摘要
[目的]对中医外治法治疗妊娠期贝尔面瘫相关的临床研究进行归纳总结,以期为临床医师选择治疗方案提供参考。[方法]从建库起至2020年4月,以“妊娠”“孕妇”及“贝尔麻痹”“特发性面神经麻痹”“面神经炎”“面瘫”为关键词,检索知网、万方、维普、中国生物医学文献数据库、Pubmed、Web of Science、Embase数据库,筛选中医外治法治疗妊娠期贝尔面瘫的相关文献,从介入时机、治疗方式、选穴等方面进行分析。[结果]共检索到中医外治法治疗孕妇贝尔面瘫的相关文献50篇,其中中文文献46篇,英文文献4篇。应用于妊娠期贝尔面瘫的中医特色外治法以针刺、灸法为主。针刺手法宜轻宜浅,取穴以面部三阳经穴为主,注意穴位禁忌;重视灸法的应用,艾灸方式以温针灸或悬起灸为主,施灸部位局部以翳风穴、下关穴最为常见,亦可选择督脉神道穴,在热敏感区治疗可显著提高疗效。推拿、闪罐常作为辅助疗法与针刺联合应用。各种疗法均可早期介入,临床未见严重不良反应报道。[结论]以针灸为主的中医外治法治疗妊娠期贝尔面瘫疗效肯定,安全性好,可作为临床首选疗法。未来还需要更高质量的临床研究来进一步证实各疗法的临床疗效,并探究提高疗效的最佳方案。
[Objective]To summarize the clinical characteristics of traditional Chinese medicine(TCM)external therapies for Bell's palsy in pregnancy.[Methods]From the establishment of the database to April 2020,taking“pregnancy”and“Bell's palsy”“facial paralysis”as keywords(different expressions of words were considered),the following databases were searched:China National Knowledge Infrastructure(CNKI),Wanfang Database,China Science and Technology Journal Database(VIP database),China Biology Medicine disc,Pubmed,Web of Science and Embase,and the clinical characteristics of TCM external therapies for Bell's palsy in pregnancy were summarized,including treatment methods,timing of treatment,acupoint selection and so on.[Results]Totally 50 literatures were identified,46 published in Chinese and 4 in English.The most commonly used TCM external therapies for Bell's palsy in pregnancy included acupuncture and moxibustion.Acupuncture manipulation should be light and shallow,acupoints should be selected mainly on facial Sanyang meridians,and attention should be paid to acupoint taboo.Moxibustion played an important role in the treatment of Bell's palsy in pregnancy,the main methods of moxibustion were needle warming moxibustion and suspension moxibustion,Yifeng(TE17)and Xiaguan(ST7)were the most common acupoints for moxibustion,and Shendao(GV11)on governor vessel can also be selected,treatment in heat sensitive areas can significantly improve the efficacy.Massage and flash cupping were often used as auxiliary therapies of acupuncture.All kinds of therapies can be intervened early,and no severe adverse reactions were reported.[Conclusion]Acupuncture based external therapy of Bell's palsy in pregnancy is effective and safe,and it can be used as the first choice in clinic.In the future,higher quality clinical studies are needed to further confirm the clinical efficacy of each therapy and explore the best scheme to improve the efficacy.
作者
沈梦霞
吴江霞
商雯芳
SHEN Mengxia;WU Jiangxia;SHANG Wenfang(Zhejiang Chinese Medical University,Hangzhou(310053),China)
出处
《浙江中医药大学学报》
CAS
2021年第1期83-86,97,共5页
Journal of Zhejiang Chinese Medical University
关键词
中医外治
针刺
灸法
推拿
周围性面瘫
妊娠
综述
traditional Chinese medicine external therapies
acupuncture
moxibustion
massage
Bell's palsy
pregnancy
literature review
