针灸治疗糖尿病性周围性面瘫与Bell’麻痹72例

Acupuncture Treatment of Diabetic Peripheral Facial Paralysis and Bell ’Palsy Clinical Comparative Study

目的比较针刺配合按摩、TDP治疗糖尿病性周围性面瘫与Bell麻痹的临床疗效及疗程。方法选取周围性面瘫患者72例,糖尿病性周围性面瘫（观察组）36例,Bell麻痹（对照组）36例。两组均采用相同的针刺配合按摩、TDP治疗,观察组同时配合糖尿病标准化治疗。5次/周,1周为1疗程,8个疗程后进行评价。结果4个疗程治疗后,观察组愈显率25.00%;对照组愈显率75.00%。组间比较差异有显著性（P〈0.001）,8个疗程治疗后,观察组愈显率83.33%;对照组愈显率94.44%,组间比较差异无统计学意义（P〉0.05）。8个疗程后临床痊愈患者平均疗程分别为6.86、4.50个,组间比较差异有显著性（P〈0.001）。结论针刺配合按摩、TDP治疗糖尿病性周围性面瘫与Bell麻痹二者疗效确切,但糖尿病性周围性面瘫恢复的疗程明显较Bell面瘫的长。

Objective To compare acupuncture with massage, TDP treatment of diabetic peripheral facial paralysis Bell palsy with clinical efficacy and treatment. Methods Patients with peripheral facial paralysis, 72 cases of diabetic peripheral facial paralysis （observation group） 36 cases, Bell palsy （control group） 36 cases. Both groups were using the same acupuncture with massage, TDP treatment, the observation group with diabetes at the same time standardized treatment. 5 times / week, 1 week for a course of treatment, 8 atter treatment evaluation. Reau Its After 4 courses of treatment, the observation group markedly effective rate 25.00%; control group, markedly effective rate of 75.00%. Difference between the two groups was significant （P〈0.001）, 8 cycles of treatment, the observation group markedly effective rate 83.33%; control group, markedly effective rate 94.44%, between the two groups no statistically significant difference （P〉0.05）. 8 clinical recovery after treatment in patients with an average course of treatment, respectively 6.86,4.50 months, the difference between the two groups was significant （P〈0.001）. Conclusion Acuptmcture and massage, TDP treatment of diabetic peripheral facial paralysis Bell palsy with both curative effect, but the diabetic peripheral facial paralysis rehabilitation treatment significantly longer than the Bell facial paralysis.