电针联合温针治疗周围性面瘫急性期风寒外袭证临床观察  

Clinical observation of electroacupuncture combined with warm acupuncture on patients with acute peripheral facial paralysis with wind-cold attack syndrome

作　　者：杨淑宏[1] 吴玉敏[1] 张晨迪 石欢 YANG Shuhong;WU Yumin;ZHANG Chendi;SHI Huan(Department of Acupuncture and Moxibustion,Guang'anmen HospitalSouth District,China Academy of Chinese Medical Sciences,Beijing 102600)

机构地区：[1]中国中医科学院广安门医院南区针灸科,北京102600

出　　处：《河北中医》2023年第5期831-834,838,共5页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的观察电针联合温针治疗急性期周围性面瘫风寒外袭证患者的临床疗效。方法将76例急性期周围性面瘫风寒外袭证患者按照随机数字表法分为2组,2组均予抗病毒、糖皮质激素、营养神经等基础治疗,对照组38例予电针治疗,治疗组38例予电针联合温针治疗。治疗3周后,比较2组临床疗效、治疗前后血清炎症因子[白细胞介素1β(IL-1β)、IL-6、肿瘤坏死因子α(TNF-α)]、患侧温度变化。结果治疗组退出1例,对照组退出2例。治疗组总有效率97.30%(36/37),对照组总有效率83.33%(30/36),治疗组疗效优于对照组(P<0.05)。2组治疗后血清IL-1β、IL-6、TNF-α水平均较本组治疗前降低(P<0.05),且治疗组治疗后均低于对照组(P<0.05)。2组治疗后患侧耳周区、前额区、颧区、口角区、全区温度均较本组治疗前升高(P<0.05),且治疗组治疗后均高于对照组(P<0.05)。结论电针联合温针治疗有助于提高急性期周围性面瘫风寒外袭证患者临床疗效,可能与拮抗炎症反应、调节患区面部温度变化等因素有关。Objective To observe the clinical efficacy of electroacupuncture combined with warm acupuncture in the treatment of acute peripheral facial paralysis with wind-cold attack syndrome.Methods A total of 76 patients with acute peripheral facial paralysis(wind-cold attack syndrome)were randomized 1∶1 to receive electroacupuncture+routine treatments(control group,2 case later withdrew)or electroacupuncture+warm acupuncture+routine treatments(treatment group,1 case later withdrew)for 3 weeks.The clinical efficacy,serum inflammatory factors including interleukin-1β(IL-1β),interleukin 6(IL-6),tumor necrosis factor-α(TNF-α),and temperature changes of the affected side were compared between groups.Results After treatment,the total effective rate in the treatment group was better than the control group(97.30%[36/37]vs 83.33%[30/36],P<0.05).The levels of serum IL-1β,IL-6 and TNF-αin the two groups were decreased when compared with those before treatment(P<0.05),and which in the treatment group were lower than in the control group(P<0.05).the temperature of the affected ear area,forehead area,zygomatic area,mouth corner area and the whole area in the two groups was higher than that before treatment(P<0.05),and which in the treatment group was higher than that in the control group(P<0.05).Conclusion For patients with acute peripheral facial paralysis(wind-cold external syndrome),Electroacupuncture combined with warm acupuncture is helpful to improve the clinical efficacy,which may be related to antagonizing inflammatory response and the face of the affected area.

关 键 词：急性期周围性面瘫 风寒外袭证 电针 温针 

分 类 号：R246.6[医药卫生—针灸推拿学]