火针治疗中枢性面瘫54例

目的 观察运用火针治疗中枢性面瘫的临床疗效，并探讨其作用机制。方法 按照随机数字表法随机选取108例中枢性面瘫患者，将其分为对照组（普通针刺疗法）和治疗组（火针疗法），每组54例。比较两组患者临床疗效，治疗前后分别采用修订的面神经功能量表（modified house-brackmann，MHBN）和面部残疾指数（face disability index，FDI）评价面部神经功能。结果 两组临床疗效的分布比较，差异具有统计学意义（P＜0.05）。两组患者治疗后MHBN评分均较治疗前显著提高（P＜0.05），且治疗组治疗后MHBN评分提高程度高于对照组（P＜0.05）。两组患者治疗后各项评分较治疗前均明显提高（P＜0.05），且治疗组在进食困难、喝饮料困难、流泪困难、刷牙或漱口困难的改善程度上优于对照组（P＜0.05）。结论 与普通针刺法相比，火针法能更有效地改善中枢性面瘫后面部的感觉及运动功能，更有利于面神经功能的恢复，尤其适用于难治性面瘫患者。

Clinical Effect of Fire Needle in Treatment of Central Facial Paralysis: An Analysis of 54 Cases

Objective To investigate the clinical effect of fire needle in the treatment of central facial paralysis and the possible mechanism. Methods A total of 108 patients with central facial paralysis were randomly divided into control group (conventional acupuncture) and treatment group (fire needle therapy) using a random number table, with 54 patients in each group. The two groups were compared in terms of clinical outcome, modified House-Brackmann (MHBN) score, and facial disability index (FDI) before and after treatment. Results There was a significant difference in the distribution of clinical outcomes between the two groups (P<0.05). Both groups had a significant increase in MHBN score after treatment (P<0.05), and the treatment group had a significantly greater increase than the control group (P<0.05). Both groups had significant increases in all FDI scores after treatment (P<0.05), and compared with the control group, the treatment group had significantly greater improvements in the difficulties of eating, drinking, lacrimation, and brushing teeth or gargling (P<0.05). Conclusion Compared with conventional acupuncture, fire needle can effectively improve the sensory and motor function in patients with central facial paralysis and brings more benefits to the recovery of facial nerve function, especially in patients with refractory facial paralysis.