文章摘要
沈梦霞,吴江霞,商雯芳.中医外治法治疗妊娠期贝尔面瘫临床研究进展[J].浙江中医药大学学报,2021,(1):83-86, 97.
中医外治法治疗妊娠期贝尔面瘫临床研究进展
Research Progress of Traditional Chinese Medicine External Therapies for Bell's Palsy in Pregnancy
投稿时间:2020-05-06  
DOI:10.16466/j.issn1005-5509.2021.01.017
中文关键词: 中医外治  针刺  灸法  推拿  周围性面瘫  妊娠  综述
英文关键词: traditional Chinese medicine external therapies  acupuncture  moxibustion  massage  Bell's palsy  pregnancy  literature review
基金项目:
作者单位
沈梦霞 浙江中医药大学 杭州 310053 
吴江霞 浙江中医药大学 杭州 310053 
商雯芳 浙江中医药大学 杭州 310053 
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中文摘要:
      [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
英文摘要:
      [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.
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