Combination of acupoint catgut embedding with ginger-separated moxibustion for sequelae of peripheral facial paralysis and its effect on surface electromyography  

穴位埋线配合隔姜灸治疗周围性面瘫后遗症及其对表面肌电图的影响

作　　者：Bin-bin XU Li-jian ZHU Rui-xu XU Geng-hui CAI Zhao-guo LIN 徐彬彬;朱立建;许瑞旭;蔡耿辉;林招国(厦门医学院公共卫生与医学技术系,厦门361023;福建医科大学附属泉州第一医院康复医学科,福建泉州362000)

机构地区：[1]Department of Public Health and Medical Technology,Xiamen Medical College,Xiamen 361023,China [2]Department of Rehabilitative Medicine,Quanzhou First Hospital Affiliated to Fujian Medical University,Quanzhou 362000,Fujian Province,China

出　　处：《World Journal of Acupuncture-Moxibustion》2020年第1期69-73,共5页世界针灸杂志（英文版）

摘　　要：Objective:To explore the therapeutic effect of acupoint catgut embedding combined with gingerseparated moxibustion for sequelae of peripheral facial paralysis and whether surface electromyography(sEMG)can be an outcome to evaluate the effect of this disease.Methods:Thirty-five patients with sequelae of peripheral facial paralysis were treated with catgut embedding at the acupoints selected according to their individual symptoms and traditional Chinese medicine(TCM)differentiated syndromes.At the same time,the ginger-separated moxibustion was applied at Yifeng(翳风TE17)and Qianzheng(牵正EX-HN16)of the affected side.The catgut embedding was applied once every 15 days,one time of treatment is of one course,and a total of three courses were given.The moxibustion would be taken after 5 days of catgut embedding each time,once every other day,5 times as one course,a total of 3 courses are given.After treatment,the recovery of facial nerve functions was evaluated by House-Brackmann(H-B)facial nerve function evaluation grading system.Before and after treatment,the surface electromyography(sEMG)was used to detect the root-mean-square(RMS)of frontal muscles,cheek muscles,and orbicularis oris muscles to compare the RMS ratio of these muscles of affected side and healthy side.Results:After 3 courses of treatment,9 cases were cured,22 cases were effective,and 4 cases were ineffective.The total effective rate was 88.6%(31/35).After treatment,the RMS of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side were 31.56±4.25,34.13±4.28,and 7.46±1.53 respectively,significantly increased in comparing with 11.69±2.45,12.98±3.34,and 2.62±1.41 respectively before treatment(all P<0.05).After treatment,the RMS ratios of frontal muscles,cheek muscles,and orbicularis oris muscles of the affected side and healthy side were 0.73±0.09,0.71±0.11,and 0.68±0.08 respectively,greatly increased in comparing with 0.28±0.10,0.27±0.08,and 0.22±0.09 respectively before treatment(all P<0.05).Conclusion:Acupoint c

关 键 词：SEQUELAE Peripheral facial PARALYSIS Acupoint CATGUT embedding Ginger-separated MOXIBUSTION Surface electromyography(sEMG) 

分 类 号：R246.6[医药卫生—针灸推拿学]