串刺针法配合电针治疗面神经麻痹疗效观察

Observation on therapeutic effect of peripheral facial paralysis treated by string puncture combined with electroacupuncture

目的:探寻治疗周围性面瘫的有效针刺手法。方法:将95例周围性面瘫患者随机分为观察组(48例)和对照组(47例)。观察组选取面部瘫痪肌肉肌腹部的穴位:阳白、太阳、瞳子髎、颊车、地仓等,行串刺针法,针体均穿行于肌层,针体与肌肉纤维方向呈40°～60°夹角,阳白、太阳等穴加电针治疗;对照组选取相同穴位,行常规针刺,比较两组临床疗效、疗程和House-Brackmann(H-B)面神经功能分级情况。结果:观察组总有效率为100.0%(47/47),优于对照组的93.6%(44/47)(P<0.01);痊愈患者在平均有效时间、显效时间及痊愈时间上,观察组明显短于对照组(均P<0.01);两组治疗后H-B面神经功能分级均较治疗前明显提高(均P<0.01),观察组提高更明显(P<0.01)。结论:串刺针法治疗周围性面瘫疗效明显优于常规针刺,且能明显缩短疗程。

Objective To explore the effective treatment of peripheral facial paralysis. Methods Ninety-five cases of peripheral facial paralysis were randomly divided into an observation group （48 cases） and a control group （47 cases）. In observation group, the acupoints located on paralyzed muscle, such as Yangbai（GB 14）, Taiyang（EXHN 5）, Tongziliao （GB 1）, Jiache （ST 6） and Dicang （ST 4）, etc. were selected; string puncture was applied and the body of needles went through the muscular layer at 40°- 60° angle with the direction of muscle fiber; Yangbai （GB 14）, Taiyang （EX-HN 5） etc. were selected for electroacupuncture. In control group, the same aeupoints and routine manipulations were applied. The clinical therapeutic effects, courses and the House-Brackmann （H-B） facial nerve function grading of both groups were compared. Results The total effective rate in observation group was 100.0%（47/47） which was superior to 93.6%（44/47） in control group （P〈0.01）; the average effective, marked effective and cured durations of cured patients in observation group were much shorter than those in control group （all P〈0.01） ; the H B facial nerve function grading of both groups were improved after treatment （all P〈0.01）, and more significant in observation group （P〈0.01）. Conclusion By string puncture therapy, peripheral facial paralysis is treated more effective than that by routine puncture, and the curative courses are obviously shortened.