|
|
Research progress of acupuncture in the treatment of idiopathic facial palsy |
SUN Lu LI Xiaoying CHEN Jiangwei YANG Fan |
Department of Rehabilitation Medicine, State Key Laboratory of Military Stomatology National Clinical Research Center for Oral Diseases Third Affiliated Hospital of Air Force Military Medical University, Shaanxi Province, Xi’an 710032, China
|
|
|
Abstract Idiopathic facial paralysis (IFP) is a facial nerve dysfunction induces by acute non-specific inflammation. Studies have shown that acupuncture can promote the recovery of facial nerve functions, and alleviate complications by controlling inflammation and edema, improving circulation, regulating immunity, etc. Although some consensus has been reached on the IFP treatment by acupuncture, there are still disputes on the optimal intervention timing, the acupuncture manipulation, and acupoint selection. This paper summarizes recent studies and finds that early intervention should be followed in IFP acupuncture treatment. Acupoint selection should be combined with syndrome differentiation and meridians differentiation, local and distal, and emphasize the combination of disease stages to select acupoints, and adjust acupuncture techniques. Different acupuncture treatment methods and traditional Chinese medicine external treatment can be used in combination, complementary advantages, improve the effect.
|
|
|
|
|
[1] Eviston TJ,Croxson GR,Kennedy PG,et al. Bell’s palsy:aet- iology,clinical features and multidisciplinary care [J]. J Neurol Neurosurg Psychiatry,2015,86(12):1356-1361.
[2] ■ksüz CE,Kalayc?覦o■lu A,Uzun ■,et al. The Efficacy of Acupuncture in the Treatment of Bell’s Palsy Sequelae [J]. J Acupunct Meridian Stud,2019,12(4):122-130.
[3] Celik O,Ulkumen B,Eskiizmir G,et al. The ratio of facial nerve to facial canal as an indicator of entrapment in Bell’s palsy:A study by CT and MRI [J]. Clin Neurol Neurosurg,2020,198(11):106109.
[4] Zhang W,Xu L,Luo T,et al. The etiology of Bell’s palsy:a review [J]. J Neurol,2020,267(7):1896-1905.
[5] Terzi S,Dursun E,Yilmaz A,et al. Oxidative stress and antioxidant status in patients with Bell’s palsy [J]. J Med Bio- chem,2017,36(1):18-22.
[6] Kim SY,Min C,Choi J,et al. Air pollution by NO2 is associated with the risk of Bell’s palsy:A nested case-controlled study [J]. Sci Rep,2020,10(1):4221.
[7] 中国针灸学会.循证针灸临床实践指南-贝尔面瘫(修订版)[M].北京:中国中医药出版社,2018.
[8] 孟维媛.赵晓峰教授针灸分期综合疗法治疗贝尔面瘫经验总结及患者治疗时长的影响因素研究[D].天津:天津中医药大学,2021.
[9] 韩彬,张建平,夏耀林.面动脉血流信息与周围性面瘫的相关性研究[J].山西中医学院学报,2016,17(3):52- 53,55.
[10] Tang HZ,Feng SW,Chen J,et al. Effects of Electroacupuncture on Facial Nerve Function and HSV-1 DNA Quantity in HSV-1 Induced Facial Nerve Palsy Mice [J]. Evid Based Complement Alternat Med,2014,2014:693783.
[11] Gu LT,Han YC,Liu WW,et al. The expression of IL-2and IL-4 in CD4(+)T cells from mouse lymph nodesand spleen during HSV-1-induced facial palsy [J]. Inflamm Res,2014, 63(2):117-125.
[12] 刘立安,王照钦,付静静,等.电针对兔面神经损伤的超微结构影响[J].针刺研究,2017,42(5):423-428.
[13] 刘宁.辨证分型针刺治疗急性周围性面神经炎(风寒、风热)随机平行对照研究[J].实用中医内科杂志,2018, 32(8):62-65.
[14] Yu ZL,Shen MX,Shang WF,et al. Timing of Acupuncture Treatment in Peripheral Facial Paralysis:A Systematic Review and Meta-Analysis [J]. Comput Math Methods Med,2021,2021:4221955.
[15] 龚雪,郑啸天,王雨,等.针灸浅刺法治疗急性期特发性面神经麻痹的疗效及安全性评价[J].遵义医科大学学报,2020,43(6):764-778.
[16] 孟学茹,胡远樟,曹悦,等.基于数据挖掘针灸治疗面瘫用穴规律研究[J].时珍国医国药,2020,31(8):2029-2032.
[17] 蒲柳,林吉欢,陈伟豪,等.基于数据挖掘技术探讨针灸治疗周围性面瘫急性期的选穴规律[J].时珍国医国药,2019,30(9):2270-2273.
