Volume 23 Issue 6
Jun.  2025
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(6): 946-949
XUE Yan, GU Mengting, QIN Xiarong, XIA Yanfei, LIU Tao. Effect of stellate ganglion block combined with acupuncture and moxibustion on peripheral facial paralysis[J]. Chinese Journal of General Practice, 2025, 23(6): 946-949. doi: 10.16766/j.cnki.issn.1674-4152.004039
Citation: XUE Yan, GU Mengting, QIN Xiarong, XIA Yanfei, LIU Tao. Effect of stellate ganglion block combined with acupuncture and moxibustion on peripheral facial paralysis[J]. Chinese Journal of General Practice, 2025, 23(6): 946-949. doi: 10.16766/j.cnki.issn.1674-4152.004039
shu

Effect of stellate ganglion block combined with acupuncture and moxibustion on peripheral facial paralysis

doi: 10.16766/j.cnki.issn.1674-4152.004039
  • 1.

    Department of Anesthesiology, Zhejiang Hospital, Hangzhou, Zhejiang 310007, China

Funds:

 2023ZL225

 2018ZT001

  • Received Date: 2024-12-18
    Available Online: 2025-09-04
    Abstract
  •   Objective  To investigate the efficacy of stellate ganglion block (SGB) combined with acupuncture in the treatment of peripheral facial palsy (PFP) and its effects on facial nerve function and related indicators, thereby providing a reference for clinical treatment strategies.  Methods  A total of 112 patients with PFP admitted to Zhejiang Hospital from January 2020 to October 2024 were selected and divided into group A (72 cases) and group B (40 cases) according to different therapies. Group A was treated with acupuncture and moxibustion, and group B was treated with SGB combined with acupuncture and moxibustion for 4 weeks. The traditional Chinese medicine (TCM) syndrome score, facial nerve function (H-B grading score, Pormann score), facial disability index (FDI score), clinical efficacy, and adverse reactions (nausea, vomiting, loss of appetite, stellate ganglion injury, local hematoma, blood glucose fluctuations, blood pressure fluctuations) of two groups were observed.  Results  The TCM syndrome score of group B after treatment was lower than that of group A (P < 0.05). The H-B grading score of group B after treatment was lower than that of group A (P < 0.05), and the Pormann score was higher than that of group A (P < 0.05). After treatment, the physical function score in the FDI scale of group B was higher than that of group A (P < 0.05), and the social life dysfunction score was lower than that of group A (P < 0.05). The total effective rate of group B was 95.00% (38/40), which was higher than group A [80.56% (58/72), P < 0.05]. The incidence of adverse reactions in group B was 15.00% (6/40), and that in group A was 13.89% (10/72). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).  Conclusion  SGB combined with acupuncture and moxibustion is effective in the treatment of PFP, which can alleviate the symptoms of patients, improve facial nerve function and facial disability index, with less adverse reactions, and has both effectiveness and safety, and is worth promoting.

     

    • FullText(HTML)
  • loading
    • References(27)
  • [1]
    LI S J, XIE S, LI Z M, et al. Facial reanimation after peripheral facial nerve paralysis: a single-institution surgical experience[J]. J Craniofac Surg, 2023, 34(6): 1841-1844. doi: 10.1097/SCS.0000000000009513
    [2]
    孙金凤, 赵亚伟, 沈建新, 等. 针灸及相关综合疗法治疗顽固性面瘫的研究概述[J]. 现代中西医结合杂志, 2023, 32(7): 1019-1022. doi: 10.3969/j.issn.1008-8849.2023.07.032

    SUN J F, ZHAO Y W, SHEN J X, et al. Overview of research on the treatment of intractable facial paralysis with acupuncture and moxibustion and related comprehensive therapy[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2023, 32(7): 1019-1022. doi: 10.3969/j.issn.1008-8849.2023.07.032
    [3]
    张红艳, 皮亚彬. 循经透刺法联合温针灸治疗周围性面瘫患者的临床研究[J]. 针灸临床杂志, 2024, 40(4): 48-53.

    ZHANG H Y, PI Y B. Clinical study on treatment of peripheral facial paralysis with acupuncture along meridians and through acupuncture combined with warm acupuncture and moxibustion[J]. Journal of acupuncture and moxibustion and Moxibustion, 2024, 40(4): 48-53.
    [4]
    王海宇, 王宇, 姚长风. 针灸治疗周围性面瘫研究进展[J]. 中国中医急症, 2022, 31(11): 2065-2068. doi: 10.3969/j.issn.1004-745X.2022.11.050

    WANG H Y, WANG Y, YAO C F. Research progress on acupuncture and moxibustion treatment of peripheral facial paralysis[J]. Chinese Medical Emergency, 2022, 31(11): 2065-2068. doi: 10.3969/j.issn.1004-745X.2022.11.050
    [5]
    冯静仪, 张志文, 老锦雄. 温针灸治疗急性期周围性面瘫的临床观察[J]. 中医药学报, 2022, 50(9): 80-83.

