针灸联合常规治疗顽固性面瘫随机平行对照研究

Randomized Parallel Group Study of Acupuncture Plus Routine Treatment of Intractable Facial Paralysis

[目的]观察针灸联合常规治疗顽固性面瘫疗效。[方法]使用随机平行对照方法,将66例住院及门诊患者按就诊顺序编号方法简单随机分为两组。对照组33例常规治疗。治疗组33例针灸,患侧承浆、翳风、攒竹、丝竹空及对侧合谷,或患侧阳白、地仓、颊车及对侧合谷。平补平泻,两组交换取穴,得气后需留针30min, 10min/次;常规治疗同对照组。连续治疗30d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结黑]治疗组痊愈19例,显效6例,有效7例,无效1例,总有效率96.67%。对照组姿愈8例,显效10例,有效8例,无效7例,总有效率78.79%。治疗组疗效优于对照组(P<0.05)。[结沦]针灸联合常规治疗顽固性面瘫,疗效满意,无严重不良反应,值得推广。

[Objective]To observe the effect of acupuncture combined with routine treatment of intractable facial paralysis.[Method]Using a random parallel control method,66 patients were randomly divided into two groups according to the order of treatment.Control group of 33 cases of conventional treatment.Treatment group（33 cases of acupuncture and ipsilateral bearing slurry,Yifeng,save bamboo,sizhukong and of Hegu,or suffer from side Bai Yang,storehouse,buccal car and on the side Hegu.Reinforcing reducing,group two points,after the gas required for 30 min,10min/;conventional treatment with the control group.30 d is a continuous treatment for1 courses.Observation of clinical symptoms,adverse reactions.Treatment of 1 courses,determine the efficacy.[Results]19 cases were cured,6 cases markedly effective,7 cases effective,1 cases ineffective,the total effective rate was 96.67%.In the control group,8 cases were cured,10 cases markedly effective,8 cases effective,7 cases ineffective,the total effective rate was 78.79%.The curative effect of the treatment group was better than that of the control group（P〈0.05）.[Conclusion]Acupuncture combined with routine treatment of intractable facial paralysis,efficacy is satisfactory,no serious adverse reactions,it is worth promoting.