[18] 李宗伟,徐忞,吴磊.针刺辨证治疗周围性面瘫后遗症的临床诊疗思路[J].中华中医药杂志,2020,35(6):3191-3193.
[19] 高淑清,刘敏.中医分期分穴针刺法治疗周围性面瘫的临床疗效观察[J].四川中医,2017,35(9):155-158.
[20] Zhong WZ,Han C,Yi C,et al. Blood Perfusion Effect of Acupuncture on Acute Facial Paralysis Observed by Laser Speckle Technique [J]. J Acupunct Tuina Sci,2014,12(3):160.
[21] Zhou XC,Xiong J,Chi ZH,et al. Effectiveness and safety of acupuncture and moxibustion for peripheral facial paralysis:A protocol for an overview of systematic reviews and meta-analysis [J]. Medicine,2020,99(38):e22371.
[22] 周菊军.针灸联合中西药治疗周围性面瘫的临床观察[J].中国中医药科技,2022,29(4):700-701.
[23] 张峻峰,王健雄.针刺治疗急性期周围性面瘫随机对照研究[J].针灸临床杂志,2014,30(4):9-11.
[24] 高翔,臧亮,景蓉,等.针刺联合疏血通治疗激素禁用型贝尔麻痹临床疗效观察[J].四川中医,2017,35(4):167-169.
[25] 宋雪.揿针联合毫针半刺法治疗儿童周围性面瘫(风寒袭络证)的临床研究[D].哈尔滨:黑龙江中医药大学,2020.
[26] 付月箫,许新霞,谷灿立.新加汤配合针刺治疗老年周围性面瘫临床观察[J].中国中医急症,2014,23(6):1187-1188.
[27] Lee SM,Lee S,Park JH,et al. A close look at an integrative treatment package for Bell’s palsy in Korea [J]. Complement Ther Clin Pract,2017,26:76-83.
[28] G?觟k?觭e Kütük S,■zkan Y,Topuz MF,et al. The Efficacy of Electro-Acupuncture Added to Standard Therapy in the Management of Bell Palsy [J]. J Craniofac Surg,2020,31(7):1967-1970.
[29] 蒋学余,任祥,王宗迪,等.国医大师熊继柏面瘫经验方结合电针治疗急性期面瘫风痰阻络证的临床研究[J].湖南中医药大学学报,2021,41(4):546-551.
[30] 王兵,杨金洪,陈枫,等.不同中医疗法治疗周围性面瘫的疗效评价[J].中医杂志,2017,58(22):1929-1933.
[31] 向祥清,胡赵军,高兴亮.电针在不同时机介入治疗周围性面瘫疗效及安全性的Meta分析[J].湖北民族大学学报(医学版),2021,38(3):35-38.
[32] 陈凡,陈琼,张浩.电针疏密波辅助治疗周围性面瘫急性期临床观察[J].中国中医急症,2022,31(5):878-881.
[33] 殷夕冉,曾西,李和平,等.透刺电针联合刺络拔罐治疗顽固性周围性面瘫78例[J].中国针灸,2021,41(4):411-412.
[34] 任景,俞华,李俐依,等.火针结合药物治疗风寒型周围性面瘫恢复期患者的疗效及对面神经传导功能的影响[J].针灸临床杂志,2018,34(8):58-62.
[35] 陈辉,张峻峰,吴耀持.粗针平刺治疗顽固性面瘫疗效观察[J].上海针灸杂志,2012,31(11):814-815.
[36] 苏瑶,武家竹,苏荣,等.冀来喜教授针灸优势技术组合治疗周围性面瘫经验传承[J].中华针灸电子杂志,2020,9(2):56-58.
[37] Ton G,Lee LW,Tu CH,et al. Effects of laser acupuncture in a patient with a 12-year history of facial paralysis:A case report [J]. Complement Ther Med,2019,43:306-310.
[38] Ton G,Lee LW,Ng HP,et al. Efficacy of laser acupuncture for patients with chronic Bell’s palsy:A study protocol for a randomized,double-blind,sham-controlled pilot trial [J]. Medicine(Baltimore),2019,98(15):e15120.
[39] 王锦平,林伟泽,范钱英.激光针灸对婴幼儿周围性面神经麻痹的疗效探讨[J].基层医学论坛,2020,24(34):4986-4988.
[40] 刘海永,王然,金光明,等.针刺配合刺络拔罐治疗风热型周围性面瘫的效果[J].中国医药导报,2019,16(28):151-153,161.
[41] 王悦,房其军,王淑兰,等.针药结合加穴位注射对周围性面瘫近远期的疗效观察[J].中国中医急症,2022,31(8):1233-1236.
[42] 谢雪.梅花针叩刺闪罐盒灸联合中药熏蒸对顽固性面瘫的影响[J].黑龙江医药,2022,35(4):882-885. |
|
|
|