管灸联合常规针刺治疗急性面神经炎临床研究

Clinical Study on Treating Acute Facial Neuritis with Tube Moxibustion Therapy Combined with Routine Acupuncture Treatment

目的观察管灸联合常规针刺治疗急性面神经炎的临床疗效。方法采用随机数字表法将100例急性面神经炎患者随机分为观察组和对照组各50例。2组均常规针刺患侧翳风、地仓、颊车、下关、迎香、太阳、攒竹及健侧合谷。观察组在常规针刺后,将电热管灸器插入患侧外耳道内1 cm,艾绒燃尽为度,每次20 min。对照组在常规针刺同时,予TDP照射患侧耳周,每次20 min。均每日1次,5次为1个疗程,疗程间隔2 d,连续治疗4个疗程。观察2组House-Brakmann面神经功能分级、健患侧面部及耳后温差及耳后疼痛持续时间,评价临床疗效。结果观察组、对照组分别脱落1、2例。观察组总有效率为91.67%(44/48),对照组为75.51%(37/49),2组比较差异有统计学意义(P<0.05)。与本组治疗前比较,2组治疗后House-Brakmann面神经功能分级明显改善(P<0.05),观察组治疗后House-Brakmann面神经功能优于对照组(P<0.05)。与本组治疗前比较,2组治疗后健患侧面部及耳周温差缩小(P<0.05);观察组治疗后健患侧面部及耳周温差缩小程度优于对照组(P<0.05)。观察组治疗后耳后疼痛持续时间短于对照组(P<0.01)。结论管灸联合常规针刺可改善急性面神经炎急性期症状,提高临床疗效。

Objective To observe clinical efficacy of treating acute facial neuritis with routine acupuncture treatment and tube moxibustion therapy. Methods Totally 100 cases were divided into observation group （50 cases） and control group （50 cases） with random number table method. Both groups were treated with acupuncture on accupoints of Yifeng （SJ17）, Dicang （ST4）, Jiache （ST6）, Xiaguan （ST7）, Yingxiang （LI20）, Taiyang （EX-HN5）, Cuanzhu （BL2） of affected side, Hegu （LI4） of unaffected side. On the basis of routine treatment, observation group was given electronic tube moxibustion therapy, inserting the ipsilateral external auditory canal about 1 cm and waiting for burning out, 20 min each time. Control group received TDP to irradiate ipsilateral ear, 20 min each time. Treatment for both groups were once a day, 5 times as a treatment course, 2 d between each course, for 4 courses. House-Brakmann facial nerve functional index, temperature differences on face and retroauricular skin and ear pain duration were observed. Clinical efficacy was evaluated. Results One and two cases were lost in observation group and control group, respectively. The total effective rate of clinical efficacy was 91.67% （44/48） in the observation group and 75.51% （37/49） in the control group, with statistical significance （P〈0.05）. Compared with before treatment, House-Brakmann facial nerve functional index in both groups improved （P〈0.05）, and the observation group was better than the control group （P〈0.05）. Compared with before treatment, temperature differences on face and retroauricular skin in both groups decreased, and the observation group was better than the control group （P〈0.01）. The ear pain duration in the observation group was shorter than the control group （P〈0.05）. Conclusion Tube moxibustion therapy combined with routine acupuncture can improve the symptoms of acute facial neuritis and promote clinical efficacy.