滞针法治疗特发性面神经麻痹的随机对照研究

A Randomized Controlled Study on the Treatment of Idiopathic Facial Paralysis by Needling Therapy

目的:探讨滞针法治疗特发性面神经麻痹的临床疗效。方法:选取特发性面神经麻痹80例患者作为研究对象,将其随机分为治疗组和对照组,每组各40例。两组均给予基础治疗(泼尼松片加甲钴胺注射液)。对照组在基础治疗基础上给予常规针刺治疗。治疗组在对照组治疗基础上给予滞针法针刺治疗。两组均治疗4周后评价疗效。结果:治疗组愈显率72.50%,对照组愈显率52.50%,两组比较差异具有统计学意义(P<0.05)。治疗后,治疗组在缩短患侧面神经传导潜伏期和延长波幅方面均优于对照组,差异具有统计学意义(P<0.05,P<0.01);治疗组House-Brackmann面神经功能分级量表积分明显优于对照组,差异具有显著性(P<0.05);治疗组FDI躯体功能评分优于对照组,差异具有显著性(P<0.05)。结论:滞针法能够提高特发性面神经麻痹患者面神经功能,疗效肯定,是一种有效的方法。

Objective： To evaluate the clinical efficacy of acupuncture lag treatment on idiopathic facial paralysis. Methods： 80 patients with idiopathic facial paralysis were randomly divided into a treatment group and a control group with 40 cases. Both groups were given basic treatment（ prednisone tablets ＋ Mecobalamin injection）.The control group received acupuncture treatment on the basis of conventional treatment. The treatment group received acupuncture therapy on the basis of the therapy in the control group. Both groups were evaluated after4 weeks of treatment. Results： In the treatment group the markedly effective rate was 72. 50%,and the markedly effective rate was 52. 50% in the control group,and the difference was statistically significant（ P〈0. 05）. After treatment,in the treatment group the facial nerve conduction in shorter latency and prolonged volatility were better than those in the control group,and the difference was statistically significant（ P〈0. 05,P〈0. 01）; in the treatment group House- Brackmann facial nerve function grading scale score was significantly superior to that in the control group,and the difference was significant（ P〈0. 05）. FDI physical function scores in the treatment group were superior to those in the control group,and the difference was significant（ P〈0. 05）. Conclusion： The needling therapy can improve the facial nerve function,which is an effective method.