Clinical observation of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis due to wind-cold

温针灸配合闪罐治疗恢复期风寒型周围性面瘫临床观察（英文）

Objective： To observe the clinical efficacy of warm needling moxibustion plus flash cupping for remission-stage peripheral facial paralysis （FP） due to wind-cold. Methods： Fifty eligible patients were randomized into a warm needling moxibustion group and an acupuncture-cupping group, 25 cases in each group. The warm needling moxibustion group was intervened by acupuncture at Fengchi （GB 20）, Yangbai （GB 14） towards Yuyao （EX-HN 4）, Xiaguan （ST 7）, Dicang （ST 4） towards Jiache （ST 6）, Quanliao （SI 18）, and Hegu （LI 4）, plus warm needling moxibustion at Quanliao （SI 18）; the acupuncture-cupping group received flash cupping on the affected side in addition to the intervention given to the warm needling moxibustion group. The two groups were both treated once a day, 10 times as a treatment course, for 3 courses in total. The House-Brackmann （H-B） facial nerve grading system was observed before and after the intervention to evaluate the facial nerve function in the two groups, and the therapeutic efficacies were also compared between the two groups. Results： The two treatment protocols both can promote the recovery of facial nerve function. The total effective rate was 92.0% in the acupuncture-cupping group versus 72.0% in the warm needling moxibustion group, and the between-group difference was statistically significant （P〈O.05）. Conclusion： Warm needling moxibustion plus flash cupping can produce a more significant efficacy than dry warm needling moxibustion in treating remission-stage peripheral FP due to wind-cold.

目的:观察温针灸配合闪罐疗法治疗恢复期风寒型周围性面瘫的临床疗效。方法:符合纳入标准的患者50例,随机分为温针组和针罐组,每组25例。温针组予以针刺风池、阳白透鱼腰、下关、地仓透颊车、颧髎、合谷治疗,其中颧髎用温针灸;针罐组在接受与温针组相同治疗的同时配合患侧闪罐治疗。两组均每天治疗1次,10次为1个疗程,共3个疗程。应用House-Brackmann(H-B)面神经功能评价分级系统分别在治疗前后对两组患者面神经功能进行评分,并比较两组疗效。结果:两种治疗方案均能促进面神经功能恢复,针罐组总有效率为92.0%,温针组总有效率为72.0%,两组总有效率有统计学差异(P<0.05)。结论:温针灸结合闪罐疗法治疗恢复期风寒型周围性面瘫患者的临床疗效优于常规温针灸。