揿针联合雷火灸治疗急性期周围性面瘫伴耳周疼痛的疗效观察  

Effect Observation on Subcutaneous embedding of Thumb-tack Needle Combined with Thunder Fire Moxibustion in the Treatment of Acute Facial Paralysis with Periauricular Pain

作　　者：施琪[1] 滕德凤[1] 覃桂水 赵杰 张青青 杨悦[1] Shi Qi;Teng Defeng;Qin Guishui;Zhao Jie;Zhang Qingqing;Yang Yue(Jiangsu Province Hospital of Chinese Medicine,Jiangsu,Nanjing 210029,China.)

机构地区：[1]江苏省中医院,江苏南京210029

出　　处：《中国中医急症》2022年第1期119-122,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：江苏省中医院院级创新发展基金专项课题(Y2018CX47)。

摘　　要：目的观察揿针联合雷火灸治疗急性期周围性面瘫伴耳周疼痛患者的效果并探讨其作用机制。方法68例患者随机分为常规组、观察组两组各34例。常规组予以甲钴胺、更昔洛韦、普瑞巴林等基础治疗,观察组在常规治疗基础上采用揿针联合雷火灸治疗。连续治疗2周后,观察比较两组患者耳周疼痛评分(NRS)、面神经功能(H-B)和面部残疾指数(FDI)改善效果。结果两组治疗前NRS、FDIP、FDIS评分比较,差别均不大(均P>0.05)。两组经干预后NRS、FDIP、FDIS评分均优于治疗前,且观察组优于常规组(均P<0.05)。两组治疗前H-B分级分布比较,差别不大(P>0.05)。两组经干预后H-B分级分布优于治疗前,且观察组优于常规组(均P<0.05)。结论揿针埋针联合雷火灸可减轻急性期周围性面瘫患者的耳周疼痛程度,促进面神经功能恢复,改善其社会心理功能。Objective:To explore the effect of subcutaneous embedding of thumb-tack needle combined with thunder fire moxibustion in the treatment of acute peripheral facial paralysis with periauricular pain.Methods:A total of 68 patients were randomly divided into two groups,34 cases in each group.The routine group received routine interventions such as mecobalamin,ganciclovir and pregabalin;the observation group was treated with subcutaneous embedding of thumb-tack needle combined with thunder fire moxibustion on the basis of routine treatment.After continuous treatment for 2 weeks,the improvement effects of periauricular pain score(Numerical Rating Scale,NRS),facial nerve function(H-B)and facial disability index(FDI)were observed and compared between the two groups.Results:The NRS,FDIP,and FDIS scores before treatment between the two groups showed little difference(all P>0.05).After treatment,the NRS,FDIP,and FDIS scores of the two groups were better than those before treatment,and the observation group was better than the routine group(all P<0.05).There was little difference in H-B grading distribution between the two groups before treatment(P>0.05).The H-B classification distribution of the two groups after intervention was better than that before treatment,and the observation group was better than the routine group(all P<0.05).Conclusion:Subcutaneous embedding of thumb-tack needle combined with thunder fire moxibustion can reduce the degree of periauricular pain in patients with acute peripheral facial paralysis,promote the recovery of facial nerve function and improve their social and psychological function.

关 键 词：周围性面瘫 耳周疼痛 揿针 雷火灸 

分 类 号：R745.12[医药卫生—神经病学与精神病学]