针灸治疗周围性面神经麻痹的研究进展

Research Progress on Acupuncture Treatment of Peripheral Facial Paralysis

摘要: 周围性面神经麻痹作为临床常见的高发神经系统疾病，其发病机制复杂，涉及神经非特异性炎症与微循环障碍。现代医学常规药物治疗在部分病例中存在疗效瓶颈及副作用风险，而中医针灸凭借其多靶点、多层次的调节作用，在改善面部神经功能、缩短病程及预防后遗症方面展现出治疗潜力。本文基于近年来国内外临床研究数据，深入探讨了针灸介入的最佳时机、不同针刺手法的效应差异、针药结合等综合疗法的临床应用价值，并对相关作用机制及专家诊疗共识进行了系统梳理。文章客观分析了当前研究在方法学质量和安全性评价方面的局限性，旨在评估针灸治疗该病的现状与前景，为优化临床诊疗方案提供科学依据。

Abstract: Peripheral facial paralysis (PFP) is a common clinical nervous system disease with a high incidence rate. Its pathogenesis is complex, involving non-specific neural inflammation and microcirculatory disturbances. Conventional modern medical drug treatments face efficacy bottlenecks and risks of side effects in some cases. Traditional Chinese Medicine (TCM) acupuncture, with its multi-target and multi-level regulatory effects, demonstrates potential therapeutic values in improving facial nerve function, shortening the course of the disease, and preventing sequelae. Based on recent domestic and international clinical research data, this article deeply explores the optimal timing for acupuncture intervention, the efficacy differences of various acupuncture techniques, and the clinical application value of comprehensive therapies such as acupuncture combined with medication. It also systematically reviews related mechanisms of action and expert consensus on diagnosis and treatment. Furthermore, the limitations of current research in terms of methodological quality and safety evaluation are objectively analyzed. The aim is to evaluate the current status and prospects of acupuncture treatment for this disease and provide scientific evidence for optimizing clinical treatment protocols.