中医外治法治疗周围性面瘫具有安全、简单、经济、副作用少等优势,如针灸、拔罐、刮痧、穴位按摩、耳穴压豆、中药熏蒸等,临床应用广泛,能够促进面部神经修复,具有减压、抗炎、消肿作用,疗效显著.目前,中医外治法治疗周围性面瘫的相关研究存在如下问题:面瘫的分期尚未统一,各期疗法缺少规范,在病情变化阶段选择最佳的治疗方案仍需多中心临床试验加以验证;中医外治法的操作标准、穴位选取及疗程等缺乏规范性,需继续开展大样本、多中心的临床研究,并结合多项指标加以评估,以期提高对中医外治法治疗周围性面瘫评估的科学性.
Traditional Chinese medicine external treatment of peripheral facial paralysis has the advantages of safety,simplicity,econo-my,few side effects,such as acupuncture,cupping,scraping,acupoint massage,ear acupoint pressure with bean,traditional Chinese medicine fumigation,etc.The clinical application is widely used,which can promote facial nerve repair,decompression,anti-inflamma-tory,swelling reduction,with significant effect.At present,there are the following problems in the research of external TCM treatment of peripheral facial palsy:the stages of facial palsy have not been unified,the treatment of each stage lacks standard,and the selection of the best treatment plan in the stage of disease change still needs to be verified by multi-center clinical trials.The operation standards,selection of acupoints and treatment course of TCM external treatment are lacking in standard standards.Therefore,large-scale and multi-center clinical studies should be continued and evaluated in combination with several indicators in order to improve the scientific evaluation of TCM external treatment in the treatment of peripheral facial paralysis.
陈赞;任肖敬;张岩;秦元梅;钟远
河南中医药大学,河南 郑州 450046河南中医药大学第一附属医院,河南 郑州 450000
中医学
周围性面瘫;中医外治法;针灸;拔罐;刮痧;穴位按摩;耳穴压豆;中药熏蒸
peripheral facial paralysis;external treatment of traditional Chinese medicine;acupuncture;cupping;scraping;acupoint massage;ear acupoint pressure with bean;traditional Chinese medicine fumigation
《中医学报》 2024 (006)
1231-1235 / 5
河南省中医药科学研究专项项目(2021JDZX2137)
10.16368/j.issn.1674-8999.2024.06.206
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