麦粒灸配合透刺疗法对风寒证周围性面瘫患者面神经功能的影响

Effect of wheat moxibustion combined with thorough-piercing therapy on facial nerve function in patients with peripheral facial paralysis of wind-cold syndrome

目的观察麦粒灸配合透刺疗法治疗风寒证周围性面瘫的临床疗效。方法依据随机数字表将2022年10月至2024年2月赣州市人民医院收治的80例周围性面瘫患者分为两组,各40例。两组患者均给予基础治疗,对照组实施普通针刺,研究组实施麦粒灸配合透刺疗法治疗,7 d为1个疗程,连续治疗4个疗程。比较两组临床疗效、面部神经功能[House-Brackmann(H-B)面神经功能分级、Sunnybrook面神经评定表评分]、血清超敏C反应蛋白(hs-CRP)水平。结果治疗后与对照组比较,研究组H-B面神经功能分级更优(P<0.05);治疗后,两组Sunnybrook面神经评分提高,且研究组更高(P<0.05);治疗1周、2周后两组血清hs-CRP水平较治疗前低,且研究组低于对照组(P<0.05);研究组总有效率95.00%较对照组80.00%高(P<0.05)。结论麦粒灸配合透刺疗法治疗,可降低风寒证周围性面瘫患者hs-CRP水平,促进面部神经功能的恢复,改善面瘫状况,疗效较佳。

Objective To observe the clinical effect of wheat moxibustion combined with thorough-piercing therapy on peripheral facial paralysis of wind-cold syndrome.Methods According to the random number table,80 patients with peripheral facial paralysis admitted to Ganzhou People's Hospital from October 2022 to February 2024 were divided into two groups,with 40 cases each.The patients in both groups were given basic treatment,the control group was treated with ordinary acupuncture,and the study group was treated with wheat moxibustion combined with thorough-piercing therapy.7 days was a course of treatment for 4 consecutive courses.The clinical efficacy,facial nerve function(House-Brackmann[H-B]facial nerve function grade,Sunnybrook facial nerve rating scale score)and serum level of hypersensitive C-reactive protein(hs-CRP)were compared between the two groups.Results After treatment,H-B facial nerve function of the study group was better than that of the control group(P<0.05).After treatment,Sunnybrook facial nerve score was increased in two groups,and higher in study group(P<0.05).The serum hs-CRP level after 1 week and 2 weeks of treatment was lower than that before treatment,and the study group was lower than the control group(P<0.05).The total effective rate of the study group was 95.00%,higher than that of the control group 80.00%(P<0.05).Conclusion Wheat moxibustion combined with thorough-piercing therapy can reduce the hs-CRP level of patients with peripheral facial paralysis of wind-cold syndrome,promote the recovery of facial nerve function,improve the condition of facial paralysis,and the curative effect is better.