Clinical observation on acupuncture plus subtle adjustment manipulation of the cervical spine for peripheral facial paralysis

针刺加颈椎微调手法治疗周围性面瘫临床观察

Abstract

Objective

To observe the clinical efficacy of acupuncture plus subtle adjustment manipulation of the cervical spine for peripheral facial paralysis.

Methods

A total of 60 patients with peripheral facial paralysis who met the screening criteria were selected and divided into two groups according to the method of random number table, with 30 cases in each group. The patients in the acupuncture plus tuina group received routine treatment of acupuncture and subtle adjustment manipulation of the cervical spine, while the patients in the acupuncture group only received the same acupuncture treatment. Assessment of peripheral facial paralysis with integrated traditional Chinese and Western medicine was adopted for rehabilitation assessment.

Results

The total effective rate of the acupuncture plus tuina group was 93.3%, while that of the acupuncture group was 70.0%, and there was a significant between-group difference (P<0.05). After treatment, the total scores of rehabilitation assessment in both groups were significantly higher than those before treatment (both P<0.05), and the score of the acupuncture plus tuina group was significantly higher than that of the acupuncture group (P<0.05).

Conclusion

The treatment of acupuncture plus subtle adjustment manipulation of the cervical spine can improve the function of facial muscles in patients with peripheral facial paralysis, and its clinical efficacy is better than that of the acupuncture treatment alone.

摘要

目的

观察针刺加颈椎微调手法治疗周围性面瘫的疗效.

方法

将 60 例符合筛查标准的周围性面瘫患者按照随机数字表法分为 2 组, 每组 30 例. 针刺加推拿组接受常规针刺加颈椎微调手法治疗. 针刺组仅接受与针刺加推拿组相同的针刺治疗. 采用周围性面神经麻痹的中西医结合评定来进行康复评定.

结果

针刺加推拿组总有效率为93.3%, 针刺组为 70.0%, 组间差异有统计学意义(P<0.05). 治疗后两组康复评定总分均较治疗前升高, 组内差异均有统计学意义(均P<0.05); 治疗后针刺加推拿组康复评定总分显著高于针刺组, 组间差异具有统计学意义(P<0.05).

结论

针刺加颈椎微调手法能改善周围性面瘫患者的面肌功能, 其疗效优于单纯针刺治疗.

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Acknowledgments

This work was supported by Science and Technology Planning Project of Jiaxing City, Zhejiang Province (浙江省嘉兴市科技计划项目, No. 2018AD32166).

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Correspondence to Jian-qiang Chen 陈剑强.

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Informed consent was obtained from all individual participants.

Author: Chen Jian-qiang, bachelor, attending physician.

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Chen, J., Liu, C., Gong, X. et al. Clinical observation on acupuncture plus subtle adjustment manipulation of the cervical spine for peripheral facial paralysis. J. Acupunct. Tuina. Sci. 18, 191–196 (2020). https://doi.org/10.1007/s11726-020-1178-8

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Keywords

  • Acupuncture Therapy
  • Tuina
  • Massage
  • Manipulations
  • Facial Paralysis

关键词

  • 针刺疗法
  • 推拿
  • 按摩
  • 手法
  • 面神经麻痹

中图分类号

  • R246.6

文献标志码

  • A