针灸推拿医学（英文版）2025，Vol.23Issue(3)：250-256,7.DOI:10.1007/s11726-025-1507-z
雷火灸联合火龙罐治疗急性期周围性面瘫共病焦虑抑郁临床观察
Clinical observation of thunder-fire moxibustion combined with fire-dragon cupping in the treatment of acute-phase peripheral facial palsy with co-morbid anxiety and depression
摘要
Abstract
Objective:To evaluate the effect of thunder-fire moxibustion combined with fire-dragon cupping on patients with acute peripheral facial paralysis with co-morbid anxiety and depression. Methods:A total of 80 patients with acute peripheral facial paralysis with co-morbid anxiety and depression were selected and divided into two groups according to the random number table method,with 40 patients in each group.In the control group,acupuncture therapy combined with routine care was given;in the observation group,thunder-fire moxibustion and fire-dragon cupping therapy were added.Both groups were treated once a day,6 times a week,with 1 d of rest,for 4 consecutive weeks(a total of 24 treatments).The House-Brackmann(H-B)grading,facial clinimetric evaluation(FaCE),self-rating anxiety scale(SAS),and self-rating depression scale(SDS)were used before and after the intervention to evaluate the facial nerve function,quality of life,mental health,and clinical efficacy of the two groups. Results:After treatment,patients in both groups showed improvement in H-B grading,scores of all dimensions of the FaCE scale,and SAS and SDS scores compared to those before treatment,and the differences within the groups were statistically significant(P<0.05).After treatment,the total effective rate was 95.0%in the observation group and 75.0%in the control group,and the difference between the two groups was statistically significant(P<0.05).After treatment,the H-B grading of the observation group was better than that of the control group(P<0.05);the scores of all dimensions of the FaCE scale and SAS and SDS scores of the observation group were better than those of the control group(P<0.05). Conclusion:Adding thunder-fire moxibustion and fire-dragon cupping therapy to acupuncture and routine care can promote the recovery of facial nerve function,reduce anxiety and depression,and improve the patients'living standard,and thus is suitable for popularization and application.关键词
针刺疗法/雷火针灸疗法/拔罐疗法/面神经麻痹/焦虑/抑郁/同患多病/随机对照试验Key words
Acupuncture Therapy/Thunder-fire Moxibustion/Cupping Therapy/Facial Paralysis/Anxiety/Depression/Comorbidity/Randomized Controlled Trial分类
医药卫生引用本文复制引用
马晓林,冉白灵,毛翔,熊中豪,潘瑜..雷火灸联合火龙罐治疗急性期周围性面瘫共病焦虑抑郁临床观察[J].针灸推拿医学（英文版）,2025,23(3):250-256,7.基金项目
This study was supported by Science-health Joint Medical Research Project of Jiangbei District,Chongqing(重庆市江北区科卫联合医学研究项目,No.JBKW2023xy002) （重庆市江北区科卫联合医学研究项目,No.JBKW2023xy002）
Joint Medical Research Project of Health and Science in Chongqing(重庆市科卫联合医学研究项目,No.2021MSXM016). （重庆市科卫联合医学研究项目,No.2021MSXM016）
