面瘫针刺治疗方案的优选

Optimizationof acupuncture treatment programs for facial paralysis

目的:优选面瘫的针刺治疗方案。方法:将63例面瘫患者按正交设计L9(3)4表随机分组、安排试验,采用A(针刺时机)、B(选穴配方)、C(刺激量)、D(电针时间)4因素3水平不同组合方案治疗,观察面神经功能积分的变化,对影响面瘫针刺疗效的A(针刺时机)、B(选穴配方)、C(刺激量)、D(电针时间)4因素3水平组合方案进行优选。结果:B(选穴配方)、D(电针时间)为显著因素(P<0.05),其中B(选穴配方)为最主要的影响因素;在B(选穴配方)、D(电针时间)各自3水平中,B3(交替针刺两组穴位)、D3(电针疏密波治疗30min)为最佳。结论:交替针刺两组穴位,电针疏密波治疗30min为本试验的最佳方案。

Objective To optimize the acupuncture treatment programs for facial paralysis. Methods Sixty-three patients of facial paralysis were randomly divided and treated according to the table of L9 （3）4 in orthogonal test. They were treated with different combined programs of 4 factors and 3 levels, including factor A （acupuncture opportunity）, B （acupoints prescription）, C （quantity of stimulus） and D （time of electroacupuncture）. The change of facial nerve function score was observed to choose the best acupuncture treatment program for facial paralysis from factor A （acupuncture opportunity）, B （acupoints prescription）, C （quantity of stimulus）, D （time of electroacupuncture） and their 3 levels in each factor. Results B （acupoints prescription） and D （time of electroacupuncture） were significant factors （P〈0. 05）, and B （acupoints prescription） was the most important influential factor. B3 （alternative use of two groups of acupoints） was the best one among the 3 levels of B （acupoints prescription）, and D3 （electroacupuncture in disperse-dense wave for 30 min） was the best one of D （time of electroacupuncture）. Conclusion Two groups of acupoints alternatively used with electroacupuncture in disperse-dense wave for 30 min is the best treatment program for facial paralysis.