攒竹、鱼腰透刺配合申脉直刺对面神经炎患者眼轮匝肌的影响

徐立伟; 权兴苗; 宋春侠; 刘玉兰; 徐鸿雁

doi:10.13702/j.1000-0607.190894

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攒竹、鱼腰透刺配合申脉直刺对面神经炎患者眼轮匝肌的影响

临床研究 | 更新时间：2023-08-11

- 攒竹、鱼腰透刺配合申脉直刺对面神经炎患者眼轮匝肌的影响
- Influence on orbicularis oculi muscle in the patients with facial neuritis treated with the penetra-ting needling at Cuanzhu (BL2) and Yuyao (EX-HN4) combined with the perpendicular needling at Shenmai (BL62)
- 针刺研究 2020年45卷第9期页码：735-739
- 作者机构：
  
  承德医学院附属医院中医科
- 作者简介：
- 基金信息：
  
  承德市科学技术研究与发展计划项目(No.201801A033)
- DOI：10.13702/j.1000-0607.190894
  中图分类号：
- 纸质出版日期：2020
- 稿件说明：
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徐立伟, 权兴苗, 宋春侠, 等. 攒竹、鱼腰透刺配合申脉直刺对面神经炎患者眼轮匝肌的影响[J]. 针刺研究, 2020,45(9):735-739.

XU Li-wei, QUAN Xing-miao, SONG Chun-xia, et al. Influence on orbicularis oculi muscle in the patients with facial neuritis treated with the penetra-ting needling at Cuanzhu (BL2) and Yuyao (EX-HN4) combined with the perpendicular needling at Shenmai (BL62)[J]. Acupuncture research, 2020, 45(9): 735-739.
徐立伟, 权兴苗, 宋春侠, 等. 攒竹、鱼腰透刺配合申脉直刺对面神经炎患者眼轮匝肌的影响[J]. 针刺研究, 2020,45(9):735-739. DOI： 10.13702/j.1000-0607.190894.

XU Li-wei, QUAN Xing-miao, SONG Chun-xia, et al. Influence on orbicularis oculi muscle in the patients with facial neuritis treated with the penetra-ting needling at Cuanzhu (BL2) and Yuyao (EX-HN4) combined with the perpendicular needling at Shenmai (BL62)[J]. Acupuncture research, 2020, 45(9): 735-739. DOI： 10.13702/j.1000-0607.190894.

摘要

目的:探讨攒竹、鱼腰透刺配合申脉直刺对面神经炎患者眼睑闭合不全的疗效。方法:将64例符合纳入标准的面神经炎患者随机分为治疗组、对照组

每组32例。治疗组患侧攒竹、鱼腰透刺

配合双侧申脉直刺

患侧阳白四透

地仓、颊车透刺

迎香与下关之间排刺

翳风、健侧合谷直刺

每次留针10～30 min

每日1次

10 d为1个疗程

共治疗2个疗程;对照组给予醋酸泼尼松30 mg/d

连用5 d减至10 mg/d

再连续服用1周后停用

肌肉注射维生素B_(12) 0.5 mg、维生素B_1 0.1 g

1次/d

10 d后改为口服维生素B_1 10 mg/次

3次/d

共10 d。记录治疗前后House-Brackmann(H-B)面神经功能分级、上下眼睑距离、手法肌力分级、眼睑闭合程度、肌电图来分析比较两组临床疗效。结果:治疗组总有效率96.9%(31/32)

优于对照组的84.4%(27/32

P<0.05)。治疗后

治疗组上下眼睑距离、眼睑闭合程度评分、运动神经传导潜伏期、患侧瞬目反射潜伏期均显著低于治疗前(P<0.01)

手法肌力分级、运动神经传导波幅较治疗前均升高(P<0.05);对照组上下眼睑距离、眼睑闭合程度评分、运动神经传导潜伏期、患侧瞬目反射潜伏期均显著低于治疗前(P<0.01)

手法肌力分级较治疗前改善(P<0.05);治疗后

治疗组上下眼睑距离、眼睑闭合程度评分、运动神经传导潜伏期、患侧瞬目反射潜伏期均低于对照组(P<0.05

P<0.01)

手法肌力分级、运动神经传导波幅均高于对照组(P<0.05)。结论:攒竹、鱼腰透刺

配合申脉直刺能够更好地促进面神经炎患者眼轮匝肌的恢复

减少并发症的出现

具有很好的临床疗效。

Abstract

Objective To explore the therapeutic effect on incomplete eyelid in the patients with facial neuritis treated with the penetrating needling at Cuanzhu(BL2) and Yuyao(EX-HN4) combined with the perpendicular needling at Shenmai(BL62). Methods A total of 64 patients with facial neuritis

in compliance with the inclusion criteria

were randomized into a treatment group and a control group

with 32 cases in each. In the treatment group

the penetrating needling was applied to BL2 and EX-HN4 on the affected side

combined with the perpendicular needling at bilateral BL62. Besides

on the affected side

the penetrating needling was applied from Yangbai(GB14) toward four directions

named Shangxing(GV23)

Touwei(ST8)

Cuanzu(BL2) and Sizukong(TE23)

the mutual penetrating needling was adopted between Dicang(ST4) and Jiache(ST6). Between Yingxiang(LI20) and Xiaguan(ST7)

a row-arranged needling technique was applied. All of the needles were retained for 10 to 30 min in each treatment. The treatment was given once daily and the treatment for 10 days was as 1 course. A total of 2 courses of treatment were required. In the control group

prednisone acetate(30 mg/d)

was administered consecutively for 5 days. Afterward

the dose was reduced to be 10 mg/d and the medication stopped after taking consecutively for 1 week. Muscular injection with vitamin B_(12)(0.5 mg) and B_1(0.1 mg) was given

once daily. 10 days later

vitamin B_1 was taken for oral administration

10 mg each time

three times a day

for 10 days totally. Before and after the treatment

the clinical effect was compared between the two groups in terms of the analysis on the Hourse-Brackman(H-B) grade of facial nerve function

the distance between the upper and the lower eyelids

muscle strength

degree of eyelid closure and electromyogram(EMG). Results The total effective rate of treatment group was 96.9 %(31/32)

better than 84.4%(27/32) in the control group(P<0.05). After treatment

in the treatment group

the distance between the upper and lower eyelids

the muscle strength

the degree of eyelid closure

the wave amplitude of motor nerve conduction and the latent period

as well as the blink reflex were all improved as compared with those before the treatment(P<0.01

P<0.05). In the control group

the distance between the upper and lower eyelids

the muscle strength

the degree of eyelid closure

the latent period of motor nerve conduction and the blink reflex were all improved as compared with those before the treatment(P<0.01

P<0.05). After the treatment

the results of the distance between the upper and lower eyelids

the muscle strength

the degree of eyelid closure

the wave amplitude of motor nerve conduction and the latent period

as well as the blink reflex in the treatment group were all better than those in the control group(P<0.05

P<0.01). Conclusion The treatment with the penetrating needling at Cuanzhu(BL2) and Yuyao(EX-HN4) combined with the perpendicular needling at Shenmai(BL62) greatly promotes the recovery of orbicularis oculi muscle in the patients with facial neuritis

reduces the complications and presents the satisfactory clinical effect.

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