四维平衡针刺联合火龙罐对周围性面瘫患者面神经功能及面部血流量的影响

doi:10.3969/j.issn.1006-6233.2025.04.021

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摘要 目的: 探究四维平衡针刺联合火龙罐对周围性面瘫患者面神经功能及面部血流量的影响。方法: 选取本院收治的126例周围性面瘫患者(2021年1月至2024年1月)为研究对象,随机分为火龙罐组和联合组,每组各63例患者。火龙罐组给予火龙罐治疗,联合组在火龙罐组基础上给予四维平衡针刺治疗。观察治疗前后(T0、T1)两组患者面神经功能、面部血流量、生活质量和社会及心理功能;检测治疗前后神经因子水平、不良反应情况及治疗后6个月(T2)随访情况。结果: T1时刻,House-Brackmann(H-B)评分、阻力指数(RI)水平显著降低(P<0.05),且联合组显著低于火龙罐组(P<0.05);两组患者收缩期峰值流速(PSV)、舒张末期流速(EDV)、世界卫生组织生存质量测定简式量表(WHOQOL-BREF)、面部残疾指数量表(FDI)、神经生长因子(NGF)、胶质细胞源神经营养因子(GDNF)及脑源性神经营养因子(BDNF)水平显著升高(P<0.05),且联合组显著高于火龙罐组(P<0.05)。T2时刻,联合组患者H-B评分、RI、PSV、EDV、WHOQOL-BREF、FDIP、FDIS显著优于火龙罐组,(P<0.05),但两组患者上述指标较T1时刻有所回落(P<0.05),联合组患者复发率(1.59%)显著低于火龙罐组(12.70%)(P<0.05)。结论: 四维平衡针刺联合火龙罐可提高周围性面瘫患者面神经功能,促进面部血液流动,改善患者生活质量及社会心理功能,且具有一定安全性和长期疗效。

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关键词 ：周围性面瘫, 四维平衡针刺, 火龙罐, 面神经功能, 面部血流量

Abstract：Objective: To investigate the effects of four-dimensional balance acupuncture combined with Fire Dragon cupping on facial nerve function and facial blood flow in patients with peripheral facial paralysis. Methods: A total of 126 patients with peripheral facial paralysis admitted to our hospital from January 2021 to January 2024 were selected and randomly divided into a Fire Dragon cupping group and a combined group,with 63 patients in each group.The Fire Dragon cupping group received Fire Dragon cupping therapy,while the combined group received four-dimensional balance acupuncture in addition to Fire Dragon cupping therapy.Facial nerve function,facial blood flow,quality of life,and social and psychological function were evaluated before treatment (T0) and after treatment (T1).Nerve factor levels and adverse reactions were measured before and after treatment,and a 6-month follow-up (T2) was conducted to assess long-term outcomes. Results: At T1,the House-Brackmann (H-B) score and resistance index (RI) levels were significantly reduced (P<0.05),with the combined group showing lower levels than the Fire Dragon cupping group (P<0.05).The peak systolic velocity (PSV),end-diastolic velocity (EDV),World Health Organization Quality of Life-BREF (WHOQOL-BREF),Facial Disability Index (FDI),nerve growth factor (NGF),glial cell-derived neurotrophic factor (GDNF),and brain-derived neurotrophic factor (BDNF) levels were significantly increased in both groups (P<0.05),with the combined group showing higher levels than the Fire Dragon cupping group (P<0.05).At T2,the H-B score,RI,PSV,EDV,WHOQOL-BREF,FDIP,and FDIS in the combined group were significantly better than those in the Fire Dragon cupping group (P<0.05),although these indicators in both groups decreased compared to T1 (P<0.05).The recurrence rate in the combined group (1.59%) was significantly lower than that in the Fire Dragon cupping group (12.70%) (P<0.05). Conclusion: Four-dimensional balance acupuncture combined with Fire Dragon cupping can improve facial nerve function,promote facial blood flow,enhance quality of life and social psychological function in patients with peripheral facial paralysis,and demonstrates certain safety and long-term efficacy.

Key words： Peripheral facial paralysis Four-dimensional balance acupuncture Fire dragon cupping Facial nerve function Facial blood flow

基金资助:国家自然科学基金委员会资助项目,(编号:82074553);北京市自然科学基金资助项目,(编号:7242231);北京中医药大学2024年度基本科研业务费项目,(编号:2024-JYB-JBZD-025)

通讯作者: 刘清国

引用本文:

舒振松, 郝晓敏, 杨艺, 侯丽丽, 刘清国. 四维平衡针刺联合火龙罐对周围性面瘫患者面神经功能及面部血流量的影响[J]. 河北医学, 2025, 31(4): 656-662.
SHU Zhensong, et al. Effects of Four-Dimensional Balance Acupuncture Combined with Fire Dragon Cupping on Facial Nerve Function and Facial Blood Flow in Patients with Peripheral Facial Paralysis. HeBei Med, 2025, 31(4): 656-662.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2025.04.021 或 http://www.hbyxzzs.cn/CN/Y2025/V31/I4/656

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