筋膜、经筋理论指导的面部针刺配合平衡针治疗急性期周围性面瘫的临床疗效分析  

The Disscussion of the Clinnical Therapeutic Effect Observation of Facial Acupuncture Guided by Fascia and Meridian Sinew Combined with Balanced Acupuncture in the Treatment of Acute Peripheral Facial Paralysis

作　　者：栾莎[1] 马振贤 吕豪 胡艺潇 王祖红[1] 胡芮 李绍荣[1] LUAN Sha;MA Zhenxian;LV Hao;HU Yixiao;WANG Zuhong;HU Rui;LI Shaorong(Kunming Municipal Hosptial of Traditional Chinese Medicine,Kunming 650500,China;The First People's Hospital of Kunming,Kunming 650100,China;Qujing Maternal and Child Health-care Hospital,Qujing 655000,China)

机构地区：[1]昆明市中医医院,云南昆明650500 [2]昆明市第一人民医院,云南昆明650100 [3]曲靖市妇幼保健院,云南曲靖655000

出　　处：《云南中医药大学学报》2024年第4期36-40,共5页Journal of Yunnan University of Chinese Medicine

基　　金：云南省科技厅中医联合专项-面上项目(202101AZ070001-097)。

摘　　要：目的通过临床观察探讨筋膜、经筋理论指导的面部针刺配合平衡针治疗急性期周围性面瘫的临床疗效。方法将72例急性期周围性面瘫患者随机分为观察组及对照组,每组36例,对照组采用普通针刺治疗,观察组采用面部针刺配合平衡针治疗2周。治疗后评价两组临床疗效,对比前后两组面神经功能及面神经麻痹症状评分。结果观察组总有效率75.00%,高于对照组47.22%(P<0.05)。观察组House Brackmann面神经功能分级降低情况优于对照组。结论筋膜、经筋理论指导的面部针刺配合平衡针治疗,可有效改善急性期周围性面瘫患者面神经功能,减轻面部肌肉损伤,有效改善其症状体征,有助于进一步提升临床治疗效果、缩短疗程。Objective By clinical observation,the clinical efficacy of facial acupuncture guided by fascia and meridian sinew combined with balanced acupuncture in the treatment of acute peripheral facial paralysis was discussed.Methods Patients with peripheral facial paralysis were randomly divided into observation group and control group.There were 36 cases in each group,and the control group was treated with ordinary acupuncture.However,the observation group was treated with balanced acupuncture combined with facial acupuncture for 2 weeks after treatment.The clinical efficacy of the two groups was evaluated,comparing the scores of facial nerve function and facial nerve paralysis symptoms between the two groups.Results The results showed that the total effective rate of the observation group was 75.00%higher than that of the control group 47.22%(P<0.05).Conclusion The balance needle combined with the facial needle guided by fascia and meridian theory can effectively improve the facial nerve function of patients with acute peripheral facial paralysis and reduce facial muscle injury and facial muscle injury and effectively improve its symptoms and signs.It is helpful for further improving the clinical therapeutic effect and shortening the course of treatment.

关 键 词：周围性面瘫 平衡针 筋膜 经筋 针刺治疗 

分 类 号：R246.6[医药卫生—针灸推拿学]