期的临床疗效观察[J].中医临床研究,2018,10(29):74-75.
[25]栗亚楠,叶璟茹,焦召华.“健患同调”理论及其临证应用举隅[J].内蒙古中医药,2019,38(5):61-62.
[26]郑嵩,康明非.缪刺法配合热敏灸治疗周围性面瘫30例[J].江西中医药,2015,46(3):63-64.
Memo
基金项目：云南省眼科疾病临床医学中心（ZX2019-02-01）；云南省眼部疾病临床医学研究中心项目（2019ZF013)；云南省科技计划项目重大科技专项（2018ZF009）