基于红外热成像技术观察滞针提拉法治疗亚急性期周围性面瘫的临床疗效

徐晓霜; 李肖伟; 舒玉铃; 张雅婷; 张京璨; 苗婷婷; 杨骏; 石海平

doi:10.13703/j.0255-2930.20241230-k0005

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基于红外热成像技术观察滞针提拉法治疗亚急性期周围性面瘫的临床疗效

临床研究 | 更新时间：2026-01-16

- 基于红外热成像技术观察滞针提拉法治疗亚急性期周围性面瘫的临床疗效
- Clinical efficacy of pulling technique by needle stuck for subacute peripheral facial paralysis based based on infrared thermography
- 中国针灸 2026年46卷第1期页码：49-53
- 作者机构：
  
  安徽中医药大学第一临床医学院，合肥　230031
  安徽中医药大学第一附属医院针灸康复科，合肥　230031
  安徽中医药大学第一附属医院推拿科，合肥　230031
- 作者简介：
  
  ✉石海平，副主任医师。E-mail：shihaipingdyx@163.com
- 基金信息：
  
  安徽高校协同创新项目(GXXT-2021-083);安徽省科学技术厅安徽省临床医学研究转化专项(202304295107020062)
- DOI：10.13703/j.0255-2930.20241230-k0005
  中图分类号：
- 收稿：2024-12-30，
  
  网络首发：2025-07-25，
  
  纸质出版：2026-01-12
- 稿件说明：
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徐晓霜, 李肖伟, 舒玉铃, 等. 基于红外热成像技术观察滞针提拉法治疗亚急性期周围性面瘫的临床疗效[J]. 中国针灸, 2026,46(1):49-53.

XU Xiaoshuang, LI Xiaowei, SHU Yuling, et al. Clinical efficacy of pulling technique by needle stuck for subacute peripheral facial paralysis based based on infrared thermography[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 49-53.
徐晓霜, 李肖伟, 舒玉铃, 等. 基于红外热成像技术观察滞针提拉法治疗亚急性期周围性面瘫的临床疗效[J]. 中国针灸, 2026,46(1):49-53. DOI： 10.13703/j.0255-2930.20241230-k0005.

XU Xiaoshuang, LI Xiaowei, SHU Yuling, et al. Clinical efficacy of pulling technique by needle stuck for subacute peripheral facial paralysis based based on infrared thermography[J]. Chinese Acupuncture & Moxibustion, 2026, 46(1): 49-53. DOI： 10.13703/j.0255-2930.20241230-k0005.

摘要

目的：

基于红外热成像技术观察滞针提拉法治疗亚急性期周围性面瘫的临床疗效。

方法：

将60例亚急性期周围性面瘫患者随机分为观察组和对照组，各30例。对照组采用常规针刺治疗，穴取患侧牵正、四白、阳白、鱼腰、颊车、地仓等；观察组在对照组的基础上，选取阳白透刺鱼腰、四白透刺地仓、地仓透刺颊车三组穴位施用滞针提拉法。两组患者均每次留针30 min，隔日治疗1次，至病程的第28天结束。采用红外热像仪观察两组患者治疗前后阳白、四白和地仓健侧与患侧温度差值（ΔT），比较两组患者治疗前后House-Brackmann（H-B）分级、Sunnybrook面神经评定量表评分，对两组患者痊愈时间进行生存分析，并评定临床疗效。

结果：

治疗后，两组患者阳白、四白、地仓穴位ΔT均较治疗前降低（

0.05），且观察组低于对照组（

0.05）。两组患者H-B分级、Sunnybrook面神经评定量表评分均较治疗前改善（

0.05），且观察组优于对照组（

0.05）。观察组中位痊愈时间短于对照组（

0.05）。观察组总有效率为96.7%（29/30），高于对照组的90.0%（27/30，

0.05）。

结论：

在常规针刺的基础上，滞针提拉法可提升亚急性期周围性面瘫的临床疗效，可有效改善临床症状，缩短病程。

Abstract

Objective

To observe the clinical efficacy of pulling technique by needle stuck for subacute peripheral facial paralysis based on the infrared thermography.

Methods

A total of 60 patients with subacute peripheral facial paralysis were randomized into an observation group and a control group

30 cases in each one. In the control group

conventional acupuncture was applied at Qianzheng (Extra)

Sibai (ST2)

Yangbai (GB14)

Yuyao (EX-HN4)

Jiache (ST6)

Dicang (ST4)

and etc. on the affected side. On the basis of the treatment in the control group

in the observation group

acupuncture at Yangbai (GB14)-toward-Yuyao (EX-HN4)

Sibai (ST2)-toward-Dicang (ST4)

and Dicang (ST4)-toward-Jiache (ST6) was applied and combined with pulling technique by needle stuck. In both groups

the needles were retained for 30 min a time

once every other day

until the 28th day of the disease course. Before and after treatment

the temperature difference (ΔT) between the healthy side and the affected side of Yangbai (GB14)

Sibai (ST2)

and Dicang (ST4) was measured by infrared thermography; the House-Brackmann (H-B) grade and the Sunnybrook facial nerve assessment scale score were compared in the two groups. The recovery time was compared by survival analysis

and the clinical efficacy was evaluated in the two groups.

Results

After treatment

ΔT of Yangbai (GB14)

Sibai (ST2)

and Dicang (ST4) was decreased compared with that before treatment in the two groups (

0.05)

and that in the observation group was lower than the control group (

0.05). After treatment

the H-B grade and the Sunnybrook facial nerve assessment scale scores were improved compared with those before treatment in the two groups (

0.05)

and those in the observation group were better than the control group (

0.05). The median recovery time in the observation group was shorter than that in the control group (

0.05). The total effective rate was 96.7% (29/30) in the observation group

which was superior to 90.0% (27/30) in the control group (

0.05).

Conclusion

Pulling technique by needle stuck can enhance the clinical efficacy when added to conventional acupuncture for subacute peripheral facial paralysis

improve the clinical symptoms and shorten the course of the disease.

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