浅刺配合穴位贴敷治疗周围性面瘫急性期疗效观察

Effect of shallow needling combined with acupoint application on the acute stage of peripheral facial paralysis

目的:寻找治疗周围性面瘫急性期的有效疗法。方法:120例面瘫患者随机分为观察组和对照组,每组60例。两组病例均给予常规的药物治疗,观察组在此基础上同时予浅刺患侧翳风、完骨、地仓、颊车、阳白、太阳、牵正、攒竹及健侧合谷穴为主及自制"面瘫穴敷方"进行牵正、地仓、阳白、完骨或颊车、太阳、颧髎、翳风穴位贴敷治疗。比较两组患者的痊愈率,并比较两组痊愈患者的疗程。结果:观察组患者痊愈率88.3%(53/60),优于对照组的66.7%(40/60)(P<0.01)。观察组中痊愈患者的疗程较对照组明显缩短(P<0.01)。结论:在常规药物治疗基础上,浅刺加穴位贴敷治疗周围性面瘫急性期可提高疗效,并可以缩短疗程。

Objective To search for an effective therapy for the acute stage of peripheral facial paralysis. Methods One hundred and twenty cases of facial paralysis patients were randomly divided into an observation group and a control group, 60 cases in each group. Both groups were treated with routine medication, and the observation group was treated with shallow needling combined with acupoint application using self-made ＂acupoint application formula for facial paralysis＂ on the basis of the routine medication. The acupoints of Yifeng （TE 17）, Wangu （GB 12）, Dicang （ST 4）, Jiache （ST 67, Yangbai （GB 14）, Taiyang （EX-HN 5）, Qianzheng （EX-HN 17）, Cuanzhu （EL 2） in affected side and Hegu （LI 4） in healthy side were selected as main acupoints for shallow needling, and Qianzheng （EX-HN 17）, Dicang （ST 4）, Yangbai （GB 14） and Wangu （GB 12）, or Jiache （ST 6）, Taiyang （EX-HN 5）, Quanliao （SI 18） and Yifeng （TE 17） were selected for acupoint application. The cure rate and the course of cured patients in both groups were compared. Results The cure rate of 88.3%（53/60） in observation group was superior to that of 66.7% （40/60） in control group （P〈0.01）. The course of cured patients in observation group was obviously shorter than that of control group （P〈0.01）. Conclusion On the basis of routine medication, shallow needling combined with acupoint application can improve the therapeutic effect and shorten the course for acute stage of peripheral facial paralysis.