双针挂针疗法结合温和灸治疗周围性面瘫急性期疗效观察

目的 观察双针挂针疗法结合温和灸悬灸翳风穴治疗周围性面瘫急性期的临床疗效。方法 将60例符合周围性面瘫急性期诊断标准的患者随机分为观察组与对照组，每组30例。在急性期单纯使用基础药物治疗的基础上，观察组采用双针挂针疗法，并辅以温和灸，对照组则不加用针刺治疗。两组各治疗7 d后，均改用常规针刺手法，以7 d为1个疗程，共治疗3个疗程。观察两组患者治疗前、治疗第7天及治疗第21天面神经功能评分及疗效。结果 观察组基于面神经功能评分的疗效优于对照组（P＜0.05）。两组患者治疗7 d、21 d后面神经功能评分均显著高于治疗前（P＜0.05）；治疗7、21 d后，观察组患者面神经功能评分均显著高于对照组（P＜0.05）。结论 在周围性面瘫急性期使用双针挂针疗法结合温和灸的治疗方案，可恢复患侧面神经功能，改善患者预后。

Clinical Effect of Double-needle Hanging Needling Combined with Mild-Warm Moxibustion in Treatment of Acute Stage of Peripheral Facial Paralysis

Objective To investigate the clinical effect of double-needle hanging needling combined with mild-warm moxibustion and suspended moxibustion at Yifeng point in the treatment of the acute stage of peripheral facial paralysis. Methods A total of 60 patients who met the diagnostic criteria for the acute stage of peripheral facial paralysis were enrolled and randomly divided into observation group and control group, with 30 patients in each group. The patients in the observation group were treated with double-needle hanging needling combined with mild-warm moxibustion and basic pharmacotherapy, and those in the control group were treated with mild-warm moxibustion and basic pharmacotherapy. After 7 days of treatment, both groups were given conventional acupuncture; each course of treatment was 7 days, and the two groups were treated for 3 courses. The two groups were compared in terms of facial nerve function score and clinical outcome before treatment and on days 7 and 21 of treatment. Results Based on facial nerve function score, the observation group had a significantly better outcome than the control group (P<0.05). On days 7 and 21 of treatment, both groups had a significant increase in facial nerve function score (P<0.05), and the observation group had a significantly higher score than the control group (P<0.05). Conclusion In the acute stage of peripheral facial paralysis, double-needle hanging needling combined with mild-warm moxibustion can effectively restore the nerve function of the affected side, and improve patient prognosis.