针药并施治疗周围性面神经麻痹急性期疗效观察

Observations on the efficacy of combined acupuncture and medication for treating the acute stage of peripheral facial paralysis

目的探讨面瘫急性期的最佳治疗方案。方法在面瘫急性期随机将患者分成3组,分别采用针刺、西药及针药并施三种治疗方法,在静止及恢复期采用相同的电针治疗方法,作疗效对比观察。结果急性期过后治疗2个疗程,急性期针刺组及针药组痊愈率分别为75%和75.7%,两组痊愈率比较,差异无显著性意义(P>0.05),但急性期西药组痊愈率仅57.1%,与前两组比较,差异有显著性意义(P<0.05)。结论面瘫急性期采用针刺治疗有助于缩短疗程,提高疗效,是否必要配合西药治疗,无显著性意义。

Objective To seek the optimal plan for treating the acute stage of peripheral facial paralysis. Methods Patients with peripheral facial paralysis were allocated to three groups in the acute stage and treated by acupuncture, medication and combined acupuncture and medication, respectively. The same method of electroacupuncture treatment was used in the stationary and convalescent stages for a comparison of the curative effects. Results After two courses of treatment following the acute stage, the cure rate was 75% in the acupuncture group and 75.7% in the acupuncture-medication group. There was no significant difference in the cure rate between the two groups （P〉0.05）. But the cure rate was only 57.1% in the medication group. There was a significant difference between it and the former two groups （P〈0.05）. Conclusion Acupuncture treatment provided in the acute stage of peripheral facial paralysis helps to shorten the course of treatment and improve the curative effect. It is of no significance to add medication.