电针浅刺治疗急性期周围性面瘫疗效观察

Therapeutic Observation on Electroacupuncture with Shallow Needling for Peripheral Facial Paralysis of Acute Stage

目的观察电针浅刺治疗急性期周围性面瘫的疗效和安全性。方法将148例周围性面瘫患者分为急性期组86例和恢复期组62例,两组均采用电针浅刺进行治疗,比较两组临床疗效及随访3个月、6个月并发症发生情况。结果急性期组愈显率和总有效率分别为68.6%和100.0%,恢复期组分别为35.5%和96.8%,两组愈显率比较,差异具有统计学意义(P<0.01)。两组患者随访6个月并发症发生率比较,差异具有统计学意义(P<0.05)。结论电针浅刺是一种治疗急性期周围性面瘫的有效方法,能促进面神经功能恢复,降低并发症发生。

Objective To observe the therapeutic efficacy and safety of electroacupuncture with shallow needling in treating peripheral facial paralysis of acute stage. Method Totally 148 patients with peripheral facial paralysis were randomized into a treatment group of 68 cases and a control group of 62 cases. They both received electroacupuncture with shallow needling. The therapeutic efficacies were compared and the complication cases during the 3-month and 6-month follow-up studies were observed. Result The recovery-markedly effective rate and total effective rate were respectively 68.6% and 100.0% in the treatment group versus 35.5% and 96.8% in the control group, indicating that there was a statistically significant difference between the two groups in comparing the recovery-markedly effective rate （P〈0.01）. There was a statistically significant difference in comparing the incidence rate of complications during the 6-month follow-up study （P〈0.05）. Conclusion Electroacupuncture with shallow needling is an effective approach in treating peripheral facial paralysis of acute stage, by promoting the recovery of facial nerve function and decreasing the happening of complications.