不同针灸治法干预急性期周围性面瘫临床比较

Clinical comparative observation of different acupuncture-moxibustion therapies in the treatment of peripheral facial paralysis at acute stage

目的比较温针、电针和闪罐治疗急性期周围性面瘫的临床疗效。方法将112例急性期周围性面瘫患者随机分为对照组(28例,单纯西药治疗)、温针组(28例,患侧面部温针灸)、电针组(28例,电针疗法)和闪罐组(28例,针刺后加闪罐),疗程4周。比较各组临床疗效、House-Brackmann H-B面神经功能评价分级和治愈时间。结果 (1)温针组总有效率为96.4%,电针组为85.7%,闪罐组为85.7%,均高于对照组75%(P<0.05);温针组疗效优于电针组和闪罐组(P<0.05)。(2)治疗后,4组H-B面神经功能评价分级较治疗前明显改善(P<0.01),针灸治疗3个组H-B功能评价优于对照组(P<0.01),温针组优于电针组和闪罐组(P<0.05)。(3)3个针灸治疗组患者痊愈所需时间均短于对照组(P<0.05),温针组短于电针组和闪罐组(P<0.05)。结论针灸治疗急性期周围性面瘫疗效显著,其中温针疗法在恢复面神经功能和治愈时间方面具有明显优势。

Objective To compare the clinical efficacy of warm needling, electroacupuncture and quick cupping in the treatment of peripheral facial paralysis at acute stage. Methods 112 patients with peripheral facial paralysis at acute stage were randomly divided into the control group, warm needling group, electroacupuncture group and quick cupping group,28 cases in each group. The control group was treated with single therapy of western medicine, the warm needling group was treated with facial wanning acupuncture on affected side, the electroacupuncture group was treated with electroacupuncture therapy, and the quick cupping group was treated with quick cupping stimulation after acupuncture, with a course of 4 weeks. The clinical efficacy, House-Brackmann（H-B） facial nerve grading scale and healing time in each group were compared. Results 0）The total effective rates were 96.4% in the warm needling group,85.7% in the electroacupuneture group ,85.7% in the quick cupping group and 75.0% in the control group. The total effective rate of the control group was lower than that of the other groups（ P 〈0.05 ）. The efficacy of the warm needling group was better than that of the electroacupuncture group and quick cupping group （P 〈0.05 ）. ②Compared with treatment before,the H-B facial nerve grading were obviously improved in all the groups after treatment（P 〈0.01 ）. After treatment, the H-B facial nerve grading in the three groups that treated with acupuncture-moxibustion therapies were better than those in the control group（ P 〈0.01 ）, and the H-B facial nerve grading in the warm needling group were better than those in the electroacupuncture group and quick cupping group（P 〈0.05 ）. ③The healing time in the three groups that treated with acupuneture-moxibustion therapies was all less than that in the control group （P 〈 O. 05 ）, and the healing time in the warm needling group was less than that in the eleetroacupuneture group and quick cupping group （ P 〈 0.05 ）. Conclusion Acupuncture-moxibustion therapies show significant efficacy in the treatment of peripheral facial paralysis at acute stage. Among,the therapy of warm needling shows obvious advantages in recovering facial nerve function and healing time.