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| Effect of Dispelling Pathogenic Factors and Purging Solid Needling on Facial Muscle Recovery in Patients with Facial Neuritis |
| XU Liwei, WU Songbai, WANG Yue, et al |
| The Affiliated Hospital of Chengde Medical University, Hebei Chengee 067000, China |
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Abstract Objective: To analyze the clinical effect of dispelling pathogenic factors and purging solid needling on the recovery of facial muscle function in patients with facial neuritis. Methods: Seventy patients with facial neuritis admitted to our hospital from May 2019 to November 2021 were selected and divided by random number table method into 35 cases in the treatment group, which were treated with the dispelling pathogenic factors and purging solid needling, and 35 cases in the conventional group, which were treated with conventional traditional acupuncture. The clinical efficacy of the two groups was evaluated and compared by analyzing the H-B facial nerve function classification before and after treatment, and the changes in the Chinese medicine symptom and sign score, facial muscle strength and electromyography before and after treatment in the two groups were evaluated. Results: After treatment, the TCM symptom and sign scores (angle of mouth deviation, nasolabial fold depth, shrugging nose, cheek puffing and air leakage, food residue) decreased in both groups compared with the pre-treatment scores in the two groups ( P<0.05), while the decrease in the above scores in the treatment group was greater than that in the conventional group ( P<0.05); the facial muscle strength increased in both groups after treatment compared with the pre-treatment scores in the two groups ( P<0.05), while the increase in the treatment group was greater than that in the conventional group ( P<0.05); the latency of motor nerve conduction in the orbicularis oris and nasal muscles was reduced in both groups after treatment compared with that before treatment in the two groups ( P< 0.05), while the reduction in the treatment group was greater than that in the conventional group (P<0.05); the wave amplitude of nerve conduction in the orbicularis oris and nasal muscles was prolonged in both groups after treatment compared with that before treatment in the two groups ( P< 0.05), while the prolongation in the treatment group was greater than that in the conventional group (P<0.05). Conclusion: Dispelling pathogenic factors and purging solid needling method is more conducive to the improvement of facial muscle strength in patients with facial neuritis and promote functional recovery.
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[1] 张萍,刘云霞.面部浅刺配合腹针治疗急性期面神经炎的效果观察[J].针灸临床杂志,2018,34(3):40-43.
[2] 杨谦,陈楠.颊针结合牵正穴放血治疗顽固性面瘫临床研究[J].针灸临床杂志,2021,37(11):32-35.
[3] 贾建平,陈生弟.神经病学[M].北京:人民卫生出版社,2018.389-390.
[4] 赵吉平,李瑛.针灸学[M].北京:人民卫生出版社,2021.219-220.
[5] 陆苇,刘芳.加味正容汤联合针灸治疗面瘫病30例疗效观察[J].基层医学论,2020,24(1):106-108.
[6] 崔慧先,李瑞锡.局部解剖学[M].北京:人民卫生出版社,2018.12-14.
[7] 马坤琴,张伟,李佩芳.基于经筋理论针刺结合水针疗法治疗顽固性面瘫的临床疗效研究[J].针灸临床杂志,2019,35(11):21-25.
[8] 陆丽芸,夏雪龙,张蕾.瞬目反射联合面神经传导在早期特发性面神经炎中的应用[J].中国医药科学,2020,10(22):13-16.
[9] 季杰,王建,王艳威.温通针法治疗风寒阻络型贝尔麻痹急性期临床观察[J].河北中医,2017,39(5):757-759.
[10] 赵钧,刘川,吴爽,等.基于无创性功能磁共振量化分析口轮匝肌四针八穴透刺法治疗面神经麻痹的临床研究[J].实用中医内科杂志,2020,34(1):55-58.
[11] 王丽萍.调神通络法结合缪刺治疗周围性面瘫的临床研究[D].天津:天津中医药大学,2020.
[12] 陈崔.针刺联合面肌手法康复训练对周围性面神经麻痹患者牵正治疗作用研究[J].辽宁中医杂志,2019,46(8):1730-1733.
[13] 曹榕娟,邱晓虎,谢晓焜.特殊透刺治疗顽固性周围性面瘫疗效观察[J].中国针灸,2018,38(3):269-272.
[14] 何晓玲,杨一玲,彭伟钦,等.刘健华运用电针傍刺四白穴治疗外伤性面瘫验案[J].中医药导报,2020,26(2):140-141. |
| [1] |
. [J]. 河北医学, 2017, 23(5): 820-822. |
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2023, Vol. 29 
