运用针刺补泻手法治疗周围性面瘫临床观察

Clinical Observation of Reinforcing-reducing Needling Methods for Peripheral Facial Paralysis

目的观察运用针刺补泻手法治疗周围性面瘫的临床疗效。方法将70例面瘫患者随机分为两组,选穴后施行针刺补泻手法和常规针刺法对照治疗,比较针刺治疗前和治疗后即刻、治疗30 d后、治疗3个月后、治疗6个月后House-Brackmann(H-B)面神经功能评分及观察两组治疗6个月后的临床疗效。结果手法组H-B评分优于常规组(P<0.05),两组疗效比较,手法组疗效优于常规组(P<0.05)。结论运用针刺补泻手法治疗周围性面瘫在疗效方面优于单纯常规针刺法治疗。

Objective To observe the clinical efficacy of reinforcing-reducing needling methods in treating peripheral facial paralysis.Method Seventy facial paralysis patients were randomized into two groups to compare the reinforcing-reducing needling methods and conventional acupuncture.The House-Brackmann（H-B） scale was observed and compared prior to the treatment,right after the treatment,and respectively after 30-day,3-month,and 6-month treatments,and the clinical efficacy was evaluated after 6-month treatments.Result The H-B score of the reinforcing-reducing manipulation group was superior to that of the conventional group（P〈0.05）,and the therapeutic efficacy of the manipulation group was more significant than that of the conventional group（P〈0.05）.Conclusion The reinforcing-reducing needling methods can produce a better therapeutic efficacy in treating peripheral facial paralysis compared to conventional acupuncture.