    FENG J Y, ZHANG Z W, LAO J X. Clinical observation on the treatment of acute peripheral facial paralysis by warming acupuncture and moxibustion[J]. Journal of Traditional Chinese Medicine, 2022, 50(9): 80-83.
    [6]
    刘敏肖, 李鑫, 肖志娟, 等. 不同浓度罗哌卡因星状神经节阻滞联合腹针疗法治疗面瘫的疗效[J]. 中国临床研究, 2023, 36(4): 581-585.

    LIU M X, LI X, XIAO Z J, et al. The efficacy of star ganglion block combined with abdominal acupuncture therapy with different concentrations of ropivacaine in the treatment of facial paralysis[J]. Chinese Clinical Research, 2023, 36(4): 581-585.
    [7]
    王莹. 茎乳孔面神经阻滞联合星状神经节阻滞治疗中重度及以上特发性面神经麻痹的效果[D]. 大连: 大连医科大学, 2023.

    WANG Y. The effect of stem milk foramen facial nerve block combined with stellar ganglion block in the treatment of moderate to severe idiopathic facial paralysis[D]. Dalian: Dalian Medical University, 2023.
    [8]
    SINGH H, RAJARATHINAM M. Stellate ganglion block beyond chronic pain: a literature review on its application in painful and non-painful conditions[J]. J Anaesthesiol Clin Pharmacol, 2024, 40(2): 185-191. doi: 10.4103/joacp.joacp_304_22
    [9]
    贾建平, 陈生弟. 神经病学[M]. 北京: 人民卫生出版社, 2013: 339-341.

    JIA J P, CHEN S D. Neurology[M]. Beijing: People's Health Press, 2013: 339-341.
    [10]
    杜元灏. 针灸治疗学[M]. 北京: 人民卫生出版社, 2012: 40.

    DU Y H. Acupuncture and moxibustion therapeutics[M]. Beijing: People's Medical Publishing House, 2012: 40.
    [11]
    寇冠军, 唐健元. 中医证候研究现状及证候中药研究关键[J]. 中药药理与临床, 2017, 33(4): 213-214.

    KOU G J, TANG J Y. The current status of traditional Chinese medicine syndrome research and the key points of traditional Chinese medicine syndrome research[J]. Pharmacology and Clinical of Traditional Chinese Medicine, 2017, 33(4): 213-214.
    [12]
    车依檀, 高新迪. 温针灸对急性周围性面瘫患者FDI评分及面部神经功能的影响[J]. 中国中医急症, 2023, 32(9): 1594-1596.

    CHE Y T, GAO X D. Effect of warming acupuncture and moxibustion on FDI score and facial nerve function of patients with acute peripheral facial paralysis[J]. Chinese Journal of Traditional Chinese Medicine, 2023, 32(9): 1594-1596.
    [13]
    李鑫, 刘敏肖, 王新波, 等. 腹针联合星状神经节阻滞治疗急性期Bell面瘫的临床观察[J]. 中国中医急症, 2023, 32(2): 269-271.

    LI X, LIU M X, WANG X B, et al. Clinical observation of abdominal acupuncture combined with stellate ganglion block in the treatment of acute Bell's palsy[J]. Chinese Journal of Emergency Medicine, 2023, 32(2): 269-271.
    [14]
    严娅岚, 贾海滨, 李培玉, 等. 基于面部神经功能及中医症状评分探究温针灸对周围性面瘫患者预后的影响[J]. 天津中医药, 2023, 40(8): 1023-1028.

    YAN Y L, JIA H B, LI P Y, et al. Exploring the influence of warm acupuncture and moxibustion on the prognosis of patients with peripheral facial paralysis based on facial nerve function and TCM symptom score[J]. Tianjin Traditional Chinese Medicine, 2023, 40(8): 1023-1028.
    [15]
    李静. 针刺联合超声引导下星状神经节阻滞治疗周围性面瘫的临床疗效观察[D]. 武汉: 湖北中医药大学, 2023.

    LI J. Clinical efficacy observation of acupuncture combined with ultrasound-guided stellate ganglion block in the treatment of peripheral facial paralysis[D]. Wuhan: Hubei University of Traditional Chinese Medicine, 2023.
    [16]
    陈芸梅, 刘艳, 黄秋雨, 等. 周围性面瘫患者的面神经功能训练专家共识[J]. 华西口腔医学杂志, 2023, 41(6): 613-621.

