电针治疗不同病期周围性面瘫的临床观察

Clinical observation on electroacupuncture for treatment of peripheral facial paralysis at different stages

目的:探讨电针治疗周围性面瘫的最佳时机。方法:将120例患者按就诊顺序随机分为A组和B组各60例。A组在急性期开始电针和超短波治疗,B组在急性期行超短波治疗,静止期再加用电针治疗。结果:A组痊愈显效率为85.0%,总有效率为98.3%,B组分别为68.3%和91.7%(x2=7.96,P<0.05);肌电图检测显示,治疗前和发病第8天时异常肌电图的变化两组间比较差异元显著性意义(P>0.05);第30天时BR波转为正常或轻度异常的例数A组明显多于B组(P<0.05),M波潜伏期缩短和波幅回升A组也明显优于B组(P<0.05)。结论:急性期电针治疗可以明显提高痊愈显效率,是针刺治疗周围性面瘫的最佳时机。

Objective To probe into the optimal opportunity of electroacupuncture for treatment of peripheral facial paralysis. Methods One hundred and twenty cases were randomly divided into group A and B, 60 cases in each group. The group A were treated by electroacupuncture and ultrashort-wave from the acute stage and the group B were treated by ultrashort-wave at the acute stage and ultrashort-wave plus electroacupuncture at the resting stage. Results The cured and markedly effective rate was 85. 0% and the total effective rate was 98. 3% in the group A, and 68. 3% and 91. 7% in the group B respectively (P<0. 05) t there was no significant difference between the two groups in abnormal myoelectrogratn before treatment and at the 8th day (P>0. 05); but at the 30th day the number of cases in whom BR wave turned to normal or mild abnormal in the group A were more than those in the group B (P<0. 05), and the shortening of the latent period of M wave and increase of the wave amplitude were significantly better than those in the group B (P<0. 05). Conclusion Electroacupuncture at acute stage can significantly increase the cured and markedly effective rate, and the acute stage is the optimal opportunity for acupuncture treatment of peripheral facial paralysis.