早期针刺治疗周围性面瘫疗效观察

Observation on therapeutic effect of acupuncture on early peripheral facial paralysis

目的：观察不同时机针刺治疗周围性面瘫的疗效.方法：将52例患者随机分为治疗组（28例）和对照组（24例）.治疗组急性期（1～10天）即予针刺治疗,穴取地仓、颊车、阳白等,面部取穴不超过4个,浅刺,10天后常规取穴加电针;对照组除急性期不予针刺治疗外,余处理方法与治疗组相同.结果：治疗组痊愈率为78.6%,明显高于对照组的50.0%（P＜0.05）.结论：早期针刺治疗面瘫是获取最佳疗效的关键.

Objective To observe therapeutic effects of acupuncture at different opportunities on peripheral facial paralysis. Methods Fifty-two cases were randomly divided into a treatment group （n=28） and a control group （n=24）. The treatment group at the acute stage （1-10 days） were treated with acupuncture at Dicang （ST 4）, Jia-che （ST 6）, Yangbai （GB 14）, etc., with less than 4 points selected on the face and with shallow puncture, and 10 days later electroacupuncture were added at acupoints selected routinely; the control group were treated with the same methods as the treatment group but acupuncture was not given at the acute stage. Results The cured rate of 78. 6% in the treatment group was significantly higher than 50. 0% in the control group （P〈0. 05）. Conclusion Early acupuncture is a key for achieving the best therapeutic effect on facial paralysis.