    CHEN Y M, LIU Y, HUANG Q Y, et al. Expert consensus on facial nerve function training for patients with peripheral facial paralysis[J]. West China Journal of Stomatology, 2023, 41(6): 613-621.
    [17]
    MORALES-PUEBLA J M, FERNÁNDEZ-FOURNIER M, PLANA-BLANCO A, et al. Variations in the treatment of acute peripheral facial paralysis. A nationwide survey[J]. Acta Otorrinolaringol Esp (Engl Ed), 2024, 75(1): 31-39. doi: 10.1016/j.otorri.2023.05.002
    [18]
    XUE J, SONG Z F, LI F, et al. Guillain-Barré syndrome with unilateral peripheral facial paralysis in a Chinese child[J]. Int J Dev Neurosci, 2022, 82(6): 548-553. doi: 10.1002/jdn.10225
    [19]
    伍晓鸣, 董桂芳, 牟霜, 等. 周围性面瘫患者针灸治疗前后面部表情肌弹性与面神经功能评分的相关性[J]. 临床超声医学杂志, 2022, 24(5): 363-367. doi: 10.3969/j.issn.1008-6978.2022.05.011

    WU X M, DONG G F, MOU S, et al. Correlation between facial expression muscle elasticity and facial nerve function score in patients with peripheral facial paralysis before and after acupuncture and moxibustion treatment[J]. Journal of Clinical Ultrasound Medicine, 2022, 24(5): 363-367. doi: 10.3969/j.issn.1008-6978.2022.05.011
    [20]
    徐世英, 曾金艳, 王云亮. 牵正散加减辅助针灸治疗风寒型面瘫疗效观察[J]. 辽宁中医杂志, 2022, 49(5): 102-105.

    XU S Y, ZENG J Y, WANG Y L. Observation on the therapeutic effect of Qianzheng Powder plus or minus acupuncture and moxibustion in treating wind cold type facial paralysis[J]. Liaoning Journal of Traditional Chinese Medicine, 2022, 49(5): 102-105.
    [21]
    吴涛凭, 冯绪康, 卢超, 等. 针灸治疗奥沙利铂致周围神经病变的研究进展[J]. 浙江临床医学, 2024, 26(3): 466-468.

    WU T P, FENG X K, LU C, et al. Research progress in acupuncture and moxibustion treatment of oxaliplatin induced peripheral neuropathy[J]. Zhejiang Clinical Medicine, 2024, 26(3): 466-468.
    [22]
    陈娜, 张莉, 胡小丽. 多模态超声在单侧周围性面瘫诊断及针灸治疗效果评估中的应用价值[J]. 贵州医科大学学报, 2024, 49(8): 1235-1241.

    CHEN N, ZHANG L, HU X L. The application value of multimodal ultrasound in the diagnosis of unilateral peripheral facial paralysis and the evaluation of acupuncture and moxibustion treatment effect[J]. Journal of Guizhou Medical University, 2024, 49(8): 1235-1241.
    [23]
    FEIGIN G, VELASCO FIGUEROA S, ENGLESAKIS M F, et al. Stellate ganglion block for non-pain indications: a scoping review[J]. Pain Med, 2023, 24(7): 775-781. doi: 10.1093/pm/pnad011
    [24]
    DENG J J, ZHANG C L, LIU D W, et al. Treatment of stellate ganglion block in diseases: its role and application prospect[J]. World J Clin Cases, 2023, 11(10): 2160-2167. doi: 10.12998/wjcc.v11.i10.2160
    [25]
    王莹, 袁博, 于乐洋, 等. 星状神经节阻滞治疗中重度及以上特发性面神经麻痹的效果[J]. 临床麻醉学杂志, 2023, 39(7): 772-775.

    WANG Y, YUAN B, YU L Y, et al. The effect of stellate ganglion block in the treatment of moderate to severe idiopathic facial nerve paralysis[J]. Journal of Clinical Anesthesiology, 2023, 39(7): 772-775.
    [26]
    刘华波, 赵彩红. 红外偏振光照射星状神经节治疗颈源性头痛的疗效观察[J]. 浙江临床医学, 2023, 25(6): 854-855.

    LIU H B, ZHAO C H. Observation of the therapeutic effect of infrared polarized light irradiation on the stellate ganglion in the treatment of cervical headache[J]. Zhejiang Clinical Medicine, 2023, 25(6): 854-855.
    [27]
    吴杰贤, 容英旋, 黄绮娟, 等. 超声引导下星状神经节阻滞联合电针治疗特发性面神经麻痹的临床观察[J]. 广东医学, 2023, 44(5): 636-639.

    WU J X, RONG Y X, HUANG Q J, et al. Clinical observation of ultrasound-guided stellate ganglion block combined with electroacupuncture in the treatment of idiopathic facial nerve paralysis[J]. Guangdong Medical Journal, 2023, 44(5): 636-639.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (15) PDF downloads(2) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return