湖南中医杂志2026，Vol.42Issue(8)：40-45,6.DOI:10.16808/j.cnki.issn1003-7705.2026.08.008
牵针正口法治疗特发性面神经麻痹35例
Clinical effect of the needle traction technique for correcting oral deviation in treatment of idiopathic facial nerve palsy:An analysis of 35 cases
摘要
Abstract
Objective:To investigate the clinical effect of the needle traction technique for correcting oral deviation in the treatment of idiopathic facial nerve palsy(IFNP)and its effect on the hemodynamics of the facial artery and its branches.Methods:A total of 74 patients with IFNP were randomly divided into treatment group and control group,with 37 patients in each group.The patients in the control group received conventional Western medicine treatment combined with conventional acupuncture,while those in the treatment group received the needle traction technique for correcting oral devi-ation during the subacute and recovery stages of IFNP in addition to the treatment in the control group,and both groups were treated for 4 consecutive weeks.The two groups were observed in terms of the hemodynamic parameters of the facial artery and the superior and inferior labial arteries on the affected side(peak systolic velocity[PSV],end-diastolic velocity[EDV],and resistance index[RI]),the House-Brackmann Grading System(HBGS)grade,and Facial Nerve Function Index(FNFI)before and after treatment,and clinical outcome was assessed for both groups.Results:Two pa-tients in the treatment group and 2 patients in the control group were lost during the treatment period,and finally 35 patients in the treatment group and 35 patients in the control group were included for analysis.There was a significant difference in overall response rate between the treatment group and the control group[91.43％(32/35)vs 82.86％(29/35),P＜0.05].After treatment,both groups had significant changes in the hemodynamic parameters of the facial artery and the superior and inferior labial arteries on the affected side,HBGS grade,and FNFI index,and there were significant differences in these indicators between the two groups after treatment(P＜0.01 or P＜0.05).Conclusion:The needle traction technique for correcting oral deviation combined with conventional Western medicine treatment can effectively improve facial artery blood perfusion and restore facial nerve function in patients with IFNP,and therefore,it holds promise for clinical application.关键词
特发性面神经麻痹/针刺/牵针正口法/血流动力学/中西医结合治疗Key words
idiopathic facial nerve palsy/acupuncture/needle traction technique for correcting oral deviation/he-modynamics/integrated traditional Chinese and Western medicine therapy分类
医药卫生引用本文复制引用
刘羽萍,许昊纯,蔡嘉鑫,石恒捷,黄志强,卢明香,庄垂加..牵针正口法治疗特发性面神经麻痹35例[J].湖南中医杂志,2026,42(8):40-45,6.基金项目
国家中医优势专科建设项目(闽中医药函[2024]27号) （闽中医药函[2024]27号）
福建省泉州市科技计划项目(2023NS032,2022NS030) （2023NS032,2022NS030）
