跷维阳刺法联合贴扎治疗风寒型特发性周围性面瘫的临床研究OA

[Objective]To observe the clinical efficacy of Qiaoweiyang acupuncture combined with taping therapy in the treatment of wind-cold type idiopathic peripheral facial paralysis and its influence on the levels of serum IL-6 and TNF-α.[Methods]A total of 120 patients with wind-cold type idiopathic peripheral facial paralysis were randomly divided into a control group and an acupuncture-taping group.Both groups received basic treatment(hormones,neurotrophic agents,antiviral drugs and rehabilitation training)and Qiaoweiyang acupuncture,while the acupuncture-taping group was additionally given taping therapy,with a course of 3 weeks.The h-b grading,facial disability index(FDI)scores,traditional chinese medicine(TCM)symptom scores and serum IL-6,TNF-α levels of the two groups before and after treatment were compared to evaluate the curative effect and record adverse reactions.[Results]Comparison of clinical efficacy between the two groups:the effective rate of the acupuncture-taping group reached 89.83%,and that of the control group was 74.14%,indicating that the curative effect of the acupuncture-taping group was significantly better than that of the control group(P<0.05).Changes of scale scores in the two groups:after treatment,the H-B grading of both groups decreased,and the FDI scores(functional and psychosocial)increased;there were statistically significant differences in the intra-group comparisons before and after treatment(P<0.05).After treatment,the H-B grading of the acupuncture-taping group was lower,and the improvement of FDI scores was greater,with statistically significant differences between the two groups(P<0.05),suggesting that the acupuncture-taping group had more advantages in improving facial nerve function and the degree of facial disability.After treatment,the serum IL-6 and TNF-α levels of both groups decreased,with statistically significant differences in intra-group comparisons(P<0.05).The decrease in the acupuncture-taping group was more significant,and there was a statistically significant difference between the two groups(P<0.05).The more obvious the decrease of inflammatory factor levels,the better the curative effect,suggesting a negative correlation between inflammatory factors and curative effect.Safety evaluation:the adverse reactions of both groups were mild,and did not affect subsequent treatment after treatment.[Conclusion]Qiaoweiyang acupuncture combined with taping therapy can significantly improve the clinical efficacy in the treatment of wind-cold type idiopathic peripheral facial paralysis,which can more effectively reduce H-B grading,increase facial FDI scores,and significantly decrease the levels of serum IL-6,TNF-α and other inflammatory factors.This combined scheme can effectively improve the facial nerve function and clinical symptoms of patients,shorten the treatment course,with mild adverse reactions and good safety.