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  • Title: [Influence on orbicularis oculi muscle in the patients with facial neuritis treated with the penetra-ting needling at Cuanzhu (BL2) and Yuyao (EX-HN4) combined with the perpendicular needling at Shenmai (BL62)].
    Author: Xu LW, Quan XM, Song CX, Liu YL, Xu HY.
    Journal: Zhen Ci Yan Jiu; 2020 Sep 25; 45(9):735-9. PubMed ID: 32959557.
    Abstract:
    OBJECTIVE: To explore the therapeutic effect on incomplete eyelid in the patients with facial neuritis treated with the penetrating needling at Cuanzhu (BL2) and Yuyao (EX-HN4) combined with the perpendicular needling at Shenmai (BL62). METHODS: A total of 64 patients with facial neuritis, in compliance with the inclusion criteria, were randomized into a treatment group and a control group, with 32 cases in each. In the treatment group, the penetrating needling was applied to BL2 and EX-HN4 on the affected side, combined with the perpendicular needling at bilateral BL62. Besides, on the affected side, the penetrating needling was applied from Yangbai (GB14) toward four directions, named Shangxing (GV23), Touwei (ST8), Cuanzu (BL2) and Sizukong (TE23), the mutual penetrating needling was adopted between Dicang (ST4) and Jiache (ST6). Between Yingxiang (LI20) and Xiaguan (ST7), a row-arranged needling technique was applied. All of the needles were retained for 10 to 30 min in each treatment. The treatment was given once daily and the treatment for 10 days was as 1 course. A total of 2 courses of treatment were required. In the control group, prednisone acetate （30 mg/d）, was administered consecutively for 5 days. Afterward, the dose was reduced to be 10 mg/d and the medication stopped after taking consecutively for 1 week. Muscular injection with vitamin B12 （0.5 mg） and B1 （0.1 mg） was given, once daily. 10 days later, vitamin B1 was taken for oral administration, 10 mg each time, three times a day, for 10 days totally. Before and after the treatment, the clinical effect was compared between the two groups in terms of the analysis on the Hourse-Brackman (H-B) grade of facial nerve function, the distance between the upper and the lower eyelids, muscle strength, degree of eyelid closure and electromyogram (EMG). RESULTS: The total effective rate of treatment group was 96.9 % (31/32), better than 84.4%（27/32） in the control group (P<0.05). After treatment, in the treatment group, the distance between the upper and lower eyelids, the muscle strength, the degree of eyelid closure, the wave amplitude of motor nerve conduction and the latent period, as well as the blink reflex were all improved as compared with those before the treatment (P<0.01, P<0.05). In the control group, the distance between the upper and lower eyelids, the muscle strength, the degree of eyelid closure, the latent period of motor nerve conduction and the blink reflex were all improved as compared with those before the treatment (P<0.01, P<0.05). After the treatment, the results of the distance between the upper and lower eyelids, the muscle strength, the degree of eyelid closure, the wave amplitude of motor nerve conduction and the latent period, as well as the blink reflex in the treatment group were all better than those in the control group (P<0.05，P<0.01). CONCLUSION: The treatment with the penetrating needling at Cuanzhu (BL2) and Yuyao (EX-HN4) combined with the perpendicular needling at Shenmai (BL62) greatly promotes the recovery of orbicularis oculi muscle in the patients with facial neuritis, reduces the complications and presents the satisfactory clinical effect. 目的：探讨攒竹、鱼腰透刺配合申脉直刺对面神经炎患者眼睑闭合不全的疗效。方法：将64例符合纳入标准的面神经炎患者随机分为治疗组、对照组, 每组32例。治疗组患侧攒竹、鱼腰透刺，配合双侧申脉直刺，患侧阳白四透，地仓、颊车透刺，迎香与下关之间排刺，翳风、健侧合谷直刺，每次留针10～30 min，每日1次，10 d为1个疗程，共治疗2个疗程；对照组给予醋酸泼尼松30 mg/d，连用5 d减至10 mg/d，再连续服用1周后停用，肌肉注射维生素B12 0.5 mg、维生素B1 0.1 g，1次/d，10 d后改为口服维生素B1 10 mg/次，3次/d，共10 d。记录治疗前后House-Brackmann(H-B)面神经功能分级、上下眼睑距离、手法肌力分级、眼睑闭合程度、肌电图来分析比较两组临床疗效。结果：治疗组总有效率96.9%(31/32)，优于对照组的84.4%(27/32,P<0.05)。治疗后，治疗组上下眼睑距离、眼睑闭合程度评分、运动神经传导潜伏期、患侧瞬目反射潜伏期均显著低于治疗前(P<0.01)，手法肌力分级、运动神经传导波幅较治疗前均升高(P<0.05)；对照组上下眼睑距离、眼睑闭合程度评分、运动神经传导潜伏期、患侧瞬目反射潜伏期均显著低于治疗前(P<0.01)，手法肌力分级较治疗前改善(P<0.05)；治疗后，治疗组上下眼睑距离、眼睑闭合程度评分、运动神经传导潜伏期、患侧瞬目反射潜伏期均低于对照组(P<0.05，P<0.01)，手法肌力分级、运动神经传导波幅均高于对照组(P<0.05)。结论：攒竹、鱼腰透刺，配合申脉直刺能够更好地促进面神经炎患者眼轮匝肌的恢复，减少并发症的出现，具有很好的临床疗效。.
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