针刺补法治疗贝尔麻痹恢复期随机对照研究

Randomized controlled study on reinforcing method of acupuncture for treatment of Bell's palsy at restoration stage

目的:观察针刺补法治疗贝尔麻痹恢复期的临床疗效。方法:将160例患者随机分为手法组(80例)、非手法组(80例)。2组取穴相同,手法组运用提插捻转补法,非手法组不用针刺手法。观察2组疗效以及治疗前后麻痹指数、麻痹程度及面神经肌电图的变化。结果:针刺补法能明显改善患者的麻痹指数、麻痹程度和面神经肌电图最大波幅值。手法组愈显率为91.3%,非手法组为75.0%,2组相比差异有非常显著性意义(P<0.01)。结论:针刺补法能提高治疗贝尔麻痹恢复期的临床疗效。

Objective To observe clinical therapeutic effect of reinforcing method of acupuncture on Bell＇s palsy at restoration stage. Methods One hundred and sixty cases were randomly divided into two groups： an observation group and a control group, 80 cases in each group. The observation group were treated by acupuncture with liftingthrusting-twirling reinforcing method, and the control group by acupuncture without needling manipulation. The therapeutic effect, and changes of palsy index, degree of palsy and ENoG were observed. Results Reinforcing method of acupuncture could significantly improve palsy index, degree of palsy and maximal wave amplitude of ENoG; the cured and markedly effective rate was 91. 3% in the observation group and 75.0% in the control group with a very significant difference between the two groups （P〈0.01）. Conciusion The reinforcing method of acupuncture can increase the therapeutic effect on Bell＇s palsy at restoration stage.