经筋透刺法治疗周围性面神经麻痹疗效观察

Observation on therapeutic effect of aponeurotic system penetration needling on peripheral facial paralysis

目的:观察经筋透刺法对周围性面神经麻痹的疗效。方法:将110例周围性面神经麻痹患者随机分为经筋组(68例)和对照组(42例),观察其急性期、静止期和后遗症期的疗效,并观察电针测定面神经病损程度与疗效的关系。结果:两种针刺手法治疗有效率分别为98·5%和90·5%,经筋组疗效优于对照组(P<0·05);在急性期选择针灸治疗效果显著,经筋组对后遗症期和神经不良型患者的疗效优于对照组(P<0·05)。结论:针灸对急性期面神经麻痹和神经活跃型患者疗效确切,对后遗症期和神经不良型面神经麻痹患者可采用经筋透刺法。

Objective To observe therapeutic effect of aponeurotic system penetration needling on peripheral facial paralysis. Methods One hundred and ten cases of peripheral facial paralysis were randomly divided into a Jingjin group （n=68） and a control group （n =42）. The therapeutic effects of acute stage, resting stage and sequela stage, and the relation between the facial nerve lesion degree and the therapeutic effect were investigated. Resuits The effective rates of the two needling methods were respectively 98.5% and 90. 5%, the Jingjin group being better than the control group （P〈0. 05） ; at the acute stage, the therapeutic effect of acupuncture was obvious, and the therapeutic effect at the sequela stage and for the patient of nerve faulty type in the Jingjin group were better than that of the control group （P〈0. 05）. Conclusion Acupuncture and moxibustion has definite therapeutic effect on facial paralysis at the acute stage and in the patient of nerve active type, and aponeurotic system penetration neeT dling can be used for the patient of facial paralysis at the sequela stage or with nerve faulty type.