毛雨露 陈明英 杨华 肖淦辰 方志聪 吕岑 熊芳丽

摘要：目的  觀察应用局部针刺法为主联合患侧面肌功能性电刺激对风寒袭络型周围性面瘫病的临床康复疗效。方法  将符合纳入标准的65例周围性面瘫患者随机分为对照组33例、观察组32例。对照组予常规治疗，观察组行局部针刺法为主联合患侧面肌功能性电刺激治疗，采用面神经功能分级（H-B）、面部残疾指数量表（FDI）评分、中医症状积分评分及临床疗效作为观察指标。结果  2组患者在疗程结束后比较，2组H-B评分分级均显著改善，且观察组明显优于对照组（P<0.05）；2组的FDIP评分均优治疗前（P<0.05），FDIS评分低于治疗前（P<0.05）；中医症状积分均低于治疗前（P<0.05），且观察组优于对照组（P<0.05）；观察组治疗总有效率显著优于对照组（P<0.05）。结论  运用熊芳丽教授局部针刺为主联合患侧面肌功能性电刺激治疗，可明显加速康复周围性面瘫患者症状、面部表情肌功能恢复，较常规针刺治疗疗效优越。

关键词：局部针刺；功能性电刺激；风寒袭络症；周围性面瘫；名家经验

中图分类号：R745.1+2      文献标志码：B      文章编号：1007-2349（2023）06-0062-05

Clinical Observation of Local Acupuncture Combined with Functional Electrical Stimulation of Side Facial Affected Muscle in the Treatment of Wind-Cold Collateral Attack Facial Paralysis

MAO Yu-lu¹， CHEN Ming-ying¹， YANG Hua²， XIAO Gan-chen²， LV Cen²， XIONG Fang-li²

（1. Guizhou University of Traditional Chinese Medicine， Guiyang 550002， China;2. The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine， Guiyang 550001， China）

【Abstract】Objective： To observe the clinical rehabilitation effect of local acupuncture combined with functional electrical stimulation of side facial affected muscle in the treatment of peripheral facial paralysis （PFP） patients with wind-cold collateral attack. Methods： 65 PFP patients who met the inclusion criteria were randomly divided into control group （33 cases） and observation group （32 cases）. The control group received conventional treatment， and the observation group received local acupuncture combined with functional electrical stimulation of facial muscle on the affected side. Facial nerve function scale （H-B）， Facial Disability Index Scale （FDI） score， TCM symptom score and clinical effect were used as observation indexes. Results： After treatment， the H-B score of the two groups was significantly improved， and the observation group was significantly better than the control group （P<0.05）. The FDIP scores of the two groups were better than before treatment （P<0.05）， and the FDIS scores were lower than before treatment （P<0.05）. TCM symptom scores were lower than before treatment （P<0.05）， and the observation group was better than the control group （P<0.05）. The total effective rate of the observation group was significantly better than that of the control group （P<0.05）. Conclusion： The application of Professor Xiong Fangli's local acupuncture combined with functional electrical stimulation of facial muscle on the affected side can significantly accelerate the recovery of symptoms and facial expression muscle function in PFP patients， and the curative effect is superior to conventional acupuncture treatment.

【Key words】Local Acupuncture; Functional Electrical Stimulation; Wind-Cold Collateral Attack; Peripheral Facial Paralysis; Experience of Famous Doctor

熊芳丽教授系贵州中医药大学第一附属医院主任医师、教授、研究生导师、省级名中医，从事针灸苗医药医教研管40余年，治学严谨，学验俱丰。熊芳丽教授师承本院已故针灸名家夏森柏、李长森教授，深得其学术精髓，遵崇传统针灸疗法，临床善用针灸、苗医外治法，临证中西合参，内外兼修。专注神经性疾病、脊柱相关疾病、美容美体、皮肤病、痛症等领域的中（苗）医药防治；擅长针灸结合苗医药外治法治疗中风病、面瘫病、头痛病、颈肩腰腿痛、肥胖症等。临证主张对“分类诊治、分期论治、中西合法、针药并施、局部针刺”治疗面瘫病，形成了较为系统的诊治面瘫病的方案。在熊芳丽教授的指导下，应用局部针刺为主结合患侧面肌功能性电刺激治疗风寒袭络型周围性面瘫取得了较好的临床疗效，现报道如下。……