不同方法分期治疗周围性面瘫疗效观察

Observation on therapeutic effects of different methods on peripheral facial paralysis at different stages

目的:观察采用不同方法治疗不同时期周围性面瘫的疗效。方法:对治疗组中26例急性期患者采用针刺健侧对应穴,15例静止期患者采用浅刺法针刺患侧,2例恢复期患者采用常规针灸治疗,并与36例常规针灸治疗患者进行对照研究,两组取穴相同。结果:治疗组愈显率为97.7%,对照组为75.0%,两组相比差异有非常显著性意义(P<0.01);治疗组所需平均疗程为2.7个,对照组为4.0个,两组在治疗疗程上比较差异也有非常显著性意义(P<0.01)。结论:采用不同方法分期治疗周围性面瘫效果优于常规针刺方法。

Objective To observe therapeutic effects of different therapeutic methods for treatment of peripheral facial paralysis at different stages. Methods In the treatment group, 26 cases at acute stage were treated by acupuncture at corresponding acupoints at the healthy side, 15 cases at resting stage by acupuncture at the affected side with shallow needling method, and 2 cases at restoration stage by routine acupuncture and moxibustion, and their therapeutic effects were compared with the control group of 36 cases who were treated by routine acupuncture and moxibustion. The acupoints selected in the two groups were same. Results The cured-markedly effective rate was 97.7% in the treatment group and 75.0% in the control group with a very significant difference between the two groups （P〈0.01）. The treatment group needed 2. 7 therapeutic courses and the control group needed 4. 0 courses in average with a very significant difference between the two groups （P〈0. 01）. Conclusion Different acupuncture methods at different stages are better than routine acupuncture method in treatment of peripheral facial paralysis.