Objective: To compare the curative effect between the warm acupuncture at Yifeng (TE 17) combined with conventional acupuncture and TDP plus conventional acupuncture on facial paralysis with periauricular pain during pregnancy.
Methods: A total of 68 patients were randomized into an observation group (36 cases, 3 cases dropped off) and a control group (32 cases, 1 case dropped off). First week, TDP light was used on the affected side in the control group, and warm acupuncture at Yinfeng (TE 17) on the affected side was used in the observation group, both once a day. From the second week, both groups were given acupuncture at Chengjiang (CV 24) and the affected side of Cuanzhu (BL 2), Yangbai (GB 14), Taiyang (EX-HN 5), Yingxiang (LI 20), Dicang (ST 4), etc. and electroacupuncture (continuous wave, 2 Hz in frequency) was connected at Cuanzhu (BL 2) and Taiyang (EX-HN 5), Jiache (ST 6) and Dicang (ST 4). Both treatments were given every other day for 4 weeks totally. The visual analogue scale (VAS) score of the periauricular pain degree before treatment and after 1 week of treatment, the House-Brackmann (H-B) facial nerve function grading scale and facial disability index (FDI) score before treatment and after 2, 4 weeks of treatment were compared between the two groups.
Results: After 1 week of treatment, the VAS scores of both groups decreased (P<0.001), and the variation in the observation group was larger than the control group (P<0.01). After 2 and 4 weeks of treatment, the H-B grading of both groups were improved (P<0.01, P<0.05), and those in the observation group were better than the control group (P<0.05). After 2 and 4 weeks of treatment, the FDI physical function (FDIP) scores of both groups were higher (P<0.01), and the FDI social life function (FDIS) scores were lower than before treatment (P<0.05, P<0.01), and the FDIP scores in the observation group were higher than those in the control group (P<0.05).
Conclusion: Warm acupuncture at Yinfeng (TE 17) combined with conventional acupuncture can effectively improve the periauricular pain and facial nerve function in patients of facial paralysis with periauricular pain during pregnancy, and the curative effect is better than TDP plus conventional acupuncture.
目的：比较温针灸翳风穴配合常规针刺与TDP配合常规针刺治疗孕期周围性面瘫伴耳周疼痛的疗效。方法：将68例患者随机分为观察组（36例，脱落3例）、对照组（32例，脱落1例）。第1周，对照组采用TDP灯照射患侧耳周，观察组采用温针灸患侧翳风穴，均每日1次；第2周开始，两组均在原治疗基础上针刺承浆，患侧攒竹、阳白、太阳、迎香、地仓等，并于攒竹、太阳，颊车、地仓连接电针（连续波，频率2 Hz），均隔日1次，共治疗4周。比较两组患者治疗前、治疗1周后耳周疼痛程度视觉模拟量表（VAS）评分，治疗前与治疗2、4周后House-Brackmann（H-B）面神经功能分级量表评级、面部残疾指数（FDI）评分。结果：治疗1周后，两组患者VAS评分均降低（P<0.001），且观察组降低幅度大于对照组（P<0.01）。治疗2、4周后，两组患者H-B评级均改善（P<0.01，P<0.05），且观察组评级优于对照组（P<0.05）。治疗2、4周后，两组患者FDI躯体功能（FDIP）评分均较治疗前升高（P<0.01），FDI社会生活功能（FDIS）评分均降低（P<0.05，P<0.01），且观察组FDIP评分高于对照组（P<0.05）。结论：温针灸翳风穴配合常规针刺能有效改善孕期周围性面瘫患者伴发的耳周疼痛及面神经功能，疗效优于TDP配合常规针刺。.
Keywords: Point TE 17 (Yifeng)a; facial paralysisa; periauricular pain; pregnancya; warming acupuncturea.