上海针灸杂志2023，Vol.42Issue(12)：1263-1268,6.DOI:10.13460/j.issn.1005-0957.2023.12.1263
升调督任法针刺治疗非急性期面神经炎的疗效观察
Therapeutic observation of Sheng Tiao Du Ren acupuncture in treating non-acute facial neuritis
摘要
Abstract
Objective To observe the clinical efficacy of Sheng Tiao Du Ren(ascending and regulating the Governor and Conception Vessels)acupuncture in treating non-acute facial neuritis and explore the possible mechanism.Method A total of 120 patients in the non-acute phase of facial neuritis were recruited as the subjects for this prospective study.They were divided into three groups(ordinary group,Sheng Tiao Du Ren group,and joint group)using the random number table method,with 40 cases in each group.The ordinary group received ordinary acupuncture,the Sheng Tiao Du Ren group was treated with Sheng Tiao Du Ren acupuncture,and the joint group received both ordinary and Sheng Tiao Du Ren acupuncture.The clinical efficacy was compared among the three groups.Before after the treatment,the compound muscle action potentials(CMAP),blink reflex(BR)latency,and facial disability index(FDI)score were observed,and the levels of serum interleukin-10(IL-10),transforming growth factor-β(TGF-β),interleukin-17(IL-17),and interleukin-22(IL-22)were compared.Result The cured and markedly effective rate was higher in the joint group than in the ordinary and Sheng Tiao Du Ren groups(P＜0.05).After the treatment,the joint group had a larger CMAP amplitude compared with the ordinary and Sheng Tiao Du Ren groups(P＜0.05),the BR latency was shorter in the joint group than in the ordinary and Sheng Tiao Du Ren groups(P＜0.05),and the FDI score was higher in the joint group than in the other two groups(P＜0.05).After the intervention,the levels of serum IL-10 and TGF-β were higher in the joint group than in the other two groups(P＜0.05),and the levels of serum IL-17 and IL-22 were lower in the joint group compared with the ordinary and Sheng Tiao Du Ren groups(P＜0.05).Conclusion Based on the ordinary acupuncture treatment,Sheng Tiao Du Ren acupuncture can enhance clinical efficacy,improve facial paralysis symptoms,and boost facial nerve motor function in treating non-acute facial neuritis.The mechanism may be related to regulating the balance of regulatory T cells/helper T cells 17.关键词
针刺疗法/电针/面神经炎/面瘫/白介素/转化生长因子-βKey words
Acupuncture therapy/Electroacupuncture/Facial neuritis/Facial paralysis/Interleukin/Transforming growth factor-β分类
医药卫生引用本文复制引用
江淑红,刘岩,姚若尘,韩杰,庄萍萍,戚继峰..升调督任法针刺治疗非急性期面神经炎的疗效观察[J].上海针灸杂志,2023,42(12):1263-1268,6.基金项目
青岛市中医药科技项目(2022-zyym36) （2022-zyym36）
