[1]潘素勤,洪锋,宋丁燕,等.面部运动疗法联合浅针法对周围性面瘫急性期患者的影响[J].西部中医药,2025,38(09):156-159.[doi:10.12174/j.issn.2096-9600.2025.09.31]
　PAN Suqin,HONG Feng,SONG Dingyan,et al.Influence of Facial Exercise Therapy Joined with Shallow Acupuncture on Patients with Acute Peripheral Facial Paralysis[J].Western Journal of Traditional Chinese Medicine,2025,38(09):156-159.[doi:10.12174/j.issn.2096-9600.2025.09.31]
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面部运动疗法联合浅针法对周围性面瘫急性期患者的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年09期
页码:
156-159
栏目:
特色医疗
出版日期:
2025-09-15

文章信息/Info

Title:
Influence of Facial Exercise Therapy Joined with Shallow Acupuncture on Patients with Acute Peripheral Facial Paralysis
作者:
潘素勤, 洪锋, 宋丁燕, 蒋昭雨, 王萍, 张伟丽, 华先进
亳州市人民医院，安徽 亳州 236800
Author(s):
PAN Suqin, HONG Feng, SONG Dingyan, JIANG Zhaoyu, WANG Ping, ZHANG Weili, HUA Xianjin
Bozhou People’s Hospital, Bozhou 236800, China
关键词:
周围性面瘫; 面动脉血流动力学; 面肌功能; 浅针法; 面部运动疗法
Keywords:
peripheral facial paralysis; facial artery hemodynamics; facial muscle function; shallow acupuncture; facial exercise therapy
分类号:
R277.7
DOI:
10.12174/j.issn.2096-9600.2025.09.31
文献标志码:
B
摘要:
目的研究面部运动疗法联合浅针法对周围性面瘫急性期患者的影响。 方法将80例周围性面瘫急性期患者按随机数字表法分为对照组和治疗组，每组40例。所有患者均进行面部运动疗法治疗，治疗组在此基础上联合浅针法治疗。观察两组患者总有效率、阻力指数（resistance index，RI）、收缩期峰值血流速度（peak systolic velocity，PSV）、面部残疾指数（facial disability index，FDI）评分、患健侧均方根（root mean square，RMS）比值、免疫球蛋白M（immunoglobulin M，IgM）、IgA、IgG及不良反应。 结果治疗组总有效率为90.0%（36/40），高于对照组的72.5%（29/40）（P＜0.05）。干预后两组患者RI、FDI评分中的社会功能（Social Facial Disability Index，FDIS）、IgM、IgA、IgG均低于干预前，PSV、躯体功能（physical facial disability index，FDIP）、患健侧RMS比值均高于干预前（均P＜0.05）；治疗组RI、IgM、IgA、IgG低于对照组（P＜0.05），PVS及患健侧RMS比值高于对照组（P＜0.05），FDIS低于对照组且FDIP高于对照组（P＜0.05）。治疗组不良反应发生率为7.5%（3/40），对照组为15.0%（6/40），两组比较差异无统计学意义（P＞0.05）。 结论面部运动疗法联合浅针法可有效改善周围性面瘫急性期患者面动脉血流动力学，增强患者面肌功能，调节患者免疫功能，不良反应与运动疗法相当，安全性高。
Abstract:
ObjectiveTo study the impacts of facial exercise therapy combined with shallow acupuncture on the patients with acute peripheral facial paralysis. MethodsEighty patients were allocated to the control group and the treatment group according to random number table method with 40 cases in each group. All the patients were treated with facial exercise therapy, and the treatment group received shallow acupuncture on this basis. To observe total effective rate, RI, PSV, FDI scores, RMS ratio, IgM, IgA and IgG, as well as adverse reaction between the two groups. ResultsTotal effective rate of the treatment group was 90.0% (36/40), higher than 72.5% (29/40) of the control group (P<0.05). After the intervention, RI, FDIS, the levels of IgM, IgA and IgG of the two groups were lower than these before the intervention, PSV, FDIP and RMS ratio of the sick side and healthy side were higher than these before the intervention (all P<0.05); RI, the levels of IgM, IgA and IgG of the treatment group were lower than these of the control group (P<0.05), PSV and RMS ratio of the sick side and healthy side were higher than these of the control group (P<0.05), FDIS in FDI scores were lower compared to the control group, and FDIP was higher than that of the control group (P<0.05). The incidence of adverse reaction of the treatment group was 7.5%(3/40), lower than 15.0% (6/40) of the control group, the difference had no statistical meaning between both groups (P>0.05). ConclusionFacial exercise therapy and shallow acupuncture could effectively improve facial artery hemodynamics in patients with acute peripheral facial paralysis, enhance the patients’ facial muscle function, adjust their immunologic function with high safety, and its adverse reactions are comparable to exercise therapy.

相似文献/References:

[1]靳爽,郑健刚△.论周围性面瘫治疗中的远道取穴[J].西部中医药,2014,27(02):56.
　JIN Shuang,ZHENG Jiangang.Selection of Distant Acupoints in the Treatment for Peripheral Facial Paralysis[J].Western Journal of Traditional Chinese Medicine,2014,27(09):56.
[2]吴玉姣,王新云.血压对针刺治疗周围性面瘫临床疗效的影响[J].西部中医药,2014,27(10):131.
[3]赖乾,智方圆,袁振洁.单纯针刺与药物治疗周围性面瘫疗效的系统评价[J].西部中医药,2015,28(07):59.

备注/Memo

备注/Memo:
潘素勤（1984—），女，主治医师。研究方向：针灸的临床应用。Email：272177781@qq.com。安徽省中医药传承创新科研项目（中医药科研课题）（2020zcyb06）。
更新日期/Last Update: 2025-09-15