星状神经节阻滞联合针刺治疗特发性面神经麻痹临床观察

Stellate Ganglion Block and Acupuncture for Idiopathic Facial Paralysis:A Clinical Controlled Trial

目的:观察星状神经节阻滞联合针刺治疗对特发性面神经麻痹的临床疗效。方法:将62例特发性面神经麻痹患者分为两组,对照组30例采用药物治疗+针灸理疗等常规治疗,治疗组32例采用常规治疗+星状神经节阻滞(SGB)疗法,疗程30天。采用House-Brackmann面神经功能分级评定及临床疗效指标判定。结果:治疗前两组H-B面神经功能分级具有可比性。治疗后,两组H-B评分比较差异有统计学意义(P<0.05);临床疗效指标比较显示两组总有效率分别为:治疗组96.9%,对照组80.00%,治疗组优于对照组,两组差异有统计学意义(P<0.05)。结论:星状神经节阻滞联合针刺治疗对急性特发性面神经麻痹有效。

Objective： To evaluate the effect of stellate ganglion block and acupuncture on Idiopathic facial palsy. Methods：A total of 62 cases of idiopathic facial paralysis were randomly divided into the treatment group （32 cases）, and the control group （30 cases）. The basis of the two groups included medications and acupuncture therapy, as a routing therapy. The treatment group was treated by routing therapy and Stellate ganglion block.House-Brackmann facial nerve function classification and evaluation were used to determine clinical efficacy. Results： Before treatment H-B classification of facial nerve function in the two groups were comparable. At 30 days after treatment, H-B scores for the treatment group and the control group had significant differences （P〈0.05）; Comparison of efficacy of the two groups showed the total effective rate： 96.9% in the treatment group, 80.0% in the control group, and the efficacy of the treatment group was better than that of the control group （P〈0.05）. Conclusion： Stellate ganglion block and acupuncture for Idiopathic Facial Paralysis has significant